SHREY MITTAL MD
NPI 1790589653
Student in an Organized Health Care Education/Training Program in Philadelphia, PA

Active since April 01, 2025PECOS Enrolled
111 S 11TH ST, PHILADELPHIA, PA 19107(215) 955-6161 Get Directions Write a Review

NPPES record last updated: June 28, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shrey Mittal Md NPPES

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

SHREY MITTAL MD (NPI 1790589653) is an individual student in an organized health care education/training program in Philadelphia, Pennsylvania and active in the NPI registry since April 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790589653
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameSHREY MITTALCredential: MD
Location Address111 S 11TH STPhiladelphia, PA 19107-4870
Mailing Address111 S 11th StPhiladelphia, PA 19107-4870
Sole ProprietorNo
Enumeration DateApril 1, 2025
Last NPPES UpdateJune 28, 2026
NPPES CertifiedJune 28, 2026
NPI 1790589653 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
111 S 11TH ST, Philadelphia, PA 19107

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Shrey Mittal Md 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.

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.

Anesthesiology
111 S 11TH ST, SUITE 8490
PHILADELPHIA, PA 19107
Nurse Practitioner (Acute Care)
111 S 11TH ST, GIBBON BLDG., SUITE 6270
PHILADELPHIA, PA 19107
Student in an Organized Health Care Education/Training Program
111 S 11TH ST
PHILADELPHIA, PA 19107
Radiology (Diagnostic Radiology)
111 S 11TH ST, SUITE 3390
PHILADELPHIA, PA 19107
Internal Medicine
111 S 11TH ST, SUITE 6270
PHILADELPHIA, PA 19107
Internal Medicine
111 S 11TH ST, SUITE 6270
PHILADELPHIA, PA 19107
Internal Medicine
111 S 11TH ST, SUITE 2170
PHILADELPHIA, PA 19107
Nurse Anesthetist, Certified Registered
111 S 11TH ST, SUITE 8490
PHILADELPHIA, PA 19107

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 Shrey Mittal's NPI number?

The NPI number for Shrey Mittal is 1790589653. It was assigned to this individual provider in the NPPES registry on April 1, 2025.

Where is Shrey Mittal located?

Shrey Mittal practices at 111 S 11th St, Philadelphia, PA 19107. The listed phone number is (215) 955-6161.

What is Shrey Mittal's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Shrey Mittal enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Shrey Mittal was last updated on June 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 38 days 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.