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DR. HIMANSHU MITTAL M.D.
NPI 1366682239
Internal Medicine in Poplar Bluff, MO

Active since March 04, 2009PECOS EnrolledAccepts Medicare Assignment
2620 N. WESTWOOD BLVD, POPLAR BLUFF, MO 63901(573) 727-2640 Get Directions Write a Review

NPPES record last updated: January 18, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Himanshu Mittal M.d. NPPES

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

DR. HIMANSHU MITTAL M.D. (NPI 1366682239) is an individual internal medicine provider in Poplar Bluff, Missouri, licensed in Missouri (2011021601) and active in the NPI registry since March 2009. He is enrolled in Medicare PECOS, is affiliated with Ssm St Joseph Health Center, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1366682239
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. HIMANSHU MITTALCredential: M.D.
Location Address2620 N. WESTWOOD BLVDPoplar Bluff, MO 63901
Mailing Address624 Jefferson AvenueScranton, PA 18510 · (570) 955-6336
Phone(573) 727-2640
Sole ProprietorYes
Medical School CMSOtherGraduated 2001
Enumeration DateMarch 4, 2009
Last NPPES UpdateJanuary 18, 2012
✔ NPI 1366682239 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in MO · 2011021601✔ Licensed in PA · MT192795
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
2620 N. WESTWOOD BLVD, Poplar Bluff, MO 63901
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Himanshu Mittal M.d. 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 ID9739359852
PECOS Enrollment IDI20110829000555
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 Reassignments

4

Medicare enrollment records show Himanshu Mittal reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Butler Physician Services, LLC
3.7 mi
Internal Medicine
3100 OAK GROVE RD
Poplar Bluff, MO 63901
  • Reassigned Medicare billing, Missouri enrollment
  • 73 clinicians in this Medicare group
NPI 1982056545 (573) 776-2000
Cogent Healthcare Of Missouri, Inc
124 mi
Critical Care Medicine
1015 BOWLES AVE
Fenton, MO 63026
  • Reassigned Medicare billing, Missouri enrollment
  • 255 clinicians in this Medicare group
NPI 1780961599 (615) 377-5600
Sound Physicians Of Illinois, LLC
139 mi
Hospitalist
12303 DE PAUL DR
Bridgeton, MO 63044
  • Reassigned Medicare billing, Missouri enrollment
  • 301 clinicians in this Medicare group
NPI 1043598865 (314) 344-6000
Southeastern Physician Services PC
348 mi
Hospitalist
990 OAK RIDGE TPKE
Oak Ridge, TN 37830
  • Reassigned Medicare billing, Missouri enrollment
  • 193 clinicians in this Medicare group
NPI 1083835441 (865) 481-1000

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

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
477 services188 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
184 services179 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
107 services61 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
33 services33 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
14 services14 patients

Hospital Affiliations CMS Care Compare 2

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

Ssm St Joseph Health Center

Acute Care Hospitals · Saint Charles, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260005
Location300 1st Capitol DrSaint Charles, MO 63301 · St. Charles County
Emergency services

Ssm St Joseph Hospital West

Acute Care Hospitals · Lake Saint Louis, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number260200
Location100 Medical PlazaLake Saint Louis, MO 63367 · St. Charles County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63901 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
$121.96 typical visit price
range $52.28 – $161.24
Typical copayment $30.49 (range $13.07 – $40.31)
Most-billed visit code 99204
Established Patient
$93.24 typical visit price
range $16.30 – $131.05
Typical copayment $23.31 (range $4.07 – $32.76)
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.

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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
99%141 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier20 claims20 services$16.94 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers31 claims31 services$76.05 avg. paid by Medicare
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738
DME-Oxygen and Supplies · category DC000N
1 supplier20 claims20 services$32.57 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

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

SHARON L SLAYTON ANP
Nurse Practitioner
2620 N. WESTWOOD BLVD
POPLAR BLUFF, MO 63901
Butler County (573) 727-2640

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 Himanshu Mittal's NPI number?

The NPI number for Himanshu Mittal is 1366682239. It was assigned to this individual provider in the NPPES registry on March 4, 2009.

Where is Himanshu Mittal located?

Himanshu Mittal practices at 2620 N. Westwood Blvd, Poplar Bluff, MO 63901. The listed phone number is (573) 727-2640.

What is Himanshu Mittal's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Himanshu Mittal enrolled in Medicare?

Yes. Himanshu 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.

Which organizations bill Medicare for Himanshu Mittal's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Himanshu Mittal reassigns Medicare benefits to 4 organizations: Butler Physician Services, LLC (Poplar Bluff, MO), Cogent Healthcare Of Missouri, Inc (Fenton, MO), Sound Physicians Of Illinois, LLC (Bridgeton, MO) and Southeastern Physician Services PC (Oak Ridge, TN). Each 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 Himanshu Mittal's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Himanshu Mittal affiliated with any hospitals?

According to CMS data, Himanshu Mittal is affiliated with Ssm St Joseph Health Center and Ssm St Joseph Hospital West.

When was this NPI record last updated?

The NPPES record for Himanshu Mittal was last updated on January 18, 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.