Shama Ravi Mittal, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

D061382 Issued in MD

Practice address

14816 Physicians LN
Suite 152
Rockville, MD 20850-3944

Phone

(240) 453-0000

Fax

(301) 591-4407

NPI assigned

Jul 19, 2005

Reactivated

Mar 23, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in DC

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

Specialty

Internal MedicineAlso: Pediatric Medicine

Education

Other, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Hospital & facility affiliations

• Adventist Home Health Services, Inc. Home health agency, Silver Spring, MD, CCN 217032
• Adventist Healthcare Rehabilitation at Rockville Inpatient rehabilitation facility, Rockville, MD, CCN 213029

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Adult and Pediatric Clinic, PC

  • General Practice Physician
  • Rockville, MD
  • NPI 1497935605

  DC

  Medicare reassignment Authorized official
• Frederick Health Hospital Inc

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

• Adventist Home Health Services Inc

  • Home Health Agency
  • Silver Spring, MD
  • NPI 1598826448
  Care Compare affiliation Name & address match
• Adventist Rehabilitation Hospital of Maryland Inc

  • Rehabilitation Hospital
  • Rockville, MD
  • NPI 1043216773

  Inpatient rehabilitation facility

  Care Compare affiliation

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

{
    "created_epoch": "1121731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1508865973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14816 PHYSICIANS LN",
            "address_2": "SUITE 152",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208503944",
            "telephone_number": "240-453-0000",
            "fax_number": "301-591-4407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14816 PHYSICIANS LN",
            "address_2": "SUITE 152",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208503944",
            "telephone_number": "240-453-0000",
            "fax_number": "301-591-4407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITTAL",
        "first_name": "SHAMA",
        "middle_name": "RAVI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-19",
        "last_updated": "2026-07-13",
        "deactivation_date": "2006-03-20",
        "reactivation_date": "2006-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D061382",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MD",
            "license": "D061382",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002542700",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Saniya Mitchell
• Tiara Mitchell
• Treaisa Mitchell
• Ama Serwaa Mitchual
• Sriparna Mitra, M.D.
• Esther M Mittelman
• Archibald James Mixson, M.D.
• Haley Elizabeth Mixson, LCSW-C
• Glenn Yutaka Miyamoto, DDS
• Kayleigh Mize

• Pediatrics Physician in Rockville, MD
• Providers in Rockville, MD by specialty
• Pediatrics Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.