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DR. DIVI MITTAL
NPI 1093356867
Dentist - General Practice in Peabody, MA

Active since October 03, 2019PECOS Enrolled

NPPES record last updated: April 26, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Divi Mittal NPPES

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

DR. DIVI MITTAL (NPI 1093356867) is an individual general practice provider in Peabody, Massachusetts, licensed in Connecticut (13018) and active in the NPI registry since October 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1093356867
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. DIVI MITTAL
Location Address1 MAIN STPeabody, MA 01960-5509
Mailing Address449 Canal St Apt 902Somerville, MA 02145-4371 · (617) 803-0443
Phone(978) 238-0309
Sole ProprietorNo
Enumeration DateOctober 3, 2019
Last NPPES UpdateApril 26, 2023
NPPES CertifiedApril 26, 2023
✔ NPI 1093356867 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Licenses✔ Licensed in CT · 13018✔ Licensed in TX · 39373✔ Licensed in MA · DN1858489
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
1 MAIN ST, Peabody, MA 01960
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Divi Mittal 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01960 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
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$73.22 typical visit price
range $19.11 – $144.84
Typical copayment $18.30 (range $4.77 – $36.21)
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 9

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

42 NORTH DENTAL CARE, LLC
Clinic/Center (Dental)
1 MAIN ST
PEABODY, MA 01960
Essex County (978) 532-2700
GREAT HILL DENTAL PARTNERS, LLC
Dentist
1 MAIN ST
PEABODY, MA 01960
Essex County (978) 532-2700
DR. ASHIANA JIVRAJ DMD
Dentist
1 MAIN ST
PEABODY, MA 01960
Essex County (978) 422-1152
KYLE LAPAGE DMD
Dentist (General Practice)
1 MAIN ST
PEABODY, MA 01960
Essex County (978) 422-1152
ROXANE SALEHI SADAGHIANI
Dentist (Prosthodontics)
1 MAIN ST
PEABODY, MA 01960
Essex County (978) 422-1152
DR. ARJUN KALMADY KINI DMD
Dentist
1 MAIN ST
PEABODY, MA 01960
Essex County (978) 422-1152
DR. KERITH E RANKIN DMD
Dentist (General Practice)
1 MAIN ST
PEABODY, MA 01960
Essex County (978) 562-1100
DR. MATTEO GIAMARCO DMD
Dentist (General Practice)
1 MAIN ST
PEABODY, MA 01960
Essex County (978) 562-1100

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 Divi Mittal's NPI number?

The NPI number for Divi Mittal is 1093356867. It was assigned to this individual provider in the NPPES registry on October 3, 2019.

Where is Divi Mittal located?

Divi Mittal practices at 1 Main St, Peabody, MA 01960. The listed phone number is (978) 238-0309.

What is Divi Mittal's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Divi Mittal enrolled in Medicare?

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

What insurance does Divi Mittal accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 19 other insurers list Divi 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.

When was this NPI record last updated?

The NPPES record for Divi Mittal was last updated on April 26, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.