AMIT MITTAL (MD) – Dermatology Physician, NPI 1679064851
Dermatology Physician
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Profile Insights
NPPES metrics only — not quality of care.
419 DERMATOLOGY in MN
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Provider Addresses for AMIT MITTAL (MD)
1st Street Southwest, Rochester, Olmsted County, Minnesota, 55903, United States
ROCHESTER, MN 559050001
Phone: (507) 284-2511
Type: Mailing
1600 Warren St Ste 9
Mankato, MN 560017113
Phone: (630) 632-2648
Fax: (612) 230-8769
Type: Location
5109 36th Ave N
Crystal, MN 554222007
Phone: (630) 632-2648
Fax: (612) 230-8769
Type: Location
9825 Hospital Dr Ste 300
Maple Grove, MN 553694768
Phone: (630) 632-2648
Fax: (612) 230-8769
Type: Location
50 Central Ave
Osseo, MN 553691241
Phone: (630) 632-2648
Fax: (612) 230-8769
Type: Location
15655 37TH AVE N STE 100
PLYMOUTH, MN 554464003
Phone: (630) 632-2648
Fax: (612) 230-8769
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 6 Open Payments records for all available years, with a total value of $121.
Total Amount is formed as General ($121) + Research ($0) + Ownership ($0) = $121.
Last reported payment date: 2024-06-12 • Largest payer in this snapshot: GENZYME CORPORATION ($29).
Total Amount
$121
General + Research + Ownership
Payments
6
Total payment records
General Amount
$121
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-06-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| GENZYME CORPORATION | $29 |
| Ascensia Diabetes Care Us Inc. | $21 |
| Lilly USA, LLC | $21 |
| E.R. Squibb & Sons, L.L.C. | $19 |
| Incyte Corporation | $15 |
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: 2024-07-05
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20190910001739 | I | Dermatology | MN | TBD |
| I20230227000539 | I | Dermatology | WI | TBD |
| I20240705002961 | I | Dermatology | IL | 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 |
|---|---|---|---|---|
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 44 | 44 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 29 | 14 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 27 | 24 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 25 | 25 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 20 | 20 | $0 |
Insurance plans in this area (ZIP 55905)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | MN | |
| Nurse Practitioner | MN | |
| D E R M A T O L O G Y | MN |
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