Individual provider Active NPI

Deepa Mittal, MD

  • Internal Medicine Physician
  • Austin, TX
National Provider Identifier
1447309919
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
L3023 Issued in TX
Practice address
Dell Seton Medical Center at the University of Texas
1500 Red River Street
Austin, TX 78701
Phone
(512) 324-7863
NPI assigned
Jan 10, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 L3023 TX Primary

Addresses

Primary practice location

Dell Seton Medical Center at the University of Texas
1500 Red River Street
Austin, TX 78701

Mailing address

Dell Seton Medical Center at the University of Texas
1500 Red River Street
Austin, TX 78701
Phone (512) 324-7863

Other identifiers 1

IdentifierTypeStateIssuer
148604502MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20051004000881 TX Practitioner - Internal Medicine 4688607047 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Seton Family of DoctorsGroup PAC ID 0941333280, 785 clinicians

Practice addresses (Care Compare)

1004 W 32ND St
200 Ascension Texas Spine and Scoliosis
Austin, TX 78705-1006
Phone (512) 324-3580

1201 W 38TH St
Austin, TX 78705-1006
Phone (512) 324-1000

1400 N Ih 35
Austin, TX 78701-1926

1400 N Ih 35 LL
Cl400 Tri County Prac Assoc
Austin, TX 78701-1926
Phone (512) 324-7300

1500 Red River St
Austin, TX 78701-1918
Phone (512) 324-7000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L3023TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Seton Family of Doctors CurrentSince Feb 1, 2014 Accepting new patients
Seton Family of Doctors Internal Medicine CurrentSince Feb 1, 2014 Accepting new patients
Ascension Seton Past Accepting new patients
Utmb Austin - Initiatives Past Accepting new patients

Locations

1500 Red River St
Austin, TX 78701
Phone (512) 324-0150

4616 W Howard Ln
Austin, TX 78728
Phone (224) 558-8613

601 E 15th St
Austin, TX 78701
Phone (512) 324-7868

1400 N Interstate 35
Ste 300
Austin, TX 78701
Phone (512) 324-8300

1313 Red River St
Ste 220
Austin, TX 78701
Phone (512) 324-7300

313 E 12th St
Ste 104
Austin, TX 78701
Phone (409) 772-7812

2811 E 2nd St
Austin, TX 78702
Phone (512) 324-4930

911 W 38th St
Ste 202
Austin, TX 78705
Phone (512) 324-8670

11113 Research Blvd
Austin, TX 78759
Phone (512) 324-1125

Organizations & group practices 4

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 2

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": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1447309919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DELL SETON MEDICAL CENTER AT THE UNIVERSITY OF TEXAS",
            "address_2": "1500 RED RIVER STREET",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78701",
            "telephone_number": "512-324-7863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "DELL SETON MEDICAL CENTER AT THE UNIVERSITY OF TEXAS",
            "address_2": "1500 RED RIVER STREET",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78701",
            "telephone_number": "512-324-7863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITTAL",
        "first_name": "DEEPA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-10",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "L3023",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "148604502",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.