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ROOPALI MITTAL M.D.
NPI 1194089557
Pediatrics - Pediatric Gastroenterology in Philadelphia, PA

Active since June 30, 2012PECOS Enrolled
3401 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104(812) 485-6694 Get Directions Write a Review

NPPES record last updated: October 5, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 5, 2023, Aug 15, 2023, Sep 2, 2022 and 2 more (5 updates tracked since 2018).

About Roopali Mittal M.d. NPPES

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

ROOPALI MITTAL M.D. (NPI 1194089557) is an individual pediatric gastroenterology provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD482133) and active in the NPI registry since June 2012. She is enrolled in Medicare PECOS and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1194089557
Entity TypeIndividualFemale
Primary Taxonomy2080P0206X
Provider Legal NameROOPALI MITTALCredential: M.D.
Location Address3401 CIVIC CENTER BLVDPhiladelphia, PA 19104-4319
Mailing Address3401 Civic Center Blvd Ste M975Philadelphia, PA 19104-4319
Phone(812) 485-6694
Sole ProprietorNo
Enumeration DateJune 30, 2012
Last NPPES UpdateOctober 5, 20235 updates tracked since enumeration
NPPES CertifiedOctober 5, 2023
✔ NPI 1194089557 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0206X
Licenses✔ Licensed in PA · MD482133✔ Licensed in IN · 01089914A✔ Licensed in MO · 2018009907
Definition
A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.
3401 CIVIC CENTER BLVD, Philadelphia, PA 19104
Open in Google Maps ↗

Secondary Practice Locations 3

Location 13900 Washington AveEvansville, IN 47714-0550 · Phone (812) 485-7425
Location 2404 N Keene StColumbia, MO 65201-6626 · Phone (573) 882-3996 · Fax (573) 884-0688
Location 33100 SW 62nd AveMiami, FL 33155-3009 · Phone (305) 851-7200

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Roopali Mittal M.d. 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 Billing Reassignment

Medicare enrollment records show Roopali Mittal reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Childrens Health Care Associates, Inc
Same address
Neurology
3401 CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA
Philadelphia, PA 19104
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 1,225 clinicians in this Medicare group
NPI 1033204086 (215) 590-1000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19104 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
Most-billed visit code 99214
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 20

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

AARON DORFMAN M.D.
Pediatrics (Pediatric Cardiology)
3401 CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA - CARDIOLOGY
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-4040
MS. NICOLE MARIE KOEPKE CRNP
Nurse Practitioner (Pediatrics)
3401 CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA - EMERGENCY MED
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1944
DR. CASSANDRA ALYS LIGH MD
Surgery (Plastic and Reconstructive Surgery)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-2208
DR. PREETI SOI
Psychiatry & Neurology (Child & Adolescent Psychiatry)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-7555
ROSALIND USHER M.D.
Pediatrics (Developmental - Behavioral Pediatrics)
3401 CIVIC CENTER BLVD, DIVISION OF DEVELOPMENTAL AND BEHAVIORAL PEDIATRICS
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-6336
DR. MATTHEW DAVID SCHREIER MD
Pediatrics (Pediatric Cardiology)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1000
DR. TERRENCE CALDWELL JR. PHARMD
Pharmacist (Pediatrics)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1000
ALYSSA STIEFEL CRNP
Nurse Practitioner (Pediatrics)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1000

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 Roopali Mittal's NPI number?

The NPI number for Roopali Mittal is 1194089557. It was assigned to this individual provider in the NPPES registry on June 30, 2012.

Where is Roopali Mittal located?

Roopali Mittal practices at 3401 Civic Center Blvd, Philadelphia, PA 19104. The listed phone number is (812) 485-6694.

What is Roopali Mittal's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Gastroenterology, with taxonomy code 2080P0206X.

Is Roopali Mittal enrolled in Medicare?

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

Which organization bills Medicare for Roopali Mittal's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Roopali Mittal reassigns Medicare benefits to Childrens Health Care Associates, Inc (Philadelphia, PA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Roopali Mittal's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Roopali Mittal accept?

Health plans from CareSource list Roopali 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 Roopali Mittal was last updated on October 5, 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.