Individual provider Active NPI

Abhinav Mittal, M.D.

  • Pulmonary Disease Physician
  • Tucson, AZ
National Provider Identifier
1538555388
Registry record updated Nov 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
66850 Issued in AZ
Practice address
2055 W Hospital Dr Ste 205
Tucson, AZ 85704-7822
Phone
(520) 575-6944
Fax
(520) 575-1115
NPI assigned
Apr 8, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 66850 AZ
Student in an Organized Health Care Education/Training Program 390200000X
Pulmonary Disease Physician 207RP1001X 66850 AZ Primary

Addresses

Primary practice location

2055 W Hospital Dr Ste 205
Tucson, AZ 85704-7822

Mailing address

6200 N la Cholla Blvd
Tucson, AZ 85741-3529

Other practice location 1

1551 E Tangerine Rd
Oro Valley, AZ 85755-6213
Phone (520) 901-3500

Other practice location 2

6200 N La Cholla Blvd
Tucson, AZ 85741-3529
Phone (724) 413-5681

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address abhinav.mittal.1@1576.direct.athenahealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20220815003119 AZ Practitioner - Pulmonary Disease 5395048912 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary Disease
Education
West Virginia University School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Northwest Allied Physicians LLCGroup PAC ID 7618972514, 120 clinicians

Practice addresses (Care Compare)

2055 W Hospital Dr
Suite 205
Tucson, AZ 85704-7822
Phone (520) 575-6944

6200 N la Cholla Blvd
Tucson, AZ 85741-3529
Phone (520) 469-8100

8333 N Silverbell Rd
Suite 161
Tucson, AZ 85743-7371
Phone (520) 202-7770

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.8 of 100Reported as apm
Quality
77.6
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
66850AZMDCritical Care Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Allied Physicians LLC CurrentSince Sep 1, 2022 Accepting new patients
Northwest Allied Physicians, LLC CurrentSince Sep 1, 2022 Accepting new patients

Locations

1521 E Tangerine Rd
Ste 291
Oro Valley, AZ 85755
Phone (520) 219-4450

1551 E Tangerine Rd
Oro Valley, AZ 85755
Phone (520) 901-3500

1521 E Tangerine Rd
Oro Valley, AZ 85755
Phone (520) 784-1293

4001 E Sunrise Dr
Ste 161
Tucson, AZ 85718
Phone (520) 232-5280

6200 N La Cholla Blvd
Tucson, AZ 85741
Phone (520) 229-2657

2055 W Hospital Dr
Ste 205
Tucson, AZ 85704
Phone (520) 575-6944

8333 N Silverbell Rd
Ste 161
Tucson, AZ 85743
Phone (520) 202-7770

Interoperability endpoints

  • Direct secure messaging: abhinav.mittal.1@1576.direct.athenahealth.com

Organizations & group practices 2

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 6

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": "1428451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669593600000",
    "number": "1538555388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6200 N LA CHOLLA BLVD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857413529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2055 W HOSPITAL DR STE 205",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857047822",
            "telephone_number": "520-575-6944",
            "fax_number": "520-575-1115"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1551 E Tangerine Rd",
            "address_purpose": "LOCATION",
            "city": "Oro Valley",
            "state": "AZ",
            "postal_code": "857556213",
            "country_code": "US",
            "telephone_number": "520-901-3500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6200 N La Cholla Blvd",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857413529",
            "country_code": "US",
            "telephone_number": "724-413-5681",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MITTAL",
        "first_name": "ABHINAV",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-08",
        "last_updated": "2022-11-28",
        "certification_date": "2022-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "AZ",
            "license": "66850",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "AZ",
            "license": "66850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "abhinav.mittal.1@1576.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2055 W Hospital Dr Ste 205",
            "city": "Tucson",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "857047822",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.