Individual provider Active NPI

Ram Lal Mittal, MD

  • Gastroenterology Physician
  • Fresno, CA
National Provider Identifier
1306893516
Registry record updated Mar 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
A48570 Issued in CA
Practice address
7215 N Fresno St Ste 101
Fresno, CA 93720-2969
Phone
(559) 449-0309
Fax
(559) 449-0609
NPI assigned
May 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X A48570 CA Primary

Addresses

Primary practice location

7215 N Fresno St Ste 101
Fresno, CA 93720-2969

Mailing address

7215 N Fresno St Ste 101
Fresno, CA 93720-2969
Phone (559) 449-0309

Other practice location 1

2823 Fresno St
Fresno, CA 93721-1324
Phone (559) 459-3821

Other identifiers 1

IdentifierTypeStateIssuer
00A485700MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20040910001179 CA Practitioner - Gastroenterology 8022085950 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2625 E Divisadero St
Fresno, CA 93721-1431

2823 Fresno St
Fresno, CA 93721-1324
Phone (559) 459-6000

7215 N Fresno
Suite 101
Fresno, CA 93720

7215 N Fresno St
Suite 101
Fresno, CA 93720-2984

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy98
Upper gastrointestinal (GI) endoscopy for acid reflux128

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
48570CAMDDentist
A48570CAMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Faculty Associates , Inc. CurrentSince Sep 21, 2017 Accepting new patients
Central California Faculty Medical Group, Inc. Current Accepting new patients
University Faculty Associates, Inc. Gastroenterology CurrentSince Sep 21, 2017 Accepting new patients
Central California Faculty Medical Group, Inc. Gastroenterology CurrentSince Dec 1, 2024 Accepting new patients
Fresno Community Hospital and Medical Center Past Accepting new patients
Saint Agnes Medical Center Past Accepting new patients

Locations

2335 E Kashian Ln
Ste 240
Fresno, CA 93701
Phone (559) 320-0545

7215 N Fresno St
Ste 101
Fresno, CA 93720
Phone (559) 449-0309

2823 Fresno St
Fresno, CA 93721
Phone (559) 459-3965

290 N Wayte Ln
Ste 2300
Fresno, CA 93701
Phone (594) 595-1935

290 N Wayte Ln
Ste 2200
Fresno, CA 93701

290 N Wayte Ln
Fresno, CA 93701
Phone (559) 459-4101

2335 E Kashian Ln
Ste 410
Fresno, CA 93701
Phone (559) 266-4100

Organizations & group practices 7

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

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710806400000",
    "number": "1306893516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7215 N FRESNO ST STE 101",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937202969",
            "telephone_number": "559-449-0309",
            "fax_number": "559-449-0609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7215 N FRESNO ST STE 101",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937202969",
            "telephone_number": "559-449-0309",
            "fax_number": "559-449-0609"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2823 Fresno St",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937211324",
            "country_code": "US",
            "telephone_number": "559-459-3821",
            "fax_number": "559-459-3887",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MITTAL",
        "first_name": "RAM",
        "middle_name": "LAL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-31",
        "last_updated": "2024-03-19",
        "certification_date": "2022-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "A48570",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A485700",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.