Sandeep Mittal, MD FRCSC FACS

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

0101265802 Issued in VA

Practice address

2331 Franklin Rd SW
Roanoke, VA 24014

Phone

(540) 224-5170

Fax

(540) 344-3016

NPI assigned

Feb 11, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: smittal110154@direct.carilionclinic.org

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

{
    "created_epoch": "1139616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607558400000",
    "number": "1851364533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2331 FRANKLIN RD SW",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240141111",
            "telephone_number": "540-224-5170",
            "fax_number": "540-344-3016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2331 FRANKLIN RD SW",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "24014",
            "telephone_number": "540-224-5170",
            "fax_number": "540-344-3016"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4160 John R St",
            "address_2": "Suite 925",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "482012020",
            "country_code": "US",
            "telephone_number": "877-486-7978",
            "fax_number": "313-745-2777",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MITTAL",
        "first_name": "SANDEEP",
        "name_prefix": "Dr.",
        "credential": "MD FRCSC FACS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-11",
        "last_updated": "2020-12-10",
        "certification_date": "2020-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "VA",
            "license": "0101265802",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4906370",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "smittal110154@direct.carilionclinic.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "smittal110154@direct.carilionclinic.org",
            "address_1": "2331 Franklin Rd SW",
            "city": "Roanoke",
            "state": "VA",
            "country_code": "US",
            "postal_code": "24014",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Sean Patrick Mitchell, PA-C
• Stephanie Mitchell, MMP, CRP
• Tara Ann Mitchell, PH.D.
• William Craig Mitchell, M.D.
• James Samuel Mitchener III, MD
• Mizellore Medical Solutions LLC (MZL Prosthetics)
• Mark Mizuba, CRNA
• MLB Medical Transport Services LLC
• Alysa V Modi
• Gay Carol Moffit, LPC

• Neurological Surgery Physician in Roanoke, VA
• Providers in Roanoke, VA by specialty
• Neurological Surgery Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.