Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mayank Kumar Mittal, MD

Individual provider Internal Medicine Physician · NPI 1003044702

Mayank Kumar Mittal, MD is an Interventional Cardiology in South Bend, Indiana. Qualified in 2004, 22 years ago. Practices with Beacon Medical Group Inc, a 574-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in Indiana, Michigan and Missouri.

Years since qualifying
22
Licensed in
IN, MI, MO
In the registry since
2009
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

610 N Michigan St Ste 400
South Bend, IN 46601
Phone: (574) 647-8120
Fax: (574) 647-8111
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 3220 Beacon Pkwy Ste 200, Granger, IN 46530 — (574) 647-8788
  • 900 I St, La Porte, IN 46350-5533 — (219) 324-1700

Specialties & licences

Interventional Cardiology Physician (primary) Taxonomy 207RI0011X · Licence 01078863A (IN)
Internal Medicine Physician Taxonomy 207R00000X · Licence T2009005450 (MO)
Cardiovascular Disease Physician Taxonomy 207RC0000X · Licence 4301109220 (MI)
Cardiovascular Disease Physician Taxonomy 207RC0000X · Licence 01078863A (IN)

Record details

NPI number1003044702
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 1, 2009
Last updated in NPPESApril 28, 2023
Certification dateApril 28, 2023
Mailing address3245 Health Dr Ste 100, Granger, IN 46530-1380

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERVENTIONAL CARDIOLOGY
Also practisesCARDIOVASCULAR DISEASE (CARDIOLOGY)
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Beacon Medical Group Inc — 574 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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