NPIMap

Individual provider Active NPI

Manoj K Mittal, M.D.

  • Gastroenterology Physician
  • Easton, PA
National Provider Identifier
1720172737
Registry record updated Nov 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
MD043211E Issued in PA
Practice address
41 Corporate Dr
Easton, PA 18045-2670
Phone
(484) 526-6545
NPI assigned
Oct 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X MD043211E PA Primary

Addresses

Primary practice location

41 Corporate Dr
Easton, PA 18045-2670

Mailing address

41 Corporate Dr
Easton, PA 18045-2670
Phone (484) 526-6545

Other identifiers 2

IdentifierTypeStateIssuer
01487850MedicaidPA
6291902MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20100715000359 PA Practitioner - GastroenterologyPractitioner - Internal Medicine 0749382307 Reassigns benefits to 2 organizations
I20100729000874 NJ Practitioner - GastroenterologyPractitioner - Internal Medicine 0749382307 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Lukes Warren Physician Group PCGroup PAC ID 9739093675, 374 clinicians
St Lukes Physician Group IncGroup PAC ID 6709798333, 2,161 clinicians

Practice addresses (Care Compare)

185 Roseberry St
Phillipsburg, NJ 08865-1690
Phone (908) 847-3212

21 Corporate Dr
Suite 3
Easton, PA 18045-2664
Phone (610) 258-6635

279 State Route 31 S
Washington, NJ 07882-4098
Phone (484) 503-7546

755 Memorial Pkwy
Phillipsburg, NJ 08865-2774

Hospital & facility affiliations

  • St Luke'S Hospital - Easton Campus Hospital, Easton, PA, CCN 390162
  • St Luke'S Warren Hospital Hospital, Phillipsburg, NJ, CCN 310060
  • St Lukes Hospital Hospital, Bethlehem, PA, CCN 390049
  • Lehigh Valley Hospital Hospital, Allentown, PA, CCN 390133

Merit-based Incentive Payment System (MIPS)

Final score
97.13 of 100Reported as apm
Quality
82.27
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
97.13 of 100Reported as apm
Quality
82.27
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy165
Upper gastrointestinal (GI) endoscopy for acid reflux244

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA05228200NJMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Family Care Centers Inc. Current Accepting new patients
St Luke'S Physician Group Inc CurrentSince Dec 31, 2020 Accepting new patients
St. Luke'S Warren Physician Group, PC CurrentSince Dec 31, 2020 Accepting new patients
St. Luke'S Physician Group, Inc. Current Accepting new patients
St. Luke'S Physician Group, Inc. CurrentSince Dec 31, 2020 Accepting new patients
St. Luke'S Warren Physician Group, PC Current Accepting new patients
St. Luke'S Warren Physician Group, PC CurrentSince Dec 31, 2020 Accepting new patients
Family Care Centers Inc CurrentSince Dec 1, 2018 Accepting new patients
St. Luke'S Physician Group, Inc. Past Accepting new patients
St. Luke'S Physician Group, Inc Past Accepting new patients

Locations

755 Memorial Pkwy
Ste 101
Phillipsburg, NJ 08865
Phone (908) 859-2700

755 Memorial Pkwy
Ste 202A
Phillipsburg, NJ 08865
Phone (908) 454-5338

185 Roseberry St
Bldg 2ND
Phillipsburg, NJ 08865
Phone (908) 847-2619

279 State Route 31 S
Washington, NJ 07882
Phone (908) 689-2201

315 State Route 31 S
Washington, NJ 07882
Phone (908) 689-0777

500 Plaza Ct
Ste A
East Stroudsburg, PA 18301
Phone (570) 424-9970

500 Plaza Ct
East Stroudsburg, PA 18301
Phone (570) 426-2330

21 Corporate Dr
Ste 3
Easton, PA 18045
Phone (215) 258-1855

20 Community Dr
Easton, PA 18045
Phone (610) 258-1844

41 Corporate Dr
Ste 101
Easton, PA 18045
Phone (610) 258-6635

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

Organizations & group practices 10

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 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763337600000",
    "number": "1720172737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 CORPORATE DR",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180452670",
            "telephone_number": "484-526-6545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 CORPORATE DR",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180452670",
            "telephone_number": "484-526-6545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITTAL",
        "first_name": "MANOJ",
        "middle_name": "K",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2025-11-17",
        "certification_date": "2025-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "PA",
            "license": "MD043211E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01487850",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6291902",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Easton, PA

Sources for this page

Verify at the official NPI Registry.