Organization Active NPI

Glenview Clinical Services LLC

  • Internal Medicine Physician
  • Richland Hills, TX
National Provider Identifier
1093422776
Registry record updated Nov 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
GLENVIEW CLINICAL SERVICES LLC
Practice address
7640 Glenview Dr Ste C
Richland Hills, TX 76180-8330
Phone
(817) 284-0057
Fax
(817) 284-1042
NPI assigned
Nov 1, 2022
Last updated
Nov 17, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2023

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

Authorized official

Name
Mita Mehta, PHARMACISTSNPI 1740899673
Title
Owner/Authorized Official
Phone
(817) 284-0057

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

7640 Glenview Dr Ste C
Richland Hills, TX 76180-8330

Mailing address

7640 Glenview Dr Ste C
Richland Hills, TX 76180-8330
Phone (817) 284-0057

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221214000010 TX Part B Supplier - Clinic/Group Practice 4981073947 Receives reassigned benefits from 1 practitioner
Practice locations: Richland Hills, TX

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
45D2284320Glenview Clinical Services, LLC7640 Glenview Dr Suite C, Richland Hills, TX 76180Certificate of waiverJun 20, 2027

National Provider Directory

National Provider Directory

Locations

7640 Glenview Dr
Ste C
Richland Hills, TX 76180
Phone (817) 284-0057

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1667260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700179200000",
    "number": "1093422776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7640 GLENVIEW DR STE C",
            "city": "RICHLAND HILLS",
            "state": "TX",
            "postal_code": "761808330",
            "telephone_number": "817-284-0057",
            "fax_number": "817-284-1042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7640 GLENVIEW DR STE C",
            "city": "RICHLAND HILLS",
            "state": "TX",
            "postal_code": "761808330",
            "telephone_number": "817-284-0057",
            "fax_number": "817-284-1042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENVIEW CLINICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-01",
        "last_updated": "2023-11-17",
        "certification_date": "2023-11-17",
        "status": "A",
        "authorized_official_last_name": "MEHTA",
        "authorized_official_first_name": "MITA",
        "authorized_official_title_or_position": "OWNER/AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "817-284-0057",
        "authorized_official_credential": "PHARMACISTS"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richland Hills, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.