NPIMap

Individual provider Active NPI

Chirag Pankaj Mehta, M.D.

  • Cardiovascular Disease Physician
  • Victorville, CA
National Provider Identifier
1144483256
Registry record updated Jul 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
A135217 Issued in CA
Practice address
12760 Hesperia Rd Ste C
Victorville, CA 92395-8305
Phone
(760) 338-0911
Fax
(760) 243-0471
NPI assigned
Jul 8, 2008
Last updated
Jul 24, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 125054295 IL
Internal Medicine Physician 207R00000X A135217 CA
Cardiovascular Disease Physician 207RC0000X A135217 CA Primary
Interventional Cardiology Physician 207RI0011X A135217 CA

Addresses

Primary practice location

12760 Hesperia Rd Ste C
Victorville, CA 92395-8305

Mailing address

12760 Hesperia Rd Ste C
Victorville, CA 92395-8305
Phone (760) 338-0911

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20150902002815 CA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal MedicinePractitioner - Interventional Cardiology 2860708062 Reassigns benefits to 2 organizations
Practice locations: Victorville, CA

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine, Interventional Cardiology
Education
Jefferson Medical College of Thomas Jefferson University, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Center for Advanced Cardiac and Vascular InterventionsGroup PAC ID 1759649056, 13 clinicians

Practice addresses (Care Compare)

12760 Hesperia Rd
Suite C
Victorville, CA 92395-8305
Phone (760) 338-0911

18226 Ventura Blvd
Suite 102
Tarzana, CA 91356-4246
Phone (818) 905-5904

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.44 of 100Reported as group
Quality
68.97
Promoting interoperability
99
Improvement activities
40
Cost
43.32

Merit-based Incentive Payment System (MIPS)

Final score
14.93 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
49.77

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting15
Varicose vein removal96
Leg revascularization (restoring blood flow)43

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
125054295ILMDInternal Medicine Physician
A135217CAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Chirag P. Mehta, MD Inc. Cardiovascular Disease CurrentSince Sep 13, 2016 Accepting new patients
Center for Advanced Cardiac and Vascular Interventions Cardiovascular Disease CurrentSince Jun 1, 2018 Accepting new patients
Vasa Anesthesia Professional Corporation Past Accepting new patients
St. Mary Medical Center Past Accepting new patients
Desert Valley Hospital, LLC Past Accepting new patients
Victor Valley Community Hospital Past Accepting new patients

Locations

8741 Alden Dr
Ste A
Los Angeles, CA 90048
Phone (310) 652-2744

18226 Ventura Blvd
Ste 102
Tarzana, CA 91356
Phone (818) 905-5904

12441 Hesperia Rd
Ste A
Victorville, CA 92395
Phone (760) 628-2200

12441 Hesperia Rd
Ste A5
Victorville, CA 92395

12760 Hesperia Rd
Ste C
Victorville, CA 92395
Phone (760) 241-8088

13010 Hesperia Rd
Ste 500
Victorville, CA 92395
Phone (760) 338-0911

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: chiragmehta@dmmd.allscriptsdirect.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1215475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690156800000",
    "number": "1144483256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12760 HESPERIA RD STE C",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923958305",
            "telephone_number": "760-338-0911",
            "fax_number": "442-229-2664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12760 HESPERIA RD STE C",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923958305",
            "telephone_number": "760-338-0911",
            "fax_number": "760-243-0471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEHTA",
        "first_name": "CHIRAG",
        "middle_name": "PANKAJ",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-08",
        "last_updated": "2023-07-24",
        "certification_date": "2023-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "125054295",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A135217",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A135217",
            "primary": true
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "CA",
            "license": "A135217",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Victorville, CA

Sources for this page

Verify at the official NPI Registry.