NEETI MITTAL (MD) – Geriatric Medicine (Internal Medicine) Physician, NPI 1023069317

NEETI MITTAL (MD) is a healthcare provider. based in Issaquah, Washington. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. MD00037546 (WA). The NPI Number for NEETI MITTAL (MD) is 1023069317

Main info

Female
35 Years Of Experience
Accepts Medicare Assignment
Name
NEETI MITTAL (MD)
NPI
1023069317
Phone
(425) 394-0700
Address
751 NE Blakely Dr Ste 5010
Enumeration Date
12 May 2006
Last Update Date
8 October 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1991 (35 years ago)
PAC ID
1153353438
Group Practice PAC ID
9032020490
Professional Enrollment ID
I20050907001092
Address ID
IL600268001GL2600XRDXX300
Telehealth
Yes

Contacts

Secure Messaging
nmittal1042552@wm.providencedirect.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

4,056 INTERNAL MEDICINE in WA

Provider Addresses for NEETI MITTAL (MD)

  • 751 NE Blakely Dr Ste 5010

    Issaquah, WA 980296201

    Phone: (425) 394-0700

    Fax: (425) 394-0757

    Type: Location

  • 7707, Southeast 27th Street, Beaumont, Mercer Island, King County, Washington, 98040, United States

    #104

    MERCER ISLAND, WA 980402844

    Phone: (206) 275-3588

    Fax: (206) 275-2073

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 32 Open Payments records for all available years, with a total value of $3,023.

Total Amount is formed as General ($3,023) + Research ($0) + Ownership ($0) = $3,023.

Last reported payment date: 2024-12-05 • Largest payer in this snapshot: ABBVIE INC. ($1,281).

Total Amount

$3,023

General + Research + Ownership

Payments

32

Total payment records

General Amount

$3,023

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-05

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: 2005-09-07

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050907001092IInternal MedicineWATBD

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 minutes496209$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit148148$0
99213Established patient office or other outpatient visit, 20-29 minutes5041$0
G0008Administration of influenza virus vaccine3433$0
90694Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage3231$0
View full utilization report →

Insurance plans in this area (ZIP 98029)

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Provider's Procedures

NEETI MITTAL (MD) performs procedures in INTERNAL MEDICINE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERNAL MEDICINEWA90670Pneumococcal vaccine for injection into muscle4343

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: 9032020490View full group profile

Reviews

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Frequently asked questions

Is NEETI MITTAL (MD) listed with a National Provider Identifier?
Yes — NEETI MITTAL (MD) has NPI 1023069317 on file in the registry.
Would NEETI MITTAL (MD) appear as active to a payer?
You can treat NEETI MITTAL (MD) as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is NEETI MITTAL (MD)?
NEETI MITTAL (MD) is associated with Geriatric Medicine (Internal Medicine) Physician in the directory — Clinical services aligned with this taxonomy classification.
Is NEETI MITTAL (MD) located near Issaquah?
NEETI MITTAL (MD) currently maps to Issaquah, Washington in this extract.
When was this NPI issued?
Enumeration for NEETI MITTAL (MD) is noted as May 12, 2006 where the registry provides it.

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