Varun Rajeev Mehta

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

License

11017755A Issued in IN

Practice address

541 Clinical Dr # Cl365
Indianapolis, IN 46202-5233

Phone

(317) 278-5022

Fax

(317) 274-2695

NPI assigned

Aug 24, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1314144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402704000000",
    "number": "1184904955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "541 CLINICAL DR # CL365",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462025233",
            "telephone_number": "317-278-5022",
            "fax_number": "317-274-2695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "541 CLINICAL DR # CL365",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462025233",
            "telephone_number": "317-278-5022",
            "fax_number": "317-274-2695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEHTA",
        "first_name": "VARUN",
        "middle_name": "RAJEEV",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-08-24",
        "last_updated": "2014-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "R72521",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "IN",
            "license": "11017755A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRAINING PERMIT",
            "identifier": "R72521",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL RESIDENCY PERMIT",
            "identifier": "11017755A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nishi Mehta, M.D.
• Preyas Shashankkumar Mehta
• Rakesh P Mehta, MD
• Risha Mehta
• Sachin Ashok Mehta, M.D.
• Jessica Meichtry
• Abigail Josephine Meier
• Emily Riehm Meier, MD
• Faith Meier
• Jill A Meier, NP

• Student in an Organized Health Care Education/Training Program in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Student in an Organized Health Care Education/Training Program in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.