MAYANK KUMAR MITTAL (MD) – Interventional Cardiology Physician, NPI 1003044702
Interventional Cardiology Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
724 CARDIOVASCULAR DISEASE (CARDIOLOGY) in IN
Provider Addresses for MAYANK KUMAR MITTAL (MD)
3220 Beacon Pkwy Ste 200
Granger, IN 46530
Phone: (574) 647-8788
Fax: (574) 647-3321
Type: Location
900 I St
LA Porte, IN 463505533
Phone: (219) 324-1700
Fax: (219) 324-1602
Type: Location
710, North Niles Avenue, South Bend, Saint Joseph County, Indiana, 46617, United States
SOUTH BEND, IN 466171924
Phone: (574) 647-1610
Fax: (574) 237-6069
Type: Mailing
3245 HEALTH DR STE 100
GRANGER, IN 465301380
Phone: (574) 647-2129
Fax: (574) 237-6069
Type: Mailing
400, North Michigan Street, South Bend, Saint Joseph County, Indiana, 46617, United States
SOUTH BEND, IN 46601
Phone: (574) 647-8120
Fax: (574) 647-8111
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 160 Open Payments records for all available years, with a total value of $12,336.
Total Amount is formed as General ($12,336) + Research ($0) + Ownership ($0) = $12,336.
Last reported payment date: 2024-12-30 • Largest payer in this snapshot: Boston Scientific Corporation ($7,345).
Total Amount
$12,336
General + Research + Ownership
Payments
160
Total payment records
General Amount
$12,336
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-30
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Boston Scientific Corporation | $7,345 |
| Abbott Laboratories | $972 |
| Edwards Lifesciences Corporation | $919 |
| Shockwave Medical, Inc | $583 |
| ABIOMED | $421 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2017-08-07
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20170807000380 | I | Interventional Cardiology | IN | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 93000 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | 650 | 549 | $0 |
| 93306 | Ultrasound of heart with color-depicted blood flow, rate, direction and valve function | 385 | 365 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 362 | 294 | $0 |
| 93298 | Evaluation of cardiac rhythm monitor system, remote up to 30 days | 184 | 27 | $0 |
| 99152 | Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes | 154 | 140 | $0 |
Insurance plans in this area (ZIP 46530)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IN | |
| Vascular Surgery | IL | |
| Cardiovascular Disease (Cardiology), Interventional Cardiology | IN | |
| Qualified Audiologist | IN | |
| Nurse Practitioner | IN | |
| - | IN | |
| Nurse Practitioner | IN | |
| - | IN | |
| General Surgery | IN | |
| - | IN |
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