Active NPI
Lahar R Mehta, M.D.
- Neurology Physician
- Kirkland, WA
National Provider Identifier
1174636567
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- MD60071432
- Practice address
- 12039 NE 128TH St
Suite 300
Kirkland, WA 98034-3030 - Phone
- (425) 899-5350
- Fax
- (425) 899-5355
- NPI assigned
- Aug 17, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 242413 | NY | |
| Neurology Physician | 2084N0400X | MD60071432 | WA | Primary |
Addresses
Primary practice location
12039 NE 128TH St
Suite 300
Kirkland, WA 98034-3030
Mailing address
PO Box 34036
Seattle, WA 98124-1036
Phone (425) 899-3292
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8538696 | Medicaid | WA | |
| RB4321 | Other | NY | MEDICARE PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155772800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1264464000000",
"number": "1174636567",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 34036",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981241036",
"telephone_number": "425-899-3292",
"fax_number": "425-899-3269"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12039 NE 128TH ST",
"address_2": "SUITE 300",
"city": "KIRKLAND",
"state": "WA",
"postal_code": "980343030",
"telephone_number": "425-899-5350",
"fax_number": "425-899-5355"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEHTA",
"first_name": "LAHAR",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-17",
"last_updated": "2010-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "NY",
"license": "242413",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "WA",
"license": "MD60071432",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8538696",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "RB4321",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Kirkland, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.