Active NPI
Ankit Indravadan Mehta, M.D.
- Surgery Physician
- Boston, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 21791009
- Practice address
- 75 Francis St
Boston, MA 02115 - Phone
- (617) 732-6861
- NPI assigned
- Jul 25, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 21791009 | IL | Primary |
Addresses
Primary practice location
75 Francis St
Boston, MA 02115
Mailing address
75 Francis St
Boston, MA 02115-6110
Phone (617) 732-6861
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150120000877 | IL | Practitioner - Neurosurgery | 4082853072 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Neurosurgery
- Education
- Harvard Medical School, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- The Board of Trustees of the University of Illinois
Practice addresses (Care Compare)
1740 W Taylor St
Chicago, IL 60612-7232
1801 W Taylor St
Chicago, IL 60612-4795
4440 W 95TH St
Oak Lawn, IL 60453-2600
Phone (708) 684-8000
Hospital & facility affiliations
- University of Illinois Hospital and Clinics
- Powers Health Rehabilitation Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 89 |
| Laminectomy or laminotomy (partial removal of spine bones) | 25 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21791009 | IL | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Board of Trustees of the University of Illinois | Current | Accepting new patients | |
| Mount Sinai Community Foundation | Current | Accepting new patients | |
| The Board of Trustees of the University of Illinois | Current | Accepting new patients | |
| Mount Sinai Community Foundation | Current | Accepting new patients | |
| The Board of Trustees of the University of Illinois | Current | Accepting new patients | |
| Mount Sinai Community Foundation | Current | Accepting new patients | |
| Johns Hopkins University | Past | Accepting new patients | |
| Board of Trustees of the University of Illinois | Past | Accepting new patients |
Locations
1501 S California Ave
#7140
Chicago, IL 60608
Phone (773) 257-4758
1801 W Taylor St
Chicago, IL 60612
Phone (312) 355-1700
1855 W Taylor St
Chicago, IL 60612
Phone (312) 996-6582
26460 Network Pl
Chicago, IL 60673
Phone (708) 786-2900
7732 Solution Ctr
Chicago, IL 60677
Phone (312) 355-6290
4440 W 95th St
Oak Lawn, IL 60453
Phone (708) 346-5520
Interoperability endpoints
- amehta12808@uihealth.direct-ci.com
Organizations & group practices 31
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.
-
- Anatomic Pathology Physician
- Chicago, IL
- NPI 1386863819
IL
-
- Psychiatric Hospital Unit
- Chicago, IL
- NPI 1073552022
-
- Federally Qualified Health Center (FQHC)
- Chicago, IL
- NPI 1124787908
-
- Internal Medicine Physician
- Chicago, IL
- NPI 1134118649
-
- Obstetrics & Gynecology Physician
- Chicago, IL
- NPI 1154541936
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Chicago, IL
- NPI 1164461117
-
- Federally Qualified Health Center (FQHC)
- Rockford, IL
- NPI 1306486022
-
- Federally Qualified Health Center (FQHC)
- Chicago, IL
- NPI 1346596327
-
- Federally Qualified Health Center (FQHC)
- Chicago, IL
- NPI 1356000236
-
- Federally Qualified Health Center (FQHC)
- Chicago, IL
- NPI 1356367304
-
- Federally Qualified Health Center (FQHC)
- Cicero, IL
- NPI 1407166671
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rehabilitation Hospital
- Crown Point, IN
- NPI 1801301437
Inpatient rehabilitation facility
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1861431751
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185321600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1185321600000",
"number": "1154521367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "75 FRANCIS ST",
"city": "BOSTON",
"state": "MA",
"postal_code": "021156110",
"telephone_number": "617-732-6861"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "75 FRANCIS ST",
"city": "BOSTON",
"state": "MA",
"postal_code": "02115",
"telephone_number": "617-732-6861"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEHTA",
"first_name": "ANKIT",
"middle_name": "INDRAVADAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-07-25",
"last_updated": "2007-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "IL",
"license": "21791009",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.