| Manoj Mittal, MD | |
|
2001 W Orange Grove Rd, Ste 510, Tucson, AZ 85704-1139 | |
| (520) 219-1539 | |
| (520) 797-6704 |
| Full Name | Manoj Mittal |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 31 Years |
| Location | 2001 W Orange Grove Rd, Tucson, Arizona |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972520708 | NPI | - | NPPES |
| 695744 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | 29007 (Arizona) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Northwest Medical Center | Tucson, AZ | Hospital |
| Banner Boswell Medical Center | Sun city, AZ | Hospital |
| Banner Estrella Medical Center | Phoenix, AZ | Hospital |
| Banner-university Medical Center South Campus | Tucson, AZ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Banner Hospital Based Physicians Arizona Llc | 3274782487 | 524 |
| Banner-university Medical Group | 7719899871 | 950 |
| Northwest Hbp Medical Services Llc | 8921356536 | 236 |
| Entity Name | Banner-university Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508809427 PECOS PAC ID: 7719899871 Enrollment ID: O20031105000694 |
| Entity Name | American Physicians Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609869908 PECOS PAC ID: 3577467463 Enrollment ID: O20031121000688 |
| Entity Name | Banner Cancer Center Specialists Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518253152 PECOS PAC ID: 6103097779 Enrollment ID: O20110913000224 |
| Entity Name | Cogent Healthcare Of Arizona Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568758266 PECOS PAC ID: 0648441006 Enrollment ID: O20110915000843 |
| Entity Name | Banner Hospital Based Physicians Arizona Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275889891 PECOS PAC ID: 3274782487 Enrollment ID: O20121003000752 |
| Entity Name | Northwest Hbp Medical Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407353006 PECOS PAC ID: 8921356536 Enrollment ID: O20180730001756 |
| Entity Name | Hospitalist Medicine Physicians Of Arizona - Phoenix, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649759754 PECOS PAC ID: 8123370087 Enrollment ID: O20181004001670 |
| Entity Name | Four Corners Emergency Physicians Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144793464 PECOS PAC ID: 5092053769 Enrollment ID: O20190205003475 |
| Entity Name | Western Mountain Hospital Physicians, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992278360 PECOS PAC ID: 1052659737 Enrollment ID: O20190205003639 |
| Entity Name | App Of Southern Arizona Hm Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518542679 PECOS PAC ID: 7113335159 Enrollment ID: O20210413000209 |
| Mailing Address | Practice Location Address |
|---|---|
| Manoj Mittal, MD 2001 W Orange Grove Rd, Ste 510, Tucson, AZ 85704-1139 Ph: (520) 219-1539 | Manoj Mittal, MD 2001 W Orange Grove Rd, Ste 510, Tucson, AZ 85704-1139 Ph: (520) 219-1539 |
Dr. Basel Skeif, M.D. Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 5140 E Glenn St, Tucson, AZ 85712 Phone: 520-838-3540 Fax: 520-325-3526 | |
Dr. David Spencer Hamilton Sr., MD Geriatric Medicine Medicare: Medicare Enrolled Practice Location: 3601 S 6th Ave, Tucson, AZ 85723 Phone: 520-792-1450 | |
Diana Silva Cantillo, M.D. Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 2001 W Orange Grove Rd Ste 404, Tucson, AZ 85704 Phone: 520-989-0226 Fax: 520-989-3798 | |
Basel Shoua, M.D Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 2070 W Rudasill Rd Ste 130, Tucson, AZ 85704 Phone: 520-797-4468 Fax: 520-797-4502 | |
Dr. David M Schwartz, DO Geriatric Medicine Medicare: Not Enrolled in Medicare Practice Location: 6200 N La Cholla Blvd, Tucson, AZ 85741 Phone: 520-469-8011 Fax: 520-469-8021 | |
Kenneth Alex Murachanian, M.D. Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 4001 E Sunrise Dr Ste 161, Tucson, AZ 85718 Phone: 520-408-6955 Fax: 520-408-9537 | |
Dr. Kathryn L Bates, DO Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 6567 E Carondelet Dr Ste 225, Tucson, AZ 85710 Phone: 520-886-3432 Fax: 520-886-0169 |