Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

VIJAY K MITTAL MD
NPI 1073615282
Surgery in Southfield, MI

Active since September 01, 2006PECOS EnrolledAccepts Medicare Assignment
22250 PROVIDENCE DRIVE, SUITE 703A, SOUTHFIELD, MI 48075(248) 849-5862(248) 849-8117 Get Directions Write a Review

NPPES record last updated: August 10, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Vijay K Mittal Md NPPES

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

VIJAY K MITTAL MD (NPI 1073615282) is an individual surgery provider in Southfield, Michigan, licensed in Michigan (4301037030) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Ascension Providence Hospital, Southfield And Novi, and is a graduate of Other (1967).

NPPES Registry Identity

NPI1073615282
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameVIJAY K MITTALCredential: MD
Location Address22250 PROVIDENCE DRIVE, SUITE 703ASouthfield, MI 48075
Mailing Address22250 Providence Dr Ste 703aSouthfield, MI 48075-6215 · (248) 849-5862 · Fax (248) 849-8117
Fax(248) 849-8117
Sole ProprietorNo
Medical School CMSOtherGraduated 1967
Enumeration DateSeptember 1, 2006
Last NPPES UpdateAugust 10, 2026
NPPES CertifiedAugust 10, 2026
NPI 1073615282 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in MI · 4301037030
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
22250 PROVIDENCE DRIVE, Southfield, MI 48075

Other Identifiers 2

OtherP46853Bcn
Other0208212582MI · Bcbs

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Vijay K Mittal Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6507931268
PECOS Enrollment IDI20080815000186
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ascension Providence Hospital, Southfield And Novi

Acute Care Hospitals · Southfield, MI
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number230019
Location16001 W Nine Mile RdSouthfield, MI 48075 · Oakland County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48075 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 18

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

Student in an Organized Health Care Education/Training Program
22250 PROVIDENCE DRIVE, 7PMB SUITE # 703A
SOUTHFIELD, MI 48075
Student in an Organized Health Care Education/Training Program
22250 PROVIDENCE DRIVE, 7PMB SUITE #703A
SOUTHFIELD, MI 48075
Neurological Surgery
22250 PROVIDENCE DRIVE, 6 PMB SUITE #601
SOUTHFIELD, MI 48075
Student in an Organized Health Care Education/Training Program
22250 PROVIDENCE DRIVE, SUITE #500
SOUTHFIELD, MI 48075
Family Medicine
22250 PROVIDENCE DRIVE, SUITE 500
SOUTHFIELD, MI 48075
Student in an Organized Health Care Education/Training Program
22250 PROVIDENCE DRIVE, 3 PMB #301
SOUTHFIELD, MI 48075
Student in an Organized Health Care Education/Training Program
22250 PROVIDENCE DRIVE, 7PMB SUITE #703A
SOUTHFIELD, MI 48075
Radiology (Diagnostic Radiology)
22250 PROVIDENCE DRIVE, SUITE 207
SOUTHFIELD, MI 48075

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 Vijay Mittal's NPI number?

The NPI number for Vijay Mittal is 1073615282. It was assigned to this individual provider in the NPPES registry on September 1, 2006.

Where is Vijay Mittal located?

Vijay Mittal practices at 22250 Providence Drive Suite 703A, Southfield, MI 48075. The listed phone number is (248) 849-5862.

What is Vijay Mittal's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Vijay Mittal enrolled in Medicare?

Yes. Vijay Mittal is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Vijay Mittal accept?

Health plans from Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Vijay Mittal as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Vijay Mittal affiliated with any hospitals?

According to CMS data, Vijay Mittal is affiliated with Ascension Providence Hospital, Southfield And Novi.

When was this NPI record last updated?

The NPPES record for Vijay Mittal was last updated on August 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days 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.