Individual provider Active NPI

Kavita Mehta, MD

  • Anesthesiology Physician
  • Louisville, KY
National Provider Identifier
1023100906
Registry record updated May 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
35279 Issued in KY
Practice address
233 E Gray St
Louisville, KY 40202
Phone
(502) 629-2880
NPI assigned
Sep 29, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X MD471435 PA
Anesthesiology Physician 207L00000X 35279 KY Primary

Addresses

Primary practice location

233 E Gray St
Louisville, KY 40202

Mailing address

804 Scott Nixon Memorial Dr
Augusta, GA 30907-2464
Phone (800) 394-4445

Other practice location 1

200 Abraham Flexner Way
Louisville, KY 40202-2877
Phone (502) 587-4404

Other identifiers 4

IdentifierTypeStateIssuer
000001203483-KOHMGOtherKYANTHEM
64021926MedicaidKY
K274500-KOHMGOtherKYKY MEDICARE
200304350MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20210722002708 PA Practitioner - Anesthesiology 9931135118 Reassigns benefits to 7 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD471435PAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northstar Anesthesia of Pennsylvania, LLC Anesthesiology CurrentSince Mar 1, 2024 Accepting new patients
Ultracare Anesthesia Partners LLC Anesthesiology CurrentSince Mar 17, 2025 Accepting new patients
Temple Faculty Practice Plan, Inc CurrentSince Jun 8, 2022 Accepting new patients
Associates in Anesthesia, Inc. Anesthesiology CurrentSince Aug 30, 2022 Accepting new patients
Dr Kavita Mehta, PSC Anesthesiology Current Accepting new patients
Temple Faculty Practice Plan Inc CurrentSince Jun 8, 2022 Accepting new patients
Centurion Anesthesia Penn LLC Anesthesiology CurrentSince Jul 25, 2023 Accepting new patients
Temple Faculty Practice Plan Inc Anesthesiology Current Accepting new patients
North American Partners in Anesthesia, Pennsylvania , LLC Anesthesiology CurrentSince Jan 1, 2025 Accepting new patients
Greater Philadelphia Anesthesia Services PLLC Anesthesiology CurrentSince Mar 11, 2021 Accepting new patients
Anesthesia Associates of Louisville, PSC Anesthesiology Past Accepting new patients
Associates in Anesthesia Anesthesiology Past Accepting new patients
Sleep Ez Anesthesia PLLC PastSince Feb 20, 2012 Accepting new patients
Sedation Vacation Perioperative Medicine PLLC PastSince Dec 1, 2021 Accepting new patients

Locations

111 Town Square Pl
Ste 420
Jersey City, NJ 07310
Phone (201) 258-4700

200 Broadway
Ste 3149
Brooklyn, NY 11211

1000 Dutch Ridge Rd
Beaver, PA 15009
Phone (724) 728-7000

1685 Valley Center Pkwy
Unit 200
Butztown, PA 18017
Phone 91768149632278

1212 Baltimore Pike
Ste 200
Chadds Ford, PA 19317
Phone (610) 874-4147

225 Wilmington W Chester Pike
Chadds Ford, PA 19317
Phone (833) 728-1368

1600 Horizon Dr
Ste 107
Chalfont, PA 18914
Phone (215) 997-3906

30 Medical Center Blvd
Ste 305
Chester, PA 19013
Phone (610) 619-7411

1500 Lansdowne Ave
Darby, PA 19023
Phone (610) 237-4561

206 E Brown St
East Stroudsburg, PA 18301
Phone (570) 420-4951

404 2nd Street Pike
Holland, PA 18966

3401 N Broad St
Philadelphia, PA 19140
Phone (215) 707-3807

8835 Germantown Ave
Philadelphia, PA 19118
Phone (215) 248-8227

9500 Roosevelt Blvd
Philadelphia, PA 19115
Phone (215) 969-1048

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/0d26bd04-9128-4f58-8e6d-ffda5cd00f89/
  • Direct secure messaging: kmehta3284208@direct.trinity-health.org

Organizations & group practices 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746489600000",
    "number": "1023100906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 SCOTT NIXON MEMORIAL DR",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309072464",
            "telephone_number": "800-394-4445",
            "fax_number": "706-434-8828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 E GRAY ST",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "40202",
            "telephone_number": "502-629-2880"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Abraham Flexner Way",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402022877",
            "country_code": "US",
            "telephone_number": "502-587-4404",
            "fax_number": "502-587-4156",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEHTA",
        "first_name": "KAVITA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-29",
        "last_updated": "2025-05-06",
        "certification_date": "2025-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "PA",
            "license": "MD471435",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "KY",
            "license": "35279",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000001203483-KOHMG",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64021926",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KY MEDICARE",
            "identifier": "K274500-KOHMG",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200304350",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.