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DEEPAK MITAL M.D.
NPI 1720024219
Transplant Surgery in Oak Lawn, IL

Active since June 21, 2006PECOS EnrolledAccepts Medicare Assignment
4400 W 95TH ST STE 112, OAK LAWN, IL 60453(708) 684-7100(708) 684-7130 Get Directions Write a Review

NPPES record last updated: August 9, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Deepak Mital M.d. NPPES

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

DEEPAK MITAL M.D. (NPI 1720024219) is an individual transplant surgery provider in Oak Lawn, Illinois, licensed in Illinois (036-087116) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with University Of Illinois Hospital And Clinics, and maintains a secondary practice location in Chicago.

NPPES Registry Identity

NPI1720024219
Entity TypeIndividualMale
Primary Taxonomy204F00000X
Provider Legal NameDEEPAK MITALCredential: M.D.
Location Address4400 W 95TH ST STE 112Oak Lawn, IL 60453-2657
Mailing Address29373 Network PlChicago, IL 60673-1293 · (847) 390-5900
Phone(708) 684-7100
Fax(708) 684-7130
Sole ProprietorNo
Medical School CMSOtherGraduated 1983
Enumeration DateJune 21, 2006
Last NPPES UpdateAugust 9, 2022
NPPES CertifiedAugust 9, 2022
✔ NPI 1720024219 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyTransplant SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code204F00000X
License✔ Licensed in IL · 036-087116
Definition
A surgeon who specializes in transplant surgery. Source: National Uniform Claim Committee
4400 W 95TH ST STE 112, Oak Lawn, IL 60453
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Secondary Practice Location 1

Location 11725 W Harrison St, Suite 161Chicago, IL 60612-3841 · Phone (312) 942-4252

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

Deepak Mital 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 ID7315006673
PECOS Enrollment IDI20081101000093
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.

Hospital Affiliations CMS Care Compare

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

University Of Illinois Hospital And Clinics

Acute Care Hospitals · Chicago, IL
2/5 CMS rating
OwnershipGovernment - State
CMS Certification Number140150
Location1740 West Taylor St Suite 1400Chicago, IL 60612 · Cook County
Emergency services Birthing friendly

Referred Medical Equipment & Supplies CMS DME claims 4

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

Tacrolimus, extended release, (envarsus xr), oral, 0.25 mg J7503
Treatment-Chemotherapy · category RH002N
2 suppliers49 claims43,350 services$1.20 avg. paid by Medicare
Mycophenolic acid, oral, 180 mg J7518
Treatment-Treatment - Miscellaneous · category RX029N
2 suppliers70 claims8,580 services$0.95 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
1 supplier44 claims44 services$18.15 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
2 suppliers61 claims86 services$12.38 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 2

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

DARSHIKA CHHABRA MD
Internal Medicine (Nephrology)
4400 W 95TH ST STE 112
OAK LAWN, IL 60453
Cook County (708) 684-7100
DR. JEANETTE MCLAUGHLIN MD
Internal Medicine (Nephrology)
4400 W 95TH ST STE 112
OAK LAWN, IL 60453
Cook County (708) 684-7100

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 Deepak Mital's NPI number?

The NPI number for Deepak Mital is 1720024219. It was assigned to this individual provider in the NPPES registry on June 21, 2006.

Where is Deepak Mital located?

Deepak Mital practices at 4400 W 95th St Ste 112, Oak Lawn, IL 60453. The listed phone number is (708) 684-7100.

What is Deepak Mital's specialty?

The primary specialty registered for this NPI is Transplant Surgery with taxonomy code 204F00000X.

Is Deepak Mital enrolled in Medicare?

Yes. Deepak Mital 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 Deepak Mital affiliated with any hospitals?

According to CMS data, Deepak Mital is affiliated with University Of Illinois Hospital And Clinics.

When was this NPI record last updated?

The NPPES record for Deepak Mital was last updated on August 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.