Active NPI
B Rai Mehta, MD PA
Doing business as South Arlington Dialysis Center
- Specialist
- Arlington, TX
National Provider Identifier
1194733626
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 452592
- Legal business name
- B RAI MEHTA, MD PA
- Doing business as
- South Arlington Dialysis Center
- Practice address
- 3295 S Cooper St
137
Arlington, TX 76015-2363 - Phone
- (817) 417-0973
- Fax
- (817) 417-7266
- NPI assigned
- Aug 3, 2006
- Last updated
- Oct 9, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Shelly Ann Irving
- Title
- Billing Manager
- Phone
- (817) 417-0973
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 452592 | TX | Primary |
Addresses
Primary practice location
3295 S Cooper St
137
Arlington, TX 76015-2363
Mailing address
3295 S Cooper St
137
Arlington, TX 76015-2363
Phone (817) 417-0973
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 094268201 | Medicaid | TX | |
| HH6225 | Other | TX | BLUEE CROSS BLUE SHIELD |
| 094268202 | Medicaid | TX |
Other names 1
- South Arlington Dialysis Center
National Provider Directory
National Provider DirectoryLocations
3295 S Cooper St
#137S
Arlington, TX 76015
Phone (817) 465-8585
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154563200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1223510400000",
"number": "1194733626",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3295 S COOPER ST",
"address_2": "137",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "760152363",
"telephone_number": "817-417-0973",
"fax_number": "817-417-7266"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3295 S COOPER ST",
"address_2": "137",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "760152363",
"telephone_number": "817-417-0973",
"fax_number": "817-417-7266"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "B RAI MEHTA, MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-03",
"last_updated": "2008-10-09",
"status": "A",
"authorized_official_last_name": "IRVING",
"authorized_official_first_name": "SHELLY",
"authorized_official_middle_name": "ANN",
"authorized_official_title_or_position": "BILLING MANAGER",
"authorized_official_telephone_number": "817-417-0973",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "TX",
"license": "452592",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "094268201",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUEE CROSS BLUE SHIELD",
"identifier": "HH6225",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "094268202",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "South Arlington Dialysis Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Arlington, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.