Look up the most recent NPI and PECOS records

Shashank Mittal

Internal Medicine

Allopathic & Osteopathic Physicians

10401 W Thunderbird Blvd, Sun City, AZ 85351-3004

PECOS Enrollment

Based on the most recent information from CMS, provider Shashank Mittal is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 5 days ago.

Profile Details

Provider ID
1871176677
Provider Type
Individual
Full Name
Mittal, Shashank
Title
Dr.
Credential
MD

Gender
Male
Sole Proprietor
No
Enumeration Date
4/30/2021
Last Updated
6/22/2025

Contact Information

Practice Location

10401 W Thunderbird Blvd, Sun City, AZ 85351-3004

(623) 832-4000

Unlisted Fax

Mailing Location

10015 Cates Crk, San Antonio, TX 78255-3609

(469) 271-8366

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207R00000X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License 76435 Arizona

Shashank Mittal

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Johnson, Michael Mackenzie

Shantilal D Patel Md Pllc

Gupta, Isha

Mukundan, Shanmugam

Raman, Vidya

Ms Physicians Group, Pc

Kastrul, Jerome J

Dubrow, Edward

Huxley, Angie K

Thompson, Elishia Leon