AJAY MITTER (MD) – Hematology & Oncology Physician, NPI 1174587307

AJAY MITTER (MD) is a healthcare provider. based in San antonio, Texas. specializing in HEMATOLOGY/ONCOLOGY. They hold the professional credentials MD. They hold a License No. 191526 (NY). The NPI Number for AJAY MITTER (MD) is 1174587307

Main info

Male
42 Years Of Experience
Accepts Medicare Assignment
Name
AJAY MITTER (MD)
NPI
1174587307
Phone
(210) 358-5515
Address
1055 Ada St
Enumeration Date
14 April 2006
Last Update Date
19 March 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4097722534
Graduation Year
1984 (42 years ago)
PAC ID
2264434158
Group Practice PAC ID
3375456734
Professional Enrollment ID
I20070206000259
Address ID
TX775550001GA1005XDRXX304

Contacts

Secure Messaging
payer.credentialing@sphp.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience82
Completeness95
Years active:20State licenses:3Other names

1,006 HEMATOLOGY/ONCOLOGY in TX

Provider Addresses for AJAY MITTER (MD)

  • 1055 Ada St

    San Antonio, TX 782231703

    Phone: (210) 358-5515

    Fax: (210) 358-5530

    Type: Location

  • 122 12th St

    Princeton, WV 247402312

    Phone: (304) 487-7000

    Type: Location

  • 601 E San Antonio St Ste 310E

    Victoria, TX 779016004

    Phone: (361) 485-9600

    Fax: (361) 485-9610

    Type: Location

  • 1300 Massachusetts Ave

    Troy, NY 121801628

    Phone: (518) 268-5060

    Type: Location

  • 1602 Rock Prairie Rd

    Ste. 2660

    College Station, TX 778458306

    Phone: (979) 694-2984

    Type: Location

  • 317 S Manning Blvd Ste 220

    Albany, NY 122083909

    Phone: (518) 525-6418

    Type: Location

  • 2602 Saint Michael Dr Ste 202

    Texarkana, TX 755035221

    Phone: (903) 614-5480

    Type: Location

  • 1055 ADA ST

    SAN ANTONIO, TX 782231703

    Phone: (210) 358-5515

    Fax: (210) 358-5530

    Type: Location

  • 903 W MARTIN ST # MS 49-2

    SAN ANTONIO, TX 782070903

    Phone: (210) 358-5909

    Fax: (210) 358-5940

    Type: Mailing

  • 1602, Rock Prairie Road, College Station, Brazos County, Texas, 77845, United States

    STE. 2660

    COLLEGE STATION, TX 778458306

    Phone: (979) 694-2984

    Type: Mailing

  • 1005 HARBORSIDE DR

    FL 6

    GALVESTON, TX 775550001

    Phone: (409) 772-0035

    Fax: (409) 747-0707

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 8 Open Payments records for all available years, with a total value of $144.

Total Amount is formed as General ($144) + Research ($0) + Ownership ($0) = $144.

Last reported payment date: 2024-08-05 • Largest payer in this snapshot: ABBVIE INC. ($107).

Total Amount

$144

General + Research + Ownership

Payments

8

Total payment records

General Amount

$144

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-05

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2022-10-21

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20070206000259IHematology/OncologyTXTBD
I20220307002107IMedical OncologyNYTBD
I20221021002053IMedical OncologyWVTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes11170$0
99204New patient office or other outpatient visit, 45-59 minutes4848$0
99215Established patient office or other outpatient visit, 40-54 minutes3527$0
View full utilization report →

Insurance plans in this area (ZIP 78223)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3375456734View full group profile
NameSpecialtyState
-TX
-TX
-NY
Sleep Medicine, Critical Care (Intensivists)TX
Surgical OncologyNY
General SurgeryTN
General SurgeryGA
U R O L O G YNY
Nurse PractitionerTX
O B S T E T R I C S/ G Y N E C O L O G YTX

Reviews

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Frequently asked questions

What federal number belongs to AJAY MITTER (MD)?
The federal identifier for AJAY MITTER (MD) is NPI 1174587307.
Is AJAY MITTER (MD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize AJAY MITTER (MD)'s specialty in plain language?
Clinically, the directory lists AJAY MITTER (MD) with Hematology & Oncology Physician. Clinical services aligned with this taxonomy classification.
Where does public data place AJAY MITTER (MD)?
The snapshot lists San Antonio, Texas for AJAY MITTER (MD); download NPPES for the complete set.
Is AJAY MITTER (MD) a real provider?
This page reflects official NPPES data for NPI 1174587307. Always confirm identity and privileges with the practice and licensing boards.