Individual provider Active NPI

Sagar Mehta

  • Psychiatry Physician
  • Philadelphia, PA
National Provider Identifier
1053919670
Registry record updated Jun 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MT234471 Issued in PA
Practice address
100 E Lehigh Avenue
Philadelphia, PA 19125
Phone
(925) 640-1220
NPI assigned
Oct 15, 2020
Reactivated
Jun 9, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MT234471 PA Primary

Addresses

Primary practice location

100 E Lehigh Avenue
Philadelphia, PA 19125

Mailing address

100 E Lehigh Avenue
Philadelphia, PA 19125

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL hr@advancebt.com

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
I20250613000090 PA Order and Referring Only - PsychiatryPractitioner - Psychiatry 0840701231

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MT234471PAMDPsychiatry Physician

NPI Registry JSON

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

{
    "created_epoch": "1602720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749427200000",
    "number": "1053919670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E LEHIGH AVENUE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E LEHIGH AVENUE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19125",
            "telephone_number": "925-640-1220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEHTA",
        "first_name": "SAGAR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-10-15",
        "last_updated": "2025-06-09",
        "certification_date": "2020-10-15",
        "deactivation_date": "2025-05-18",
        "reactivation_date": "2025-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MT234471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "hr@advancebt.com",
            "affiliation": "N",
            "address_1": "7567 Amador Valley Blvd Ste 201",
            "city": "Dublin",
            "state": "CA",
            "country_code": "US",
            "postal_code": "945682443",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.