Individual provider Active NPI

Vivek Mittal, M.D.

  • Gastroenterology Physician
  • Fresno, CA
National Provider Identifier
1396888277
Registry record updated Mar 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
A125783 Issued in CA
Practice address
7045 N Maple Ave Ste 101
Fresno, CA 93720-8008
Phone
(559) 900-4013
Fax
(559) 900-4172
NPI assigned
Feb 14, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hepatology Physician 207RI0008X A125783 CA
Gastroenterology Physician 207RG0100X A125783 CA Primary

Addresses

Primary practice location

7045 N Maple Ave Ste 101
Fresno, CA 93720-8008

Mailing address

7045 N Maple Ave Ste 101
Fresno, CA 93720-8008
Phone (559) 900-4013

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
I20131111001084 CA Practitioner - Gastroenterology 3375711864 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Vivek Mittal MD and Manisha Mittal MD IncGroup PAC ID 7618247966, 2 clinicians

Practice addresses (Care Compare)

2475 E Fir Ave
Fresno, CA 93720-0398
Phone (559) 900-4013

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy95
Upper gastrointestinal (GI) endoscopy for acid reflux81

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A125783CAMDHepatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vivek Mittal, M.D. and Manisha Mittal, M.D. Inc. Gastroenterology CurrentSince Jul 15, 2017 Accepting new patients
State University of Iowa Past Accepting new patients
Fresno Community Hospital and Medical Center Past Accepting new patients

Locations

7045 N Maple Ave
Ste 101
Fresno, CA 93720
Phone (559) 326-7393

2475 E Fir Ave
Ste 104
Fresno, CA 93720
Phone (559) 900-0413

Interoperability endpoints

  • Direct secure messaging: vmittal2714393@direct.trinity-health.org

Organizations & group practices 3

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": "1171411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520467200000",
    "number": "1396888277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7045 N MAPLE AVE STE 101",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937208008",
            "telephone_number": "559-900-4013",
            "fax_number": "559-900-4172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7045 N MAPLE AVE STE 101",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937208008",
            "telephone_number": "559-900-4013",
            "fax_number": "559-900-4172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITTAL",
        "first_name": "VIVEK",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-14",
        "last_updated": "2018-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0008X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hepatology",
            "state": "CA",
            "license": "A125783",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "A125783",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.