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DR. MADHUR MITTAL MD
NPI 1932153673
Pediatrics - Neonatal-Perinatal Medicine in Jacksonville, NC

Active since May 19, 2006PECOS Enrolled
118 MEMORIAL DR, JACKSONVILLE, NC 28546(910) 353-0581(910) 577-1150 Get Directions Write a Review

NPPES record last updated: September 12, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 12, 2024, Nov 3, 2023, May 6, 2021 and 3 more (6 updates tracked since 2019).

About Dr. Madhur Mittal Md NPPES

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

DR. MADHUR MITTAL MD (NPI 1932153673) is an individual neonatal-perinatal medicine provider in Jacksonville, North Carolina, licensed in North Carolina (9700337) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Jacksonville.

NPPES Registry Identity

NPI1932153673
Entity TypeIndividualMale
Primary Taxonomy2080N0001X
Provider Legal NameDR. MADHUR MITTALCredential: MD
Location Address118 MEMORIAL DRJacksonville, NC 28546-6328
Mailing AddressPo Box 986513, Department 100Boston, MA 02298-6513 · (910) 219-8326 · Fax (910) 939-4269
Phone(910) 353-0581
Fax(910) 577-1150
Sole ProprietorNo
Enumeration DateMay 19, 2006
Last NPPES UpdateSeptember 12, 20246 updates tracked since enumeration
NPPES CertifiedSeptember 12, 2024
✔ NPI 1932153673 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080N0001X
License✔ Licensed in NC · 9700337
Definition
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
118 MEMORIAL DR, Jacksonville, NC 28546
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Secondary Practice Location 1

Location 1120 Memorial DrJacksonville, NC 28546-6328 · Phone (910) 353-0581 · Fax (910) 353-1351

Other Identifiers 1

Medicaid8910650NC

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Madhur 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.

Medicare Billing Reassignment

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

Jacksonville Children's And Multispecialty Clinic, PA
Same address
Family Medicine
118 MEMORIAL DR
Jacksonville, NC 28546
  • Reassigned Medicare billing, North Carolina enrollment
  • 61 clinicians in this Medicare group
NPI 1164519070 (910) 353-0581

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

Other Providers at the Same Location NPPES 11

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

DR. ANNA SKASKIW MD
Pediatrics
118 MEMORIAL DR
JACKSONVILLE, NC 28546
Onslow County (910) 353-0581
JACKSONVILLE CHILDREN'S AND MULTISPECIALTY CLINIC, PA
Family Medicine
118 MEMORIAL DR
JACKSONVILLE, NC 28546
Onslow County (910) 353-0581
ARNOLD CAMACHO OLEGARIO M.D.
Pediatrics
118 MEMORIAL DR
JACKSONVILLE, NC 28546
Onslow County (910) 353-0581
MRS. MELISSA ELIZABETH LOCKHART CPNP
Nurse Practitioner (Pediatrics)
118 MEMORIAL DR
JACKSONVILLE, NC 28546
Onslow County (910) 353-0581
DR. ISHWAR HAKUMAL GOPICHAND MD
Pediatrics
118 MEMORIAL DR
JACKSONVILLE, NC 28546
Onslow County (910) 353-0581
DR. MARY L WISNIEWSKI M.D.
Pediatrics
118 MEMORIAL DR
JACKSONVILLE, NC 28546
Onslow County (910) 353-0581
DR. MONIREH PARISH MBBS
Pediatrics
118 MEMORIAL DR
JACKSONVILLE, NC 28546
Onslow County (910) 353-0581
KIMBERLY A LEWIS P.A. -C
Physician Assistant
118 MEMORIAL DR
JACKSONVILLE, NC 28546
Onslow County (910) 353-0581

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 Madhur Mittal's NPI number?

The NPI number for Madhur Mittal is 1932153673. It was assigned to this individual provider in the NPPES registry on May 19, 2006.

Where is Madhur Mittal located?

Madhur Mittal practices at 118 Memorial Dr, Jacksonville, NC 28546. The listed phone number is (910) 353-0581.

What is Madhur Mittal's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Is Madhur Mittal enrolled in Medicare?

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

Which organization bills Medicare for Madhur Mittal's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Madhur Mittal reassigns Medicare benefits to Jacksonville Children's And Multispecialty Clinic, PA (Jacksonville, NC). 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 Madhur Mittal'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 Madhur Mittal was last updated on September 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.