Mudita Gogna, M.D.

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

License

A158169 Issued in CA

Practice address

1528 Eureka Rd Ste 102
Roseville, CA 95661-3047

Phone

(916) 736-6644

Fax

(916) 774-0143

NPI assigned

Jun 26, 2008

Last updated

May 14, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Dr. Mudita Mittal Former name

Medicare fee-for-service enrollment

Enrolled in MA, CA2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Allergy/Immunology

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Sacramento Ear Nose and Throat Surgical and Medical Group IncGroup PAC ID 6204905342, 29 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Sutter Medical Center, Sacramento Hospital, Sacramento, CA, CCN 050108
• Marshall Medical Center Hospital, Placerville, CA, CCN 050254

Merit-based Incentive Payment System (MIPS)

Final score

74.25 of 100Reported as group

Quality

51.19

Promoting interoperability

94

Improvement activities

40

Cost

61.73

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mgogna458251@hisp.ehr.sutterhealth.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sacramento Ear Nose & Throat Surgical & Medical Group Inc

  dba Sacramento Ear, Nose, & Throat

  • Otolaryngology Physician
  • Sacramento, CA
  • NPI 1497758155

  Allergy & Immunology

  Medicare reassignment Care Compare group NPD
• Henry Heywood Memorial Hospital

  dba Heywood Hospital

  • General Acute Care Hospital
  • Gardner, MA
  • NPI 1205823879
  Medicare reassignment NPD
• Heywood Medical Group Inc.

  • General Practice Physician
  • Gardner, MA
  • NPI 1699762286

  Pediatrics

  Medicare reassignment NPD
• Henry Heywood Memorial Hospital

  dba Heywood Hospital

  • Psychiatric Hospital Unit
  • Gardner, MA
  • NPI 1457685299
  NPD
• Sacramento Ear Nose and Throat Surgical Medical Group Inc

  • Otolaryngology Physician
  • Sacramento, CA
  • NPI 1407073919
  NPD (past)
• Sutter Regional Medical Foundation

  • Family Medicine Physician
  • Fairfield, CA
  • NPI 1558388504

  Pediatrics

  NPD (past)
• Sutter Valley Hospitals

  • General Acute Care Hospital
  • Sacramento, CA
  • NPI 1811946734
  NPD (past)
• Bernard a Westerling III, MD, LLC

  • Family Medicine Physician
  • Fitchburg, MA
  • NPI 1366606246
  NPD (past)
• Coordinated Primary Care, Inc.

  dba HealthAlliance Pediatric Hospitalists Group

  • Hospitalist Physician
  • Leominster, MA
  • NPI 1851623714

  Pediatrics

  NPD (past)
• New England Pain Associates

  • Ambulatory Surgical Clinic/Center
  • Woonsocket, RI
  • NPI 1346427325
  NPD (past)
• Umass Memorial Healthalliance Clinton Hospital Inc

  • General Acute Care Hospital
  • Leominster, MA
  • NPI 1013995133
  NPD (past)
• Umass Memorial Medical Center, Inc.

  • General Acute Care Hospital
  • Worcester, MA
  • NPI 1831151455

  Allergy & Immunology

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Marshall Medical Center

  • General Acute Care Hospital
  • Placerville, CA
  • NPI 1972503142
  Care Compare affiliation
• Sutter Valley Hospitals

  • General Acute Care Hospital
  • Sacramento, CA
  • NPI 1811946734
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1214438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589414400000",
    "number": "1235391640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 EXPOSITION BLVD BLDG 700",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958154314",
            "telephone_number": "916-736-3399",
            "fax_number": "916-736-3350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1528 EUREKA RD STE 102",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956613047",
            "telephone_number": "916-736-6644",
            "fax_number": "916-774-0143"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1561 Creeekside Dr",
            "address_2": "Ste 180",
            "address_purpose": "LOCATION",
            "city": "Folsom",
            "state": "CA",
            "postal_code": "95630",
            "country_code": "US",
            "telephone_number": "916-984-8830",
            "fax_number": "916-984-8834",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6600 Mercy Ct Ste 180B",
            "address_purpose": "LOCATION",
            "city": "Fair Oaks",
            "state": "CA",
            "postal_code": "956283198",
            "country_code": "US",
            "telephone_number": "916-962-3112",
            "fax_number": "916-962-1536",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOGNA",
        "first_name": "MUDITA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-26",
        "last_updated": "2020-05-14",
        "certification_date": "2020-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "CA",
            "license": "A158169",
            "primary": true
        },
        {
            "code": "2080P0201X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Allergy/Immunology",
            "state": "MA",
            "license": "245775",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110088231A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MUDITA",
            "last_name": "MITTAL",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Susan M Glowes, LCSW
• Go Gently Medical Group. Inc (Bristol Advanced Illness Management)
• Philip C Gobel, NP
• Kimberly Frances Goehring
• Namrita Gogia, M.D.
• Albina Salas Gogo, M.D.
• William Troy Goings, LMT
• Audrey Emerson Goins, MS, APCC
• Cheyanne Gold
• Christine L Gold, PA-C

• Allergy & Immunology Physician in Roseville, CA
• Providers in Roseville, CA by specialty
• Allergy & Immunology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.