Individual provider Active NPI

Satish R Mehta, MD

  • Pediatrics Physician
  • Eastpointe, MI
National Provider Identifier
1114960309
Registry record updated Jun 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
4301065258 Issued in MI
Practice address
21501 Kelly Rd
Eastpointe, MI 48021-3213
Phone
(586) 776-4185
Fax
(586) 776-4185
NPI assigned
Jun 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 4301065258 MI Primary

Addresses

Primary practice location

21501 Kelly Rd
Eastpointe, MI 48021-3213

Mailing address

3681 Acorn Dr
Troy, MI 48083-5793
Phone (313) 868-7700

Other practice location 1

3901 Beaubien
Children's Hospital of Mi
Detroit, MI 48201
Phone (313) 745-5260

Other practice location 2

12632 Dexter Ave
Detroit, MI 48238-3340
Phone (313) 868-7700

Other identifiers 3

IdentifierTypeStateIssuer
4546847 TYPE 10MedicaidMI
4700179MedicaidMI
SM065258OtherMIBC/BS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20040217000027 MI Practitioner - General PracticePractitioner - Pediatric MedicinePractitioner - Emergency Medicine 7214821149 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
General PracticeAlso: Pediatric Medicine
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

21501 Kelly Rd
Eastpointe, MI 48021-3213
Phone (313) 378-4620

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Seton Health Corporation of Southeastern Michigan Family Medicine CurrentSince Jul 1, 2014 Accepting new patients
Seton Health Corporation of Southeastern Michigan CurrentSince Jul 1, 2014 Accepting new patients
Henry Ford Health St. John Hospital CurrentSince Jan 1, 2004 Accepting new patients
Henry Ford Health St. John Hospital Current Accepting new patients
Henry Ford Health St. John Hospital CurrentSince Jan 1, 2004 Accepting new patients

Locations

22101 Moross Rd
Detroit, MI 48236
Phone (313) 343-3248

22255 Greenfield Rd
Ste 550
Southfield, MI 48075
Phone (586) 226-6161

45634 Schoenherr Rd
Utica, MI 48315
Phone (586) 532-8440

Interoperability endpoints

  • Direct secure messaging: smehta@direct.dmc.org

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781481600000",
    "number": "1114960309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3681 ACORN DR",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480835793",
            "telephone_number": "313-868-7700",
            "fax_number": "586-776-5132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21501 KELLY RD",
            "city": "EASTPOINTE",
            "state": "MI",
            "postal_code": "480213213",
            "telephone_number": "586-776-4185",
            "fax_number": "586-776-4185"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3901 BEAUBIEN",
            "address_2": "CHILDREN'S HOSPITAL OF MI",
            "address_purpose": "LOCATION",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "48201",
            "country_code": "US",
            "telephone_number": "313-745-5260",
            "fax_number": "313-966-0665",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12632 Dexter Ave",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "482383340",
            "country_code": "US",
            "telephone_number": "313-868-7700",
            "fax_number": "313-868-0303",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEHTA",
        "first_name": "SATISH",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2026-06-15",
        "certification_date": "2026-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "4301065258",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4546847 TYPE 10",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4700179",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "SM065258",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eastpointe, MI

Sources for this page

Verify at the official NPI Registry.