Individual provider Active NPI

Sanjiv Mehta, MD

  • Orthopaedic Surgery Physician
  • Bardstown, KY
National Provider Identifier
1013014133
Registry record updated Aug 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
30440 Issued in KY
Practice address
4371 New Shepherdsville Rd
Bardstown, KY 40004-8040
Phone
(502) 348-5685
Fax
(502) 331-4361
NPI assigned
Sep 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 30440 KY Primary
Legal Medicine 173000000X 30440 KY

Addresses

Primary practice location

4371 New Shepherdsville Rd
Bardstown, KY 40004-8040

Mailing address

PO Box 936
London, KY 40743-0936
Phone (606) 330-7835

Other identifiers 1

IdentifierTypeStateIssuer
64304405MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070507000395 KY Practitioner - Orthopedic Surgery 2365548450 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SN Kentuckiana Rehab, LLCGroup PAC ID 1254671464, shared by 19 NPIs, 339 clinicians
PT Pros, IncGroup PAC ID 0143139337, shared by 14 NPIs, 263 clinicians

Practice addresses (Care Compare)

12613 Taylorsville Rd
Louisville, KY 40299-5496
Phone (502) 267-1480

792 Campbellsville Rd
Greensburg, KY 42743-1460
Phone (270) 973-5400

875 Pennsylvania Ave
Bardstown, KY 40004-2529
Phone (502) 348-5685

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement15
Knee replacement50
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
30440KYMDLegal Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Kentuckyone Health Medical Group, Inc. Orthopaedic Surgery CurrentSince Jan 15, 2024 Accepting new patients
Baptist Medical Associates Inc CurrentSince May 1, 2015 Accepting new patients
Kentuckyone Health Medical Group, Inc. Orthopaedic Surgery CurrentSince Jan 15, 2024 Accepting new patients
Jane Todd Crawford Memorial Hospital, Inc. Past Accepting new patients

Locations

4371 New Shepherdsville Rd
Unit 100
Bardstown, KY 40004
Phone (502) 337-6815

4371 New Shepherdsville Rd
Bardstown, KY 40004
Phone (502) 348-5685

875 Pennsylvania Ave
Bardstown, KY 40004
Phone (502) 348-5685

305 Estill St
Berea, KY 40403
Phone (859) 986-1415

1700 Old Lebanon Rd
Campbellsvlle, KY 42718
Phone (270) 465-3561

325 W Walnut St
Ste 300
Lebanon, KY 40033
Phone (270) 692-0735

1401 Harrodsburg Rd
Ste A300
Lexington, KY 40504
Phone (859) 313-4744

4402 Churchman Ave
Louisville, KY 40215
Phone (502) 361-6075

4001 Kresge Way
Ste 100
Louisville, KY 40207
Phone (502) 897-6579

3900 Kresge Way
Ste 41
Louisville, KY 40207
Phone (502) 896-1313

Networks

  • KY PPO
  • TN PPO
  • devoted network organization-598bd2d4-c652-473f-ba7a-132f674c8eb6
  • KY PPO C-SNP
  • OH PPO
  • TN PPO C-SNP

Interoperability endpoints

  • Direct secure messaging: smehta7937@bhkydirect.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754524800000",
    "number": "1013014133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 936",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "407430936",
            "telephone_number": "606-330-7835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4371 NEW SHEPHERDSVILLE RD",
            "city": "BARDSTOWN",
            "state": "KY",
            "postal_code": "400048040",
            "telephone_number": "502-348-5685",
            "fax_number": "502-331-4361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEHTA",
        "first_name": "SANJIV",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2025-08-07",
        "certification_date": "2025-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "KY",
            "license": "30440",
            "primary": true
        },
        {
            "code": "173000000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": "KY",
            "license": "30440",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64304405",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bardstown, KY

Sources for this page

Verify at the official NPI Registry.