Individual provider Active NPI

Deepak Mehrotra, M.D.

  • Pediatrics Physician
  • Mt Juliet, TN
National Provider Identifier
1043204878
Registry record updated Mar 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD30253 Issued in TN
Practice address
325 Old Pleasant Grove Rd
Mt Juliet, TN 37122-4493
Phone
(629) 255-2032
Fax
(629) 255-4223
NPI assigned
Sep 8, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD30253 TN Primary

Addresses

Primary practice location

325 Old Pleasant Grove Rd
Mt Juliet, TN 37122-4493

Mailing address

222 22ND Ave N
Nashville, TN 37203-1852
Phone (629) 255-3486

Other practice location 1

3901 Central Pike Ste 251
Hermitage, TN 37076-3421
Phone (629) 255-2032

Other practice location 2

920 S Hartmann Dr Ste 200
Lebanon, TN 37090-4137
Phone (292) 552-0326

Other identifiers 1

IdentifierTypeStateIssuer
1512351MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20060117000979 TN Practitioner - Pediatric Medicine 4385665835 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
University of Mississippi School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Heritage Medical Associates PCGroup PAC ID 4688651037, 162 clinicians

Practice addresses (Care Compare)

2025 N Mount Juliet Rd
Suite 200
Mt Juliet, TN 37122-3934
Phone (629) 255-2020

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD30253TNMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Heritage Medical Associates PC Pediatrics CurrentSince Jan 1, 2021 Accepting new patients
Heritage Medical Associates PC CurrentSince Jan 1, 2021 Accepting new patients
HCA Health Services of Tennessee, Inc. Past Accepting new patients

Locations

3901 Central Pike
Ste 251
Hermitage, TN 37076
Phone (615) 232-8033

920 S Hartmann Dr
Ste 200
Lebanon, TN 37090
Phone (615) 466-9770

2025 N Mount Juliet Rd
Ste 200
Mt Juliet, TN 37122
Phone (615) 754-7337

325 Old Pleasant Grove Rd
Mt Juliet, TN 37122
Phone (629) 255-3486

222 22nd Ave N
Nashville, TN 37203
Phone (629) 255-2620

Interoperability endpoints

  • Direct secure messaging: deepakmehrotra@hma.allscriptsdirect.net

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1126137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773187200000",
    "number": "1043204878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 22ND AVE N",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372031852",
            "telephone_number": "629-255-3486",
            "fax_number": "629-255-3075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 OLD PLEASANT GROVE RD",
            "city": "MT JULIET",
            "state": "TN",
            "postal_code": "371224493",
            "telephone_number": "629-255-2032",
            "fax_number": "629-255-4223"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3901 Central Pike Ste 251",
            "address_purpose": "LOCATION",
            "city": "Hermitage",
            "state": "TN",
            "postal_code": "370763421",
            "country_code": "US",
            "telephone_number": "629-255-2032",
            "fax_number": "629-255-4223",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "920 S Hartmann Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "TN",
            "postal_code": "370904137",
            "country_code": "US",
            "telephone_number": "292-552-0326",
            "fax_number": "629-255-4223",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEHROTRA",
        "first_name": "DEEPAK",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-08",
        "last_updated": "2026-03-11",
        "certification_date": "2026-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TN",
            "license": "MD30253",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1512351",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mt Juliet, TN

Sources for this page

Verify at the official NPI Registry.