Organization Active NPI

Wesley Chapel Medical Care

  • Internal Medicine Physician
  • Wesley Chapel, FL
National Provider Identifier
1043463904
Registry record updated Oct 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
OS9391 Issued in FL
Legal business name
WESLEY CHAPEL MEDICAL CARE
Practice address
2800 Windguard Cir Ste 102
Wesley Chapel, FL 33544-7366
Phone
(813) 964-8526
NPI assigned
Oct 23, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2008

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

Authorized official

Name
Shital Mehta, D.O.
Title
President
Phone
(813) 964-8526

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X OS9391 FL Primary

Addresses

Primary practice location

2800 Windguard Cir Ste 102
Wesley Chapel, FL 33544-7366

Mailing address

2800 Windguard Cir Ste 102
Wesley Chapel, FL 33544-7366
Phone (813) 964-8526

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D1097643Wesley Chapel Medical Care2800 Windguard Circle Suite 102, Wesley Chapel, FL 33544Certificate of waiverMar 30, 2027

National Provider Directory

National Provider Directory

Locations

6328 Gunn Hwy
Tampa, FL 33625
Phone (813) 964-8526

2800 Windguard Cir
Wesley Chapel, FL 33544

2800 Windguard Cir
Ste 102
Wesley Chapel, FL 33544
Phone (813) 345-8515

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1224720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224720000000",
    "number": "1043463904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 WINDGUARD CIR STE 102",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335447366",
            "telephone_number": "813-964-8526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 WINDGUARD CIR STE 102",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335447366",
            "telephone_number": "813-964-8526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESLEY CHAPEL MEDICAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-23",
        "last_updated": "2008-10-23",
        "status": "A",
        "authorized_official_last_name": "MEHTA",
        "authorized_official_first_name": "SHITAL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-964-8526",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "OS9391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wesley Chapel, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.