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MR. VASHUDEVAN MITTAL MD
NPI 1861281610
Student in an Organized Health Care Education/Training Program in Detroit, MI

Active since May 06, 2025PECOS Enrolled
6071 W OUTER DRIVE, DETROIT, MI 48235(313) 966-7434 Get Directions Write a Review

NPPES record last updated: November 4, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 4, 2025, May 6, 2025 (2 updates tracked since 2025).

About Mr. Vashudevan Mittal Md NPPES

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

MR. VASHUDEVAN MITTAL MD (NPI 1861281610) is an individual student in an organized health care education/training program in Detroit, Michigan and active in the NPI registry since May 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1861281610
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMR. VASHUDEVAN MITTALCredential: MD
Location Address6071 W OUTER DRIVEDetroit, MI 48235
Mailing Address6071 W Outer DriveDetroit, MI 48235 · (313) 966-7434
Phone(313) 966-7434
Sole ProprietorNo
Enumeration DateMay 6, 2025
Last NPPES UpdateNovember 4, 20252 updates tracked since enumeration
NPPES CertifiedNovember 4, 2025
✔ NPI 1861281610 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
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.
6071 W OUTER DRIVE, Detroit, MI 48235
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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 (PECOS)

Mr. Vashudevan 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 9

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

SULAIMAN ALHASSAN M.D.
Internal Medicine
6071 W OUTER DRIVE, PULMONARY DEPT
DETROIT, MI 48235
Wayne County (313) 966-3075
SIFULLAH BASHAR MD
Student in an Organized Health Care Education/Training Program
6071 W OUTER DRIVE
DETROIT, MI 48235
Wayne County (313) 966-6777
MS. JUVERIA KHANAM M.D
Student in an Organized Health Care Education/Training Program
6071 W OUTER DRIVE
DETROIT, MI 48235
Wayne County (313) 966-7434
DR. HAMEED SHANAWAZ M.D
Student in an Organized Health Care Education/Training Program
6071 W OUTER DRIVE
DETROIT, MI 48235
Wayne County (313) 966-3250
MR. ABDUL HAFEEZ MOHAMMED
Student in an Organized Health Care Education/Training Program
6071 W OUTER DRIVE
DETROIT, MI 48235
Wayne County (313) 966-7434
MISS FARAH MOHAMMED AL HAJ M.D.
Student in an Organized Health Care Education/Training Program
6071 W OUTER DRIVE
DETROIT, MI 48235
Wayne County (313) 966-4807
ANITA EBANIHITA OMODIAGBE M.D.
Student in an Organized Health Care Education/Training Program
6071 W OUTER DRIVE
DETROIT, MI 48235
Wayne County (313) 966-3250
MR. VENKATA ANIRUDH CHUNCHU M.D
Student in an Organized Health Care Education/Training Program
6071 W OUTER DRIVE
DETROIT, MI 48235
Wayne County (313) 966-7434

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 Vashudevan Mittal's NPI number?

The NPI number for Vashudevan Mittal is 1861281610. It was assigned to this individual provider in the NPPES registry on May 6, 2025.

Where is Vashudevan Mittal located?

Vashudevan Mittal practices at 6071 W Outer Drive, Detroit, MI 48235. The listed phone number is (313) 966-7434.

What is Vashudevan 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 Vashudevan Mittal enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Vashudevan Mittal was last updated on November 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.