Shama R Mittal


Address: 14816 Physicians Ln, Suite 152, Rockville, MD 20850-3927

Shama R Mittal (NPI# 1508865973, PAC ID# 0749250561) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.

Physician Overview

Nation Provider ID (NPI) 1508865973
PAC ID by PECOS 0749250561
Professional Enrollment ID I20040908000794
Full Name Shama R Mittal
Address 14816 Physicians Ln
Suite 152
Rockville
MD 20850-3927
Gender F
Credential MD
Graduation Year 1990
Primary Specialty INTERNAL MEDICINE
Secondary Specialties PEDIATRIC MEDICINE
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
210057 ADVENTIST HEALTHCARE SHADY GROVE MEDICAL CENTER

Other Locations

Address Phone Organization
14816 Physicians Ln, Suite 152, Rockville, MD 20850-3927

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
ACI_EC_TRANS_PHCDRR_1 Immunization Registry Reporting %
ACI_EC_TRANS_PPHI_1 Security Risk Analysis %

Organization Information

Office Location

Street Address 14816 PHYSICIANS LN
SUITE 152
City ROCKVILLE
State MD
Zip 20850-3927

Physicians in the same location

Name Specialty Organization Address
Pamela M Feeley Psychiatry 14816 Physicians Ln, Suite 252, Rockville, MD 20850-3967

Physicians in the same zip code

Name Specialty Organization Address
Avi Schachter Family Medicine Family Healthcare, P.C. 9420 Keywest Ave, Suite 410, Rockville, MD 20850
Martha O Skurla Family Medicine Family Healthcare, P.C. 9420 Keywest Ave, Suite 410, Rockville, MD 20850
Audrey G Weitzman Physician Assistant Family Healthcare, P.C. 9420 Keywest Ave, Suite 410, Rockville, MD 20850
Nils M Brownworth Physician Assistant Family Healthcare, P.C. 9420 Keywest Ave, Suite 410, Rockville, MD 20850
Andrea Eyestone Physician Assistant Family Healthcare, P.C. 9420 Keywest Ave, Suite 410, Rockville, MD 20850
Jeremy N Wetter Physician Assistant Family Healthcare, P.C. 9420 Keywest Ave, Suite 410, Rockville, MD 20850
Manisha Kalra Family Medicine Family Medicine Shady Grove 15215 Shady Grove Rd, Suite 304, Rockville, MD 20850-0200
Rohit Seem Family Medicine Family Medicine Shady Grove 15215 Shady Grove Rd, Suite 304, Rockville, MD 20850-0200
William Bradford Lawson Psychiatry 155 Gibbs St, Rockville, MD 20850-0353
Nicholas C Jan Physical Therapy 1509 Baylor Ave, Rockville, MD 20850-1026
Find all physicians in zip 20850

Competitor

Search similar physicians

City ROCKVILLE
Zip Code 20850
Specialty INTERNAL MEDICINE
City + Specialty ROCKVILLE + INTERNAL MEDICINE

Improve Information

Please comment or provide details below to improve the information on Shama R Mittal.

Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

Trending Searches