Sanjeev K Mittal (NPI# 1689603102, PAC ID# 5991768913) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEPHROLOGY.
| Nation Provider ID (NPI) | 1689603102 |
| PAC ID by PECOS | 5991768913 |
| Professional Enrollment ID | I20041112001028 |
| Full Name | Sanjeev K Mittal |
| Organization Legal Name | MITTAL KIDNEY AND DIALYSIS, PC |
| Address |
300 S Walnut Bend Rd Suite 12 Cordova TN 38018-7527 |
| Phone Number | 9017670101 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1990 |
| Primary Specialty | NEPHROLOGY |
| Group Practice PAC ID | 9830152958 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 440048 | BAPTIST MEMORIAL HOSPITAL |
| 440049 | METHODIST HEALTHCARE MEMPHIS HOSPITALS |
| 440131 | BAPTIST MEMORIAL HOSPITAL TIPTON |
| 440183 | ST FRANCIS HOSPITAL |
| 440228 | SAINT FRANCIS BARTLETT MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 300 S Walnut Bend Rd, Suite 12, Cordova, TN 38018-7527 | 9017670101 | MITTAL KIDNEY AND DIALYSIS, PC |
| 7601 Southcrest Pkwy, Southaven, MS 38671-4739 | 9017670101 | MITTAL KIDNEY AND DIALYSIS, PC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_047_overall | Care Plan | 21% |
| Organization Legal Name | MITTAL KIDNEY AND DIALYSIS, PC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Arvind Goel | Nephrology | Mittal Kidney and Dialysis, PC | 300 S Walnut Bend Rd, Suite 12, Cordova, TN 38018-7527 |
| Nitin Khosla | Nephrology | Mittal Kidney and Dialysis, PC | 300 S Walnut Bend Rd, Suite 12, Cordova, TN 38018-7527 |
| Street Address |
300 S WALNUT BEND RD SUITE 12 |
| City | CORDOVA |
| State | TN |
| Zip | 38018-7527 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Arvind Goel | Nephrology | Mittal Kidney and Dialysis, PC | 300 S Walnut Bend Rd, Suite 12, Cordova, TN 38018-7527 |
| Nitin Khosla | Nephrology | Mittal Kidney and Dialysis, PC | 300 S Walnut Bend Rd, Suite 12, Cordova, TN 38018-7527 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Thomas P Chu | Dermatology | 520 Trinity Creek Cove, Cordova, TN 38018 | |
| William D Stinson | Obstetrics/gynecology | 315 S Walnut Bend Rd, Cordova, TN 38018-1508 | |
| Brandon Todd | Internal Medicine | Physiotherapy Associates Inc | 7865 Trinity Rd, Suite 108, Cordova, TN 38018-2274 |
| Mary May-dacus | Optometry | Cordova Vision Center | 7865 Trinity Rd, Suite 104, Cordova, TN 38018-2274 |
| Luanne Cox | Optometry | Cordova Vision Center | 7865 Trinity Rd, Suite 104, Cordova, TN 38018-2274 |
| John C Hyden | Family Medicine | Physiotherapy Associates Inc | 7865 Trinity Rd, Suite 108, Cordova, TN 38018-2274 |
| Charles Arkin | Rheumatology | Rheumatology and Osteoporosis Center of Memphis, P.c | 540 Trinity Creek Cove, Cordova, TN 38018-2279 |
| Huey T Holt Jr. | Rheumatology | Rheumatology and Osteoporosis Center of Memphis, P.c | 540 Trinity Creek Cove, Cordova, TN 38018-2279 |
| Yamini Menon | Rheumatology | Rheumatology and Osteoporosis Center of Memphis, P.c | 540 Trinity Creek Cove, Cordova, TN 38018-2279 |
| Michael D Boatright | Rheumatology | Rheumatology and Osteoporosis Center of Memphis, P.c | 540 Trinity Creek Cove, Cordova, TN 38018-2279 |
| Find all physicians in zip 38018 | |||
| City | CORDOVA |
| Zip Code | 38018 |
| Specialty | NEPHROLOGY |
| City + Specialty | CORDOVA + NEPHROLOGY |
Please comment or provide details below to improve the information on Sanjeev K Mittal.
| 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.