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DR. PRADEEP MITTA MD
NPI 1689942369
Internal Medicine in Albuquerque, NM

Active since December 08, 2011PECOS EnrolledAccepts Medicare Assignment
83.84/100
CMS Quality Rating
1100 CENTRAL AVE SE FL 4, PMG HOSPITALIST, ALBUQUERQUE, NM 87106(505) 724-6124(505) 724-6125 Get Directions Write a Review

NPPES record last updated: May 26, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Pradeep Mitta Md NPPES

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

DR. PRADEEP MITTA MD (NPI 1689942369) is an individual internal medicine provider in Albuquerque, New Mexico, licensed in New Mexico (MD2014-0713) and active in the NPI registry since December 2011. He is enrolled in Medicare PECOS, is affiliated with Presbyterian Hospital, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1689942369
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. PRADEEP MITTACredential: MD
Location Address1100 CENTRAL AVE SE FL 4, PMG HOSPITALISTAlbuquerque, NM 87106-4930
Mailing AddressPo Box 26666, Phs Provider EnrollmentAlbuquerque, NM 87125-6666 · (505) 923-6770 · Fax (505) 923-5354
Phone(505) 724-6124
Fax(505) 724-6125
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateDecember 8, 2011
Last NPPES UpdateMay 26, 2015
✔ NPI 1689942369 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NM · MD2014-0713
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.
1100 CENTRAL AVE SE FL 4, Albuquerque, NM 87106
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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

Dr. Pradeep Mitta Md 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 ID7911228291
PECOS Enrollment IDI20150611002961
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 3

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.
136 services52 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.
34 services34 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.
14 services11 patients

Hospital Affiliations CMS Care Compare

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

Presbyterian Hospital

Acute Care Hospitals · Albuquerque, NM
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number320021
Location1100 Central Avenue SEAlbuquerque, NM 87106 · Bernalillo County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87106 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
$126.21 typical visit price
range $54.26 – $166.80
Typical copayment $31.55 (range $13.56 – $41.70)
Most-billed visit code 99204
Established Patient
$96.38 typical visit price
range $17.00 – $135.35
Typical copayment $24.09 (range $4.25 – $33.83)
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.

83.84/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality84.59
Promoting Interoperability100
Improvement Activities40
Cost58.63

Referred Medical Equipment & Supplies CMS DME claims 2

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

Nebulizer, with compressor E0570
DME-Other DME · category DE000N
2 suppliers11 claims11 services$4.82 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
3 suppliers23 claims23 services$70.91 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 6

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

PAYAL URVIJ MODHIA M.D.
Internal Medicine
1100 CENTRAL AVE SE FL 4, PMG HOSPITALIST
ALBUQUERQUE, NM 87106
Bernalillo County (505) 724-6124
SERGIU STEFANESCU MD
Internal Medicine
1100 CENTRAL AVE SE FL 4, PMG HOSPITALIST
ALBUQUERQUE, NM 87106
Bernalillo County (505) 724-6124
JAY TSENG M.D.
Internal Medicine
1100 CENTRAL AVE SE FL 4, PMG HOSPITALIST
ALBUQUERQUE, NM 87106
Bernalillo County (505) 724-6124
SIKANDER SURANA M.D.
Internal Medicine
1100 CENTRAL AVE SE FL 4, PMG HOSPITALIST
ALBUQUERQUE, NM 87106
Bernalillo County (505) 724-6124
DR. PRAJIT ARORA M.D
Internal Medicine (Nephrology)
1100 CENTRAL AVE SE FL 4
ALBUQUERQUE, NM 87106
Bernalillo County (505) 724-6124
SUSANNA MARIE GONZALES MD
Internal Medicine (Critical Care Medicine)
1100 CENTRAL AVE SE FL 4, PMG INTENSIVISTS
ALBUQUERQUE, NM 87106
Bernalillo County (505) 724-6145

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 Pradeep Mitta's NPI number?

The NPI number for Pradeep Mitta is 1689942369. It was assigned to this individual provider in the NPPES registry on December 8, 2011.

Where is Pradeep Mitta located?

Pradeep Mitta practices at 1100 Central Ave SE Fl 4 Pmg Hospitalist, Albuquerque, NM 87106. The listed phone number is (505) 724-6124.

What is Pradeep Mitta's specialty?

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

Is Pradeep Mitta enrolled in Medicare?

Yes. Pradeep Mitta 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.

Is Pradeep Mitta affiliated with any hospitals?

According to CMS data, Pradeep Mitta is affiliated with Presbyterian Hospital.

When was this NPI record last updated?

The NPPES record for Pradeep Mitta was last updated on May 26, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.