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VIVEK MITTAL MD
NPI 1053009597
Student in an Organized Health Care Education/Training Program in Pontiac, MI

Active since April 24, 2023PECOS Enrolled
44405 WOODWARD AVENUE, SUITE NUMBER; H-23, PONTIAC, MI 48341(248) 858-6233 Get Directions Write a Review

NPPES record last updated: August 14, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Vivek Mittal Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VIVEK MITTAL MD (NPI 1053009597) is an individual student in an organized health care education/training program in Pontiac, Michigan and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053009597
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameVIVEK MITTALCredential: MD
Location Address44405 WOODWARD AVENUE, SUITE NUMBER; H-23Pontiac, MI 48341
Mailing Address44405 Woodward Avenue, Suite Number; H-23Pontiac, MI 48341
Phone(248) 858-6233
Sole ProprietorNo
Enumeration DateApril 24, 2023
Last NPPES UpdateAugust 14, 2023
NPPES CertifiedApril 24, 2023
✔ NPI 1053009597 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
44405 WOODWARD AVENUE, Pontiac, MI 48341
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Vivek Mittal Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RISHAB RAJENDRA PRABHU M.D.
Student in an Organized Health Care Education/Training Program
44405 WOODWARD AVENUE, H-23
PONTIAC, MI 48341
Oakland County (248) 858-6233
DIPAM KIRAN SHAH MD
Internal Medicine
44405 WOODWARD AVENUE
PONTIAC, MI 48341
Oakland County (248) 858-6233
CLAUDIA KASSOUF DO
Obstetrics & Gynecology
44405 WOODWARD AVENUE, GRADUATE MEDICAL EDUCATION DEPT
PONTIAC, MI 48341
Oakland County (248) 858-3231
SRI BHARATHI YADLAPALLI MD
Internal Medicine (Medical Oncology)
44405 WOODWARD AVENUE, SUITE 202
PONTIAC, MI 48341
Oakland County (248) 858-2270
MR. NIHAR KANTA JENA M.D.
Internal Medicine (Cardiovascular Disease)
44405 WOODWARD AVENUE, MEDICAL EDUCATION, H-23
PONTIAC, MI 48341
Oakland County (248) 858-6233
IBRAHIM AZAR MD
Internal Medicine (Medical Oncology)
44405 WOODWARD AVENUE, SUITE 202
PONTIAC, MI 48341
Oakland County (248) 858-2270
QUANG DAT HA
Internal Medicine
44405 WOODWARD AVENUE
PONTIAC, MI 48341
Oakland County (248) 858-6233
JAMES W FURLONG MD
Pathology (Anatomic Pathology & Clinical Pathology)
44405 WOODWARD AVENUE, ST JOSEPH MERCY HOSPITAL
PONTIAC, MI 48341
Oakland County (248) 858-3190

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Vivek Mittal's NPI number?

The NPI number for Vivek Mittal is 1053009597. It was assigned to this individual provider in the NPPES registry on April 24, 2023.

Where is Vivek Mittal located?

Vivek Mittal practices at 44405 Woodward Avenue Suite Number; H-23, Pontiac, MI 48341. The listed phone number is (248) 858-6233.

What is Vivek Mittal's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Vivek Mittal enrolled in Medicare?

Yes. Vivek Mittal is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Vivek Mittal was last updated on August 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.