Individual provider Active NPI

Saumeel Rashmikant Mehta, M.D.

  • Pediatrics Physician
  • Lutz, FL
National Provider Identifier
1033244645
Registry record updated Apr 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME105288 Issued in FL
Practice address
18934 N Dale Mabry Hwy Ste 101
Lutz, FL 33548-4914
Phone
(813) 948-2679
Fax
(813) 948-2694
NPI assigned
Feb 22, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 11, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X 25MA08091100 NJ
Pediatrics Physician 208000000X ME105288 FL Primary

Addresses

Primary practice location

18934 N Dale Mabry Hwy Ste 101
Lutz, FL 33548-4914

Mailing address

18934 N Dale Mabry Hwy Ste 101
Lutz, FL 33548-4914
Phone (813) 948-2679

Other practice location 1

33921 Sr 54
Wesley Chapel, FL 33543-9101
Phone (813) 948-2679

Other practice location 2

1213 W Hillsborough Ave
Tampa, FL 33603-1301
Phone (609) 948-2679

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME105288FLMDPediatrics Physician
25MA08091100NJMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nirmala Inc Single Specialty PastSince Apr 14, 2024 Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GEEBBA/Endpoint/GEEBBA
  • Direct secure messaging: saumeel.mehta@spol.eclinicaldirectplus.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712793600000",
    "number": "1033244645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18934 N DALE MABRY HWY STE 101",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335484914",
            "telephone_number": "813-948-2679",
            "fax_number": "813-948-2694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18934 N DALE MABRY HWY STE 101",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335484914",
            "telephone_number": "813-948-2679",
            "fax_number": "813-948-2694"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "33921 SR 54",
            "address_purpose": "LOCATION",
            "city": "Wesley Chapel",
            "state": "FL",
            "postal_code": "335439101",
            "country_code": "US",
            "telephone_number": "813-948-2679",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1213 W Hillsborough Ave",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336031301",
            "country_code": "US",
            "telephone_number": "609-948-2679",
            "fax_number": "813-948-2694",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEHTA",
        "first_name": "SAUMEEL",
        "middle_name": "RASHMIKANT",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-22",
        "last_updated": "2024-04-11",
        "certification_date": "2024-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MA08091100",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME105288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lutz, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.