Mittal Medical Group, PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

MITTAL MEDICAL GROUP, PA

Practice address

3904 101St St
Lubbock, TX 79423-5725

Phone

(512) 321-3278

NPI assigned

Jan 8, 2010

Last updated

Jan 8, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Piyush Mittal, M.D.NPI 1447250923

Title

President

Phone

(408) 821-4246

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Falcon South Plains Hospice LP

  dba Excelacare Hospice

  • Community Based Hospice Care Agency
  • Lubbock, TX
  • NPI 1902004500

  Limited Partnership Interest

  CMS ownership

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Piyush Mittal, MD

  • Internal Medicine Physician
  • Lubbock, TX
  • NPI 1447250923
  Medicare reassignment NPD Authorized official
• Julia Gulley, APN

  • Family Nurse Practitioner
  • Lubbock, TX
  • NPI 1366830705
  Medicare reassignment NPD

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

{
    "created_epoch": "1262908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262908800000",
    "number": "1275863516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3904 101ST ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794235725",
            "telephone_number": "512-321-3278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3904 101ST ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794235725",
            "telephone_number": "512-321-3278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MITTAL MEDICAL GROUP, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-08",
        "last_updated": "2010-01-08",
        "status": "A",
        "authorized_official_last_name": "MITTAL",
        "authorized_official_first_name": "PIYUSH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "408-821-4246",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Mitchell, DO
• Rachel Layne Mitchell, PA-C
• Rita Sue Mitchell, RN,MSN, FNP
• Shamika Mitchell, SLP-CF
• Teddy Lee Mitchell, MD
• Neha Mittal, M.D.
• Piyush Mittal, MD
• Savannah Mize, RBT
• MMT Counseling Services LLC
• Sameh Fahim Moawad, DO

• Internal Medicine Physician in Lubbock, TX
• Providers in Lubbock, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.