Individual provider Active NPI

Vijay Mittal, M.D.

  • Diagnostic Radiology Physician
  • Houston, TX
National Provider Identifier
1982990156
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
Q8109 Issued in TX
Practice address
2002 Holcombe Blvd
Houston, TX 77030-4211
Phone
(713) 791-1414
NPI assigned
Jun 25, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MT199300 PA
Diagnostic Radiology Physician 2085R0202X Q8109 TX Primary

Addresses

Primary practice location

2002 Holcombe Blvd
Houston, TX 77030-4211

Mailing address

604 Leverkuhn St
Houston, TX 77007-5744
Phone (814) 244-7792

Other practice location 1

1701 Sunset Blvd
Houston, TX 77005-1713
Phone (713) 526-5511

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20170120000872 TX Practitioner - Diagnostic Radiology 5193007540 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Houston Northwest Radiology AssnGroup PAC ID 5092799775, 31 clinicians

Practice addresses (Care Compare)

800 Peakwood Dr
Suite 5E
Houston, TX 77090-2903
Phone (281) 440-5158

Hospital & facility affiliations

  • HCA Houston Healthcare Kingwood Hospital, Kingwood, TX, CCN 450775
  • HCA Houston Healthcare Tomball Hospital, Tomball, TX, CCN 450670
  • HCA Houston Healthcare Northwest Hospital, Houston, TX, CCN 450638
  • HCA Houston Healthcare West Hospital, Houston, TX, CCN 450644

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
93.75 of 100Reported as group
Quality
100
Improvement activities
40
Cost
79.17

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MT199300PAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
One Step Diagnostic XII LP CurrentSince Oct 15, 2024 Accepting new patients
Norman B Frankel Et Al PTR Medical Clinic of Houston Internal Medicine CurrentSince Jul 1, 2017 Accepting new patients
Houston Northwest Radiology Assn Diagnostic Radiology CurrentSince Feb 1, 2020 Accepting new patients
Norman B Frankel Et Al PTR Medical Clinic of Houston CurrentSince Jul 1, 2017 Accepting new patients
Houston Radiology Associated Diagnostic Radiology CurrentSince Apr 1, 2021 Accepting new patients
Cardiovascular Care Providers, Inc. PastSince Feb 1, 2020 Accepting new patients

Locations

800 Peakwood Dr
Ste 5E
Houston, TX 77090
Phone (281) 440-5158

1701 Sunset Blvd
Houston, TX 77005
Phone (713) 526-5511

18500 Katy Fwy
Houston, TX 77094
Phone (281) 206-9020

16655 Southwest Fwy
Sugar Land, TX 77479
Phone (281) 274-7117

6565 Fannin St
Va Hospital, TX 77030
Phone (713) 394-6000

Organizations & group practices 6

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 4

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": "1308960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1982990156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 LEVERKUHN ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770075744",
            "telephone_number": "814-244-7792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2002 HOLCOMBE BLVD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770304211",
            "telephone_number": "713-791-1414"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1701 Sunset Blvd",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770051713",
            "country_code": "US",
            "telephone_number": "713-526-5511",
            "fax_number": "713-520-4705",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MITTAL",
        "first_name": "VIJAY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-25",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MT199300",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "Q8109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.