Individual provider Active NPI

Vijay K Mittal, M.D.

  • Cardiovascular Disease Physician
  • Ocala, FL
National Provider Identifier
1821026022
Registry record updated Dec 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
ME51848 Issued in FL
Practice address
3310 SW 34TH St
Ocala, FL 34474-7422
Phone
(352) 873-0003
Fax
(352) 873-9615
NPI assigned
Jun 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X ME51848 FL Primary

Addresses

Primary practice location

3310 SW 34TH St
Ocala, FL 34474-7422

Mailing address

3310 SW 34TH St
Ocala, FL 34474-7422
Phone (352) 873-0003

Other identifiers 1

IdentifierTypeStateIssuer
056159200MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20070628000006 FL Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 0244289924 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ocala Heart Clinic II LLCGroup PAC ID 4880772615, 5 clinicians

Practice addresses (Care Compare)

3310 SW 34 St
Ocala, FL 34474-7422
Phone (352) 873-0707

Hospital & facility affiliations

  • Adventhealth Ocala Hospital, Ocala, FL, CCN 100062
  • Marion Communtiy Hospital Hospital, Ocala, FL, CCN 100212

Merit-based Incentive Payment System (MIPS)

Final score
82.62 of 100Reported as group
Quality
65.44
Improvement activities
40
Cost
83.19

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME51848FLMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ocala Heart Clinic II LLC Cardiovascular Disease CurrentSince May 1, 2008 Accepting new patients
Central Florida Heart Group P.a. Cardiovascular Disease Past Accepting new patients

Locations

3310 SW 34th St
Ocala, FL 34474
Phone (352) 237-4004

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

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 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": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1229040000000",
    "number": "1821026022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3310 SW 34TH ST",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344747422",
            "telephone_number": "352-873-0003",
            "fax_number": "352-873-9615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3310 SW 34TH ST",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344747422",
            "telephone_number": "352-873-0003",
            "fax_number": "352-873-9615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITTAL",
        "first_name": "VIJAY",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-28",
        "last_updated": "2008-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME51848",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "056159200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

Verify at the official NPI Registry.