NPIMap

Individual provider Active NPI

Jaya Mehta, D.O.

  • Family Medicine Physician
  • Philadelphia, PA
National Provider Identifier
1114332897
Registry record updated Jun 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OT016097 Issued in PA
Practice address
10800 Knights Rd
Philadelphia, PA 19114-4200
Phone
(215) 612-5161
NPI assigned
Jun 21, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 21, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OT016097 PA Primary

Addresses

Primary practice location

10800 Knights Rd
Philadelphia, PA 19114-4200

Mailing address

1701 Hunters Path LN
Pittsburgh, PA 15241-3154

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180531001358 PA Practitioner - Family Practice 9133484785 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Lake Erie College of Osteopathic Medicine, Erie, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Phoenix Rehabilitation and Health Services IncGroup PAC ID 3476464298, shared by 2 NPIs, 2,775 clinicians
Pottstown Medical Specialists IncGroup PAC ID 8224024096, 39 clinicians

Practice addresses (Care Compare)

2000 Westinghouse Dr
Suite 200
Cranberry Township, PA 16066-5238

307 S Lewis Rd
Spring Ford Family Practice
Royersford, PA 19468-1828
Phone (610) 792-0300

Hospital & facility affiliations

  • Pottstown Hospital Hospital, Pottstown, PA, CCN 390123
  • Phoenixville Hospital Hospital, Phoenixville, PA, CCN 390127
  • Reading Hospital Hospital, West Reading, PA, CCN 390044
  • Paoli Hospital Hospital, Paoli, PA, CCN 390153

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OT016097PAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pottstown Medical Specialists, Inc Family Medicine CurrentSince Jul 31, 2023 Accepting new patients
Stowe Medical Group CurrentSince Jul 31, 2023 Accepting new patients
Pottstown Medical Specialists Inc Family Medicine Past Accepting new patients

Locations

1566 Medical Dr
Ste 104
Pottstown, PA 19464
Phone (484) 945-0075

307 S Lewis Rd
Royersford, PA 19468
Phone (610) 792-0300

Interoperability endpoints

  • Direct secure messaging: jayamehta@pmsi.allscriptsdirect.net

Organizations & group practices 3

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 10

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": "1403308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403308800000",
    "number": "1114332897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 HUNTERS PATH LN",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152413154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10800 KNIGHTS RD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191144200",
            "telephone_number": "215-612-5161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEHTA",
        "first_name": "JAYA",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-21",
        "last_updated": "2014-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OT016097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.