Active NPI
Urvi M Mehta, MD
- Internal Medicine Physician
- Rockville, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- D39030
- Practice address
- 14955 Shady Grove Rd Ste 100
Rockville, MD 20850-8728 - Phone
- (301) 990-3190
- Fax
- (301) 990-3199
- NPI assigned
- Sep 8, 2006
- Last updated
- May 9, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | D39030 | MD | Primary |
Addresses
Primary practice location
14955 Shady Grove Rd Ste 100
Rockville, MD 20850-8728
Mailing address
3100 Wyman Park Drive
Suite 359a
Baltimore, MD 21211
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 780371100 | Medicaid | MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7676 New Hampshire Ave
Takoma Park, MD 20912-7514
Phone (301) 431-2972
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D39030 | MD | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Clinic, Inc | Current | Accepting new patients | |
| Community Clinic, Inc. | Internal Medicine | Current | Accepting new patients |
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| Johns Hopkins Community Physicians, Inc | Past | Accepting new patients |
Locations
8630 Fenton St
Ste 1200
Silver Spring, MD 20910
Phone (301) 585-1250
8630 Fenton St
Ste 1204
Silver Spring, MD 20910
Phone (240) 499-2636
8665 Georgia Ave
Silver Spring, MD 20910
Phone (301) 340-7525
7676 New Hampshire Ave
Ste 220A
Takoma Park, MD 20912
Phone (301) 431-2972
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba CCI Health Services
- Federally Qualified Health Center (FQHC)
- Takoma Park, MD
- NPI 1790730281
DC, Internal Medicine
-
dba CCI Ora Glen Pharmacy
- Community/Retail Pharmacy
- Greenbelt, MD
- NPI 1295560878
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
-
dba JHCP - 195 Thomas Johnson Drive
- Family Medicine Physician
- Baltimore, MD
- NPI 1770518003
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157673600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1368057600000",
"number": "1194829416",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3100 WYMAN PARK DRIVE",
"address_2": "SUITE 359A",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "21211"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14955 SHADY GROVE RD STE 100",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208508728",
"telephone_number": "301-990-3190",
"fax_number": "301-990-3199"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEHTA",
"first_name": "URVI",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-08",
"last_updated": "2013-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MD",
"license": "D39030",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "780371100",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rockville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2013; 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.