NPIMap

Individual provider Active NPI

Piyush Mittal, MD

  • Internal Medicine Physician
  • Lubbock, TX
National Provider Identifier
1447250923
Registry record updated Nov 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
L7816 Issued in TX
Practice address
3801 50TH St
Ste 5
Lubbock, TX 79413-3807
Phone
(806) 725-7700
Fax
(806) 725-7701
NPI assigned
Jul 27, 2005
Last updated
Nov 2, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X L7816 TX Primary

Addresses

Primary practice location

3801 50TH St
Ste 5
Lubbock, TX 79413-3807

Mailing address

3420 22ND PL
Lubbock, TX 79410-1314
Phone (806) 725-5844

Other identifiers 1

IdentifierTypeStateIssuer
174217303MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040601000774 TX Practitioner - Internal MedicinePractitioner - Family Practice 0042292435 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Family Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hospitalist Medicine Physicians of Texas PLLCGroup PAC ID 3476688318, 685 clinicians
Covenant Medical GroupGroup PAC ID 6901889393, 228 clinicians

Practice addresses (Care Compare)

3615 19TH St
Lubbock, TX 79410-1203
Phone (806) 725-0000

3801 50TH St
Suite 5
Lubbock, TX 79413-3859
Phone (806) 725-7700

4709 113TH St
Lubbock, TX 79424-7374
Phone (408) 821-4246

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mittal Medical Group, PA Internal Medicine CurrentSince Mar 1, 2010 Accepting new patients
Covenant Medical Group Internal Medicine CurrentSince Dec 18, 2006 Accepting new patients
Covenant Medical Group CurrentSince Dec 18, 2006 Accepting new patients
Hospitalist Medicine Physicians of Texas, PLLC Internal Medicine CurrentSince Jan 24, 2026 Accepting new patients
Covenant Long-Term Care LLC Past Accepting new patients
Stratford Hospital District Past Accepting new patients
West Wharton County Hospital District Past Accepting new patients
Covenant Medical Center Past Accepting new patients

Locations

2215 Nashville Ave
Lubbock, TX 79410
Phone (806) 725-5228

3410 98th St
Ste 4357
Lubbock, TX 79423

3420 22nd Pl
Lubbock, TX 79410
Phone (806) 725-1800

3615 19th St
Lubbock, TX 79410
Phone (806) 725-0000

3801 50th St
Lubbock, TX 79413
Phone (806) 771-5500

3801 50th St
Ste 5
Lubbock, TX 79413
Phone (806) 725-7700

Interoperability endpoints

  • Direct secure messaging: piyush.mittal@direct.myteamcare.com

Ownership & related parties

All facility ownership & control disclosures 2

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

FacilityTypeRoleSince
Excelacare HospiceMidland, TX, CCN 671669 Hospice Limited Partnership Interest Jan 3, 2024
Magnolia HospiceWaco, TX, CCN 671795 Hospice Limited Partnership Interest (1%) Feb 8, 2012

Owned or controlled facilities with NPI records 2

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

Organizations & group practices 8

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.

Hospital & facility affiliations 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1122422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320192000000",
    "number": "1447250923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3420 22ND PL",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794101314",
            "telephone_number": "806-725-5844",
            "fax_number": "806-723-6532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 50TH ST",
            "address_2": "STE 5",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794133807",
            "telephone_number": "806-725-7700",
            "fax_number": "806-725-7701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITTAL",
        "first_name": "PIYUSH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-27",
        "last_updated": "2011-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "L7816",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "174217303",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

Verify at the official NPI Registry.