Active NPI
Ketan Mehta, DO
- Critical Care Medicine (Internal Medicine) Physician
- Bethesda, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Medicine (Internal Medicine) Physician
- License
- H0101709
- Practice address
- 4494 N Palmer Road
Bethesda, MD 20889-0001 - Phone
- (301) 295-4000
- NPI assigned
- Feb 20, 2018
- 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 |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 7226621 | WA | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | H0101709 | MD | Primary |
Addresses
Primary practice location
4494 N Palmer Road
Bethesda, MD 20889-0001
Mailing address
10815 Deborah Dr
Potomac, MD 20854-2716
Other practice location 1
9040A Jackson Ave
Joint Base Lewis McChord, WA 98431-0001
Phone (253) 968-1110
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- Education
- At Still Un of HLTH Sciences, Col of Osteo Med, Mesa, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
14207 Park Ctr Dr
Suite 102
Laurel, MD 20707-5255
Phone (301) 604-5254
3300 Gallows Rd
Falls Church, VA 22042-3307
44045 Rivderside Pkwy
Leesburg, VA 20176-5101
Phone (703) 771-2960
8600 Old Georgetown Rd
Bethesda, MD 20814-1422
Phone (301) 896-3100
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7226621 | WA | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Johns Hopkins Community Physicians | Current | Accepting new patients | |
| Inova Health Care Services | Critical Care Medicine | Current | Accepting new patients |
| Inova Health Care Services | Current | Accepting new patients | |
| Johns Hopkins Community Physicians | Current | Accepting new patients | |
| Johns Hopkins Community Physicians, Inc | Critical Care Medicine | Current | Accepting new patients |
Locations
14207 Park Center Dr
Ste 102
Laurel, MD 20707
Phone (301) 604-5254
8095 Innovation Park Dr
Bldg C
Fairfax, VA 22031
Phone (571) 472-6253
3300 Gallows Rd
Fl 1
Falls Church, VA 22042
Phone (703) 776-4005
224B Cornwall St NW
Leesburg, VA 20176
Phone (703) 771-2894
44045 Riverside Pkwy
Leesburg, VA 20176
Phone (703) 858-6040
Interoperability endpoints
- kmehta1178662@direct.hopkinsmedicine.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.
-
- Internal Medicine Physician
- Falls Church, VA
- NPI 1952320061
Critical Care Medicine, DC
-
dba JHCP- 6225 Smith Avenue; Mental Health Therapy
- Clinical Social Worker
- Baltimore, MD
- NPI 1356161806
-
- Internal Medicine Physician
- Baltimore, MD
- NPI 1255359972
Critical Care Medicine
-
dba Inova Blood Donor Services
- Medical Technologist
- Sterling, VA
- NPI 1699655589
-
dba JHCP - 4102 Wilson Blvd
- Internal Medicine Physician
- Arlington, VA
- NPI 1902626765
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bethesda, MD
- NPI 1205896446
-
dba Suburban Hospital Radiation Oncology Infusion Center
- Radiation Oncology Clinic/Center
- Bethesda, MD
- NPI 1528096690
Hospital
-
dba Inova Fairfax Hospital
- Rehabilitation Hospital Unit
- Falls Church, VA
- NPI 1588795462
-
dba Inova Fairfax Hospital
- General Acute Care Hospital
- Falls Church, VA
- NPI 1831220714
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1519084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729728000000",
"number": "1184124687",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10815 DEBORAH DR",
"city": "POTOMAC",
"state": "MD",
"postal_code": "208542716"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4494 N PALMER ROAD",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208890001",
"telephone_number": "301-295-4000"
}
],
"practiceLocations": [
{
"address_1": "9040A Jackson Ave",
"address_purpose": "LOCATION",
"city": "Joint Base Lewis McChord",
"state": "WA",
"postal_code": "984310001",
"country_code": "US",
"telephone_number": "253-968-1110",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MEHTA",
"first_name": "KETAN",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-02-20",
"last_updated": "2024-10-24",
"certification_date": "2024-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "WA",
"license": "7226621",
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "MD",
"license": "H0101709",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bethesda, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2024; 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.