Individual provider Active NPI

Saumil A Mehta, MD

  • Internal Medicine Physician
  • Plano, TX
National Provider Identifier
1194740381
Registry record updated Feb 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
J3013 Issued in TX
Practice address
6404 International Pkwy Ste 1010
Plano, TX 75093-8346
Phone
(972) 267-1988
Fax
(972) 267-3434
NPI assigned
Jul 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X J3013 TX Primary

Addresses

Primary practice location

6404 International Pkwy Ste 1010
Plano, TX 75093-8346

Mailing address

6404 International Pkwy Ste 1010
Plano, TX 75093-8346
Phone (972) 267-1988

Other identifiers 3

IdentifierTypeStateIssuer
098858603MedicaidTX
098858604MedicaidTX
098858605MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040614000803 TX Practitioner - Internal Medicine 5395634414 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6404 International Pkwy
Suite 1010
Plano, TX 75093-8346
Phone (972) 267-1988

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Horizon Hematology Oncology Health Organization Internal Medicine Current Accepting new patients
Saumil Mehta MD PLLC CurrentSince Nov 26, 2020 Accepting new patients
Psychiatric Medical Associates, PA Internal Medicine CurrentSince Aug 1, 2016 Accepting new patients
Midwest Metropolitan Physicians Group LLC Internal Medicine Past Accepting new patients
Physicians and Allied Health Professionals Group, PA Internal Medicine Past Accepting new patients

Locations

6404 International Pkwy
Ste 1010
Plano, TX 75093
Phone (972) 267-1988

Interoperability endpoints

  • Direct secure messaging: dmcsmehta@yourcarecommunity.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/IICECD/Endpoint/IICECD
  • Direct secure messaging: saumil.mehta@txsamh.eclinicaldirectplus.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613088000000",
    "number": "1194740381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6404 INTERNATIONAL PKWY STE 1010",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750938346",
            "telephone_number": "972-267-1988",
            "fax_number": "972-267-3434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6404 INTERNATIONAL PKWY STE 1010",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750938346",
            "telephone_number": "972-267-1988",
            "fax_number": "972-267-3434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEHTA",
        "first_name": "SAUMIL",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2021-02-12",
        "certification_date": "2021-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "J3013",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "098858603",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "098858604",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "098858605",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.