Individual provider Active NPI

Radhika Mehta, DO

  • Internal Medicine Physician
  • Oxford, MI
National Provider Identifier
1134512569
Registry record updated Sep 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
5101026184 Issued in MI
Practice address
834 S Lapeer Rd Ste 100
Oxford, MI 48371-5039
Phone
(248) 384-8320
Fax
(248) 384-8321
NPI assigned
Mar 10, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 2, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 5101026184 MI Primary
Pediatrics Physician 208000000X 5101023521 MI

Addresses

Primary practice location

834 S Lapeer Rd Ste 100
Oxford, MI 48371-5039

Mailing address

834 S Lapeer Rd Ste 100
Oxford, MI 48371-5039
Phone (248) 384-8320

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
I20211001002524 MI Practitioner - Pediatric Medicine 4385042530 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Michigan Healthcare Professionals PCGroup PAC ID 0345413258, 525 clinicians
McLaren Community Based Primary Care GroupGroup PAC ID 2466938048, 56 clinicians

Practice addresses (Care Compare)

834 S Lapeer Rd
100 CMG Oxford
Oxford, MI 48371-5039
Phone (248) 384-8320

Hospital & facility affiliations

  • McLaren Oakland Hospital, Pontiac, MI, CCN 230207
  • Beaumont Hospital, Troy Hospital, Troy, MI, CCN 230269
  • Trinity Health Oakland Hospital Hospital, Pontiac, MI, CCN 230029

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5101023521MIMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
McLaren Community Based Primary Care Group Internal Medicine CurrentSince Jan 1, 2026 Accepting new patients
Michigan Healthcare Professionals PC CurrentSince Jul 1, 2023 Accepting new patients
McLaren Community Based Primary Care Group CurrentSince Jan 1, 2026 Accepting new patients
Michigan Healthcare Professionals PC Internal Medicine CurrentSince Jul 1, 2023 Accepting new patients

Locations

5625 Water Tower Pl
Ste 200
Clarkston, MI 48346
Phone (248) 625-2621

5701 Bow Pointe Dr
Ste 100
Clarkston, MI 48346
Phone (248) 625-2621

5625 Water Tower Pl
Ste 300
Clarkston, MI 48346
Phone (248) 625-2621

27900 Grand River Ave
Ste 220
Farmington Hills, MI 48336
Phone (248) 477-0552

29992 Northwestern Hwy
Ste C
Farmington Hills, MI 48334
Phone (248) 851-1430

834 S Lapeer Rd
Ste 100
Oxford, MI 48371
Phone (248) 384-8320

1221 Pine Grove Ave
Port Huron, MI 48060
Phone (810) 989-3300

3601 W 13 Mile Rd
Royal Oak, MI 48073

Interoperability endpoints

  • Direct secure messaging: radhika.mehta.1@3928.direct.athenahealth.com

Organizations & group practices 5

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 3

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": "1425945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788307200000",
    "number": "1134512569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "834 S LAPEER RD STE 100",
            "city": "OXFORD",
            "state": "MI",
            "postal_code": "483715039",
            "telephone_number": "248-384-8320",
            "fax_number": "248-384-8321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "834 S LAPEER RD STE 100",
            "city": "OXFORD",
            "state": "MI",
            "postal_code": "483715039",
            "telephone_number": "248-384-8320",
            "fax_number": "248-384-8321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEHTA",
        "first_name": "RADHIKA",
        "name_prefix": "Miss",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-10",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "5101026184",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "5101023521",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxford, MI

Sources for this page

Verify at the official NPI Registry.