VIKAS SIMON MITTAL (MD) – Internal Medicine Physician, NPI 1629038377
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for VIKAS SIMON MITTAL (MD)
7801 E BUSH LAKE RD STE 400
MINNEAPOLIS, MN 554393113
Phone: (507) 363-9367
Type: Location
1675 VILLAGE TRL E UNIT 6
SAINT PAUL, MN 551095820
Phone: (507) 363-9367
Type: Location
Village Trail, Maplewood, Ramsey County, Minnesota, 55109, United States
UNIT # 6
MAPLEWOOD, MN 551095819
Phone: (507) 363-9367
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $768.
Total Amount is formed as General ($768) + Research ($0) + Ownership ($0) = $768.
Last reported payment date: 2023-12-11 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($768).
Total Amount
$768
General + Research + Ownership
Payments
4
Total payment records
General Amount
$768
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-12-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Janssen Pharmaceuticals, Inc | $768 |
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: 2023-10-16
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20060104000359 | I | Internal Medicine | MN | TBD |
| I20231016002381 | I | Hospice/Palliative Care | WI | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 55439)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | MN | |
| - | MN | |
| - | MN | |
| - | MN | |
| P O D I A T R Y | MN | |
| - | MN | |
| Clinical Social Worker | MN | |
| Nurse Practitioner | MN | |
| P O D I A T R Y | OH | |
| - | MN |
Reviews
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