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ANGELA SUZANNE MITTMAN PA
NPI 1174859250
Physician Assistant - Medical in Philadelphia, PA

Active since October 26, 2009PECOS Enrolled
85.98/100
CMS Quality Rating
5800 RIDGE AVE, PHILADELPHIA, PA 19128(215) 487-4334 Get Directions Write a Review

NPPES record last updated: May 22, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Angela Suzanne Mittman Pa NPPES

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

ANGELA SUZANNE MITTMAN PA (NPI 1174859250) is an individual medical provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MAO54173) and active in the NPI registry since October 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174859250
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameANGELA SUZANNE MITTMANCredential: PA
Location Address5800 RIDGE AVEPhiladelphia, PA 19128-1737
Mailing Address604 Williamsburg DrBroomall, PA 19008-3427 · (484) 620-2485
Phone(215) 487-4334
Sole ProprietorYes
Enumeration DateOctober 26, 2009
Last NPPES UpdateMay 22, 2012
✔ NPI 1174859250 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in PA · MAO54173
5800 RIDGE AVE, Philadelphia, PA 19128
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Angela Suzanne Mittman Pa 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

85.98/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.15
Improvement Activities40

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.

SOLIS PHYSICIANS NETWORK
Psychiatry & Neurology (Neurology)
5800 RIDGE AVE
PHILADELPHIA, PA 19128
Philadelphia County (215) 487-4692
REGINA SNOW DPM
Podiatrist (Foot & Ankle Surgery)
5800 RIDGE AVE
PHILADELPHIA, PA 19128
Philadelphia County (215) 487-4284
MAE HELEN CALEB M.D.
Internal Medicine
5800 RIDGE AVE
PHILADELPHIA, PA 19128
Philadelphia County (215) 487-4334
MRS. FRANCES M SMEDLEY CRNA
Nurse Anesthetist, Certified Registered
5800 RIDGE AVE
PHILADELPHIA, PA 19128
Philadelphia County (215) 483-9900
VIRAJ SHIRISH PANCHAL
Student in an Organized Health Care Education/Training Program
5800 RIDGE AVE
PHILADELPHIA, PA 19128
Philadelphia County (215) 487-4284
DEBBIE PARK DPM
Podiatrist
5800 RIDGE AVE
PHILADELPHIA, PA 19128
Philadelphia County (215) 483-9900
DR. RONALD JERRY SALOMONE MD
Emergency Medicine
5800 RIDGE AVE
PHILADELPHIA, PA 19128
Philadelphia County (215) 487-4334
JOSHUA HUGH CASSONE ROSERO DO
Student in an Organized Health Care Education/Training Program
5800 RIDGE AVE
PHILADELPHIA, PA 19128
Philadelphia County (215) 483-9900

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 Angela Mittman's NPI number?

The NPI number for Angela Mittman is 1174859250. It was assigned to this individual provider in the NPPES registry on October 26, 2009.

Where is Angela Mittman located?

Angela Mittman practices at 5800 Ridge Ave, Philadelphia, PA 19128. The listed phone number is (215) 487-4334.

What is Angela Mittman's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Angela Mittman enrolled in Medicare?

Yes. Angela Mittman is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Angela Mittman was last updated on May 22, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.