1. Home
  2. Directory
  3. Massachusetts
  4. Brighton
  5. Internal Medicine
  6. NPI Profile

ROGER D MITTY MD
NPI 1902894025
Internal Medicine - Gastroenterology in Brighton, MA

Active since October 12, 2005PECOS Enrolled
11 NEVINS ST, BRIGHTON, MA 02135(617) 562-5432(617) 789-5049 Get Directions Write a Review

NPPES record last updated: October 21, 2011. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Roger D Mitty Md NPPES

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

ROGER D MITTY MD (NPI 1902894025) is an individual gastroenterology provider in Brighton, Massachusetts, licensed in Massachusetts (74173) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1902894025
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameROGER D MITTYCredential: MD
Location Address11 NEVINS STBrighton, MA 02135-3514
Mailing Address11 Nevins StBrighton, MA 02135-3514 · (617) 562-5432 · Fax (617) 789-5049
Phone(617) 562-5432
Fax(617) 789-5049
Sole ProprietorNo
Enumeration DateOctober 12, 2005
Last NPPES UpdateOctober 21, 2011
✔ NPI 1902894025 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in MA · 74173
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
Also ListedInternal MedicineTaxonomy 207R00000X · License 779172 (NY)
11 NEVINS ST, Brighton, MA 02135
Open in Google Maps ↗

Other Identifiers 3

Medicare ID-Type UnspecifiedJ30543MA
Medicaid3125734MA
Medicare UPINF80490

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Roger D Mitty 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.

Medicare Billing Reassignment

Medicare enrollment records show Roger Mitty reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Steward Medical Group, Inc
2.2 mi
Specialist
9 GALEN ST
Watertown, MA 02472
  • Reassigned Medicare billing, Massachusetts enrollment
  • 1,103 clinicians in this Medicare group
NPI 1629398219 (615) 467-4474

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02135 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
$144.11 typical visit price
range $63.72 – $189.86
Typical copayment $36.02 (range $15.93 – $47.46)
Most-billed visit code 99204
Established Patient
$111.18 typical visit price
range $21.07 – $155.29
Typical copayment $27.79 (range $5.26 – $38.82)
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.

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.

INGOLF TUERK M.D.
Urology
11 NEVINS ST, STE 303
BRIGHTON, MA 02135
Suffolk County (617) 787-8181
MISS TERESA ANN GORE ANP-BC
Nurse Practitioner (Adult Health)
11 NEVINS ST, SUITE 401
BRIGHTON, MA 02135
Suffolk County (617) 782-7788
JOELLE M LIEMAN MD
Obstetrics & Gynecology
11 NEVINS ST, MOB SUITE 406
BRIGHTON, MA 02135
Suffolk County (617) 562-7006
DR. DIANE M. ENGLISH M.D.
Orthopaedic Surgery
11 NEVINS ST, SUITE 403
BRIGHTON, MA 02135
Suffolk County (671) 254-1247
MARVIN J LOPEZ M.D.
Surgery
11 NEVINS ST, STE 201
BRIGHTON, MA 02135
Suffolk County (617) 789-2442
OMAR WAHID MD
Family Medicine
11 NEVINS ST, SUITE 505
BRIGHTON, MA 02135
Suffolk County (617) 414-2500
PRATT OPHTHALMOLOGY ASSOCIATES, INC
Technician/Technologist (Optician)
11 NEVINS ST, ST ELIZABETH'S MEDICAL BLDG. SUITE 205
BRIGHTON, MA 02135
Suffolk County (617) 779-7330
DR. LEVI J. GOLDFARB MD, MBA
Student in an Organized Health Care Education/Training Program
11 NEVINS ST
BRIGHTON, MA 02135
Suffolk County (161) 778-9210

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 Roger Mitty's NPI number?

The NPI number for Roger Mitty is 1902894025. It was assigned to this individual provider in the NPPES registry on October 12, 2005.

Where is Roger Mitty located?

Roger Mitty practices at 11 Nevins St, Brighton, MA 02135. The listed phone number is (617) 562-5432.

What is Roger Mitty's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Roger Mitty enrolled in Medicare?

Yes. Roger Mitty is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Roger Mitty's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Roger Mitty reassigns Medicare benefits to Steward Medical Group, Inc (Watertown, MA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Roger Mitty's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Roger Mitty was last updated on October 21, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.