Mittal Dermatology PA
NPI 1043947286 · Dermatology Physician · Plymouth, MN
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mittal Dermatology PA is a Dermatology Physician organization in Plymouth, MN (NPI 1043947286).
Provider details
- NPI number
- 1043947286
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Amit Mittal, Owner(630) 632-2648
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
5 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (4)
- 5109 36th Ave NCrystal, MN 55422-2007Phone: (630) 632-2648
- 1600 Warren St Ste 9Mankato, MN 56001-7113Phone: (630) 632-2648Fax: (612) 230-8769
- 9825 Hospital Dr Ste 300Maple Grove, MN 55369-4768Phone: (630) 632-2648
- 50 Central AveOsseo, MN 55369-1241Phone: (630) 632-2648
Registry dates
- Enumerated
- 2022-08-08
- Last updated
- 2023-07-20
- Certified
- 2023-07-20
Frequently asked questions
- What is Mittal Dermatology PA's NPI number?
- Mittal Dermatology PA's National Provider Identifier (NPI) is 1043947286, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mittal Dermatology PA?
- Mittal Dermatology PA is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Mittal Dermatology PA located?
- Mittal Dermatology PA's practice location on file with NPPES is 15655 37th Ave N Ste 100, Plymouth, MN 55446-4003.
- What is Mittal Dermatology PA's phone number?
- The practice phone number listed in the NPPES registry for Mittal Dermatology PA is (630) 632-2648.
- Does Mittal Dermatology PA accept Medicare?
- Mittal Dermatology PA is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Mittal Dermatology PA?
- The authorized official listed on Mittal Dermatology PA's NPPES record is Amit Mittal, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mittal Dermatology PA's NPI active?
- Yes — Mittal Dermatology PA's NPI (1043947286) is active in the NPPES registry as of the last update on 2023-07-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.