Active NPI
Jaaneali Mehdi, M.D.
- Psychiatry Physician
- Modesto, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- C156559
- Practice address
- 1501 Claus Rd Ste F
Modesto, CA 95355-9711 - Phone
- (095) 576-3102
- NPI assigned
- Nov 23, 2008
- Last updated
- Mar 19, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | C156559 | CA | Primary |
Addresses
Primary practice location
1501 Claus Rd Ste F
Modesto, CA 95355-9711
Mailing address
220 Standiford Ave Ste F
Modesto, CA 95350-1159
Phone (209) 579-5628
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, MI, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 2008
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1501 Claus Rd F
Modesto, CA 95355-9711
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C156559 | CA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sinai Hospital of Baltimore Inc | Single Specialty | Current | Accepting new patients |
| Jaaneali Mehdi MD Inc | Single Specialty | Current | Accepting new patients |
| Lakeland Hospitals at Niles and St Joseph, Inc | Single Specialty | Current | Accepting new patients |
| Upmc Western Maryland Corporation | Current | Accepting new patients | |
| Lakeland Hospitals at Niles and St Joseph, Inc | Current | Accepting new patients | |
| Upmc Western Maryland Corporation | Single Specialty | Current | Accepting new patients |
| Sinai Hospital of Baltimore Inc | Psychiatry | Current | Accepting new patients |
| Sinai Hospital of Baltimore, Inc. | Current | Accepting new patients | |
| Upmc Western Maryland Corporation | Single Specialty | Current | Accepting new patients |
| Lakeland Medical Practices | Single Specialty | Current | Accepting new patients |
| Lakeland Medical Practices | Current | Accepting new patients | |
| Upmc Western Maryland Health Services, LLC | Single Specialty | Past | Accepting new patients |
Locations
1501 Claus Rd
Ste F
Modesto, CA 95355
Phone (209) 557-6310
220 Standiford Ave
Ste F
Modesto, CA 95350
Phone (209) 589-1500
2401 W Belvedere Ave
Baltimore, MD 21215
12500 Willowbrook Rd
Cumberland, MD 21502
Phone (240) 964-1255
12502 Willowbrook Rd
Ste 380
Cumberland, MD 21502
Phone (240) 964-8585
5401 Old Court Rd
Randallstown, MD 21133
Phone (301) 337-2727
1234 Napier Ave
Saint Joseph, MI 49085
Phone (269) 982-4941
3950 Hollywood Rd
Ste 280
Saint Joseph, MI 49085
Phone (269) 408-0990
Interoperability endpoints
- jmehdi535701@hisp.ehr.sutterhealth.org
Organizations & group practices 12
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Corewell Health Lakeland Hospitals
- General Acute Care Hospital
- Saint Joseph, MI
- NPI 1134220031
Single Specialty
-
dba Corewell Health Medical Group South
- Internal Medicine Physician
- Saint Joseph, MI
- NPI 1538397120
Single Specialty
-
- Surgical Critical Care Physician
- Baltimore, MD
- NPI 1043235666
Single Specialty
-
dba UPMC Western Maryland
- Internal Medicine Physician
- Cumberland, MD
- NPI 1184769952
Single Specialty
-
dba Corewell Health Lakeland Hospitals (MDPP)
- Community Health Clinic/Center
- Saint Joseph, MI
- NPI 1184513731
-
dba Corewell Health Medical Group South
- Internal Medicine Physician
- Bridgman, MI
- NPI 1568232247
-
- Psychiatry Physician
- Baltimore, MD
- NPI 1235154865
-
- General Acute Care Hospital
- Baltimore, MD
- NPI 1285672204
-
dba Upmc Western Maryland Center for Hope and Healing
- Mental Illness Community Based Residential Treatment Facility
- Cumberland, MD
- NPI 1174141592
-
dba UPMC Western Maryland
- Psychiatry Physician
- Cumberland, MD
- NPI 1285779884
Single Specialty
-
- Internal Medicine Physician
- Cumberland, MD
- NPI 1134844764
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1227398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1584576000000",
"number": "1104071885",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "220 STANDIFORD AVE STE F",
"city": "MODESTO",
"state": "CA",
"postal_code": "953501159",
"telephone_number": "209-579-5628"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1501 CLAUS RD STE F",
"city": "MODESTO",
"state": "CA",
"postal_code": "953559711",
"telephone_number": "095-576-3102"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEHDI",
"first_name": "JAANEALI",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-11-23",
"last_updated": "2020-03-19",
"certification_date": "2020-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "C156559",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Modesto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.