Individual provider Active NPI

Nilay Virendrakumar Mehta, M.D.

  • Diagnostic Radiology Physician
  • Amarillo, TX
National Provider Identifier
1053757724
Registry record updated Jun 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
R5900 Issued in TX
Practice address
1901 Medi Park Dr Ste 2050
Amarillo, TX 79106
Phone
(806) 212-2072
NPI assigned
May 21, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Diagnostic Radiology Physician 2085R0202X R5900 TX Primary

Addresses

Primary practice location

1901 Medi Park Dr Ste 2050
Amarillo, TX 79106

Mailing address

1901 Medi Park Dr Ste 2050
Amarillo, TX 79106-2109

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NM2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180508000315 TX Practitioner - Diagnostic Radiology 1850655457 Reassigns benefits to 2 organizations
I20180719000687 NM Practitioner - Diagnostic Radiology 1850655457 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
High Plains Radiological Association LLPGroup PAC ID 9739172479, 36 clinicians
Open Air Imaging Center LLPGroup PAC ID 9739258310, 25 clinicians

Practice addresses (Care Compare)

117 Camina de Vida
Santa Rosa, NM 88435-2259
Phone (575) 472-3417

117 E 19TH St
Roswell, NM 88201-5151
Phone (575) 627-7000

1901 Medi Park Dr
Suite 2050
Amarillo, TX 79106-2109
Phone (806) 355-3352

7400 Wallace Blvd
Amarillo, TX 79106-1818
Phone (806) 353-8333

Hospital & facility affiliations

  • Bsa Hospital Hospital, Amarillo, TX, CCN 450231
  • Lovelace Regional Hospital - Roswell Hospital, Roswell, NM, CCN 320086
  • Glen Rose Medical Center Hospital, Glen Rose, TX, CCN 450451
  • Childress Regional Medical Center Hospital, Childress, TX, CCN 450369
  • Cogdell Memorial Hospital Hospital, Snyder, TX, CCN 451384

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R5900TXMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Open Air Imaging Center, LLP CurrentSince Apr 1, 2018 Accepting new patients
High Plains Radiological Association LLP Diagnostic Radiology CurrentSince Apr 1, 2018 Accepting new patients

Locations

117 Camino de Vida
Santa Rosa, NM 88435
Phone (575) 472-3417

1901 Medi Park Dr
Ste 2050
Amarillo, TX 79106
Phone (806) 355-3352

7400 Wallace Blvd
Amarillo, TX 79106
Phone (806) 351-8480

1600 Wallace Blvd
Amarillo, TX 79106
Phone (806) 212-2000

Interoperability endpoints

  • Direct secure messaging: nmehta173259@ahs.direct-ci.com

Organizations & group practices 2

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 7

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": "1369094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560556800000",
    "number": "1053757724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 MEDI PARK DR STE 2050",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791062109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 MEDI PARK DR STE 2050",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "79106",
            "telephone_number": "806-212-2072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEHTA",
        "first_name": "NILAY",
        "middle_name": "VIRENDRAKUMAR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-21",
        "last_updated": "2019-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "R5900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amarillo, TX

Sources for this page

Verify at the official NPI Registry.