Organization Active NPI

Mehan Medical Consulting LLC

  • Internal Medicine Physician
  • Stuart, FL
National Provider Identifier
1114461977
Registry record updated Aug 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
OS8797 Issued in FL
Legal business name
MEHAN MEDICAL CONSULTING LLC
Practice address
509 SE Riverside Dr Ste 300
Stuart, FL 34994-2579
Phone
(954) 558-4549
NPI assigned
Dec 14, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2018

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

Authorized official

Name
Dr. Ravi Mehan, D.O.NPI 1578519534
Title
Owner
Phone
(954) 558-4549

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 PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X OS8797 FL Primary

Addresses

Primary practice location

509 SE Riverside Dr Ste 300
Stuart, FL 34994-2579

Mailing address

509 SE Riverside Dr
Stuart, FL 34994-2579
Phone (954) 558-4549

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190212002586 FL Part B Supplier - Clinic/Group Practice 8123366440 Receives reassigned benefits from 4 practitioners
Practice locations: Stuart, FL; Port Saint Lucie, FL; Fort Pierce, FL

National Provider Directory

National Provider Directory

Locations

478 NE Alice St
Jensen Beach, FL 34957

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1481673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534723200000",
    "number": "1114461977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 SE RIVERSIDE DR",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349942579",
            "telephone_number": "954-558-4549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 SE RIVERSIDE DR STE 300",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349942579",
            "telephone_number": "954-558-4549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEHAN MEDICAL CONSULTING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-14",
        "last_updated": "2018-08-20",
        "status": "A",
        "authorized_official_last_name": "MEHAN",
        "authorized_official_first_name": "RAVI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-558-4549",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "OS8797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stuart, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.