1. Home
  2. Directory
  3. North Carolina
  4. Charlotte
  5. Family Medicine
  6. NPI Profile

SUSHIL CHANDER MITTAL M.D.
NPI 1679533491
Family Medicine in Charlotte, NC

Active since March 24, 2006PECOS EnrolledAccepts Medicare Assignment
9101 MONROE RD STE 155, CHARLOTTE, NC 28270(704) 384-1260(704) 384-1289 Get Directions Write a Review

NPPES record last updated: February 19, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Sushil Chander Mittal M.d. NPPES

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

SUSHIL CHANDER MITTAL M.D. (NPI 1679533491) is an individual family medicine provider in Charlotte, North Carolina, licensed in North Carolina (2022-01003) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Novant Health Presbyterian Medical Center, and maintains a secondary practice location in Greenville.

NPPES Registry Identity

NPI1679533491
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameSUSHIL CHANDER MITTALCredential: M.D.
Location Address9101 MONROE RD STE 155Charlotte, NC 28270-2467
Mailing AddressPo Box 60447Charlotte, NC 28260-0447
Phone(704) 384-1260
Fax(704) 384-1289
Sole ProprietorYes
Medical School CMSOtherGraduated 1981
Enumeration DateMarch 24, 2006
Last NPPES UpdateFebruary 19, 2024
NPPES CertifiedFebruary 19, 2024
✔ NPI 1679533491 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in NC · 2022-01003✔ Licensed in SC · 19349
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

9101 MONROE RD STE 155, Charlotte, NC 28270
Open in Google Maps ↗

Secondary Practice Location 1

Location 1800 Pelham RdGreenville, SC 29615-3300 · Phone (864) 234-5800 · Fax (864) 284-0844

Other Identifiers 1

MedicaidT35441SC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, First Choice Next.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

Sushil Chander 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 ID5092994111
PECOS Enrollment IDI20240228001164
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.

Areas of Expertise CMS Part B claims 11

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
129 services99 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
61 services58 patients
Manual urinalysis test with examination using microscope, automated 81001
A manual urinalysis test with automated microscopic examination is a lab process that checks your urine for health indicators. It involves a machine scanning your sample to identify any abnormal elements, which can assist in diagnosing various conditions.
52 services49 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
29 services28 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
24 services24 patients
Urine microalbumin (protein) level 82043
The urine microalbumin level test measures the amount of a protein called albumin in your urine. This test helps to detect early signs of kidney damage. High levels of albumin may suggest your kidneys aren't functioning properly. It's a simple, non-invasive test that involves providing a urine sample.
22 services21 patients

Hospital Affiliations CMS Care Compare 2

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

Novant Health Presbyterian Medical Center

Acute Care Hospitals · Charlotte, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340053
Location200 Hawthorne Lane Box 33549Charlotte, NC 28233 · Mecklenburg County
Emergency services Birthing friendly

Novant Health Matthews Medical Center

Acute Care Hospitals · Matthews, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number340171
Location1500 Matthews Twnshp Prkwy Box 3310Matthews, NC 28106 · Mecklenburg County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28270 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
24%126 patients1/55-star benchmark: 100%
Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
16%67 patients1/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
38%198 patients2/55-star benchmark: 100%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen
83%184 patients4/55-star benchmark: 100%
Screening for Osteoporosis for Women Aged 65-85 Years of Age
Percentage of female patients aged 65-85 years of age who ever had a central dual-energy X-ray absorptiometry (DXA) to check for osteoporosis
52%54 patients3/55-star benchmark: 98%
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.

Other Providers at the Same Location NPPES 4

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

VAISHNAVI GADICHARLA DO
Family Medicine
9101 MONROE RD STE 155
CHARLOTTE, NC 28270
Mecklenburg County (704) 384-1260
JEFFREY TYLER BALKENBUSH MD
Family Medicine
9101 MONROE RD STE 155
CHARLOTTE, NC 28270
Mecklenburg County (704) 384-1260
TYLER DAVID WIZA
Physician Assistant
9101 MONROE RD STE 155
CHARLOTTE, NC 28270
Mecklenburg County (704) 384-1260
MS. KELLI ELIZABETH HOLDT
Social Worker (Clinical)
9101 MONROE RD STE 155
CHARLOTTE, NC 28270
Mecklenburg County (704) 384-1260

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 Sushil Mittal's NPI number?

The NPI number for Sushil Mittal is 1679533491. It was assigned to this individual provider in the NPPES registry on March 24, 2006.

Where is Sushil Mittal located?

Sushil Mittal practices at 9101 Monroe Rd Ste 155, Charlotte, NC 28270. The listed phone number is (704) 384-1260.

What is Sushil Mittal's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Sushil Mittal enrolled in Medicare?

Yes. Sushil 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 Sushil Mittal accept?

Health plans from Blue Cross and Blue Shield of NC and First Choice Next list Sushil 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 Sushil Mittal affiliated with any hospitals?

According to CMS data, Sushil Mittal is affiliated with Novant Health Presbyterian Medical Center and Novant Health Matthews Medical Center.

When was this NPI record last updated?

The NPPES record for Sushil Mittal was last updated on February 19, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.