Individual provider Active NPI

Ankur Mehta, MD

  • Ophthalmology Physician
  • Grand Blanc, MI
National Provider Identifier
1194981985
Registry record updated Feb 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
4301092731 Issued in MI
Practice address
8562 Holly Rd
Grand Blanc, MI 48439-8301
Phone
(810) 487-4500
Fax
(810) 991-8228
NPI assigned
Aug 1, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 036134244 IL
Ophthalmology Physician 207W00000X 4301092731 MI Primary

Addresses

Primary practice location

8562 Holly Rd
Grand Blanc, MI 48439-8301

Mailing address

9400 S Saginaw Rd
Suite D
Grand Blanc, MI 48439-9601
Phone (810) 487-4500

Other practice location 1

5885 S Main St Ste 2
Clarkston, MI 48346-2981
Phone (810) 487-4500

Other practice location 2

2025 Holland Ave
Port Huron, MI 48060-1519
Phone (810) 989-7702

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20120829000156 MI Practitioner - Ophthalmology 6800043712 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Wayne State University School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vitreoretinal Specialists PLCGroup PAC ID 9234388919, 5 clinicians

Practice addresses (Care Compare)

5885 S Main St
Clarkston, MI 48346-2981

8562 Holly Rd
Grand Blanc, MI 48439-8301
Phone (810) 487-4500

Hospital & facility affiliations

  • Ascension Genesys Hospital Hospital, Grand Blanc, MI, CCN 230197

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University Physician Group CurrentSince Jul 11, 2012 Accepting new patients
Vitreoretinal Specialists PLC Ophthalmology CurrentSince Jul 5, 2016 Accepting new patients
University Physician Group Ophthalmology CurrentSince Jul 11, 2012 Accepting new patients
Obstetric & Gynecology Physicians of Flint, PC Past Accepting new patients

Locations

5885 S Main St
Ste 2
Clarkston, MI 48346
Phone (248) 933-6534

35776 Harper Ave
Clinton Twp, MI 48035
Phone (586) 792-3891

4100 John R St
Detroit, MI 48201
Phone (313) 576-8530

8562 Holly Rd
Grand Blanc, MI 48439
Phone (810) 487-4500

9400 S Saginaw Rd
Ste D
Grand Blanc, MI 48439
Phone (810) 344-9073

Interoperability endpoints

  • Direct secure messaging: amehta1141234@direct.hfhs.org

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 and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1217548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612483200000",
    "number": "1194981985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9400 S SAGINAW RD",
            "address_2": "SUITE D",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484399601",
            "telephone_number": "810-487-4500",
            "fax_number": "810-991-8228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8562 HOLLY RD",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484398301",
            "telephone_number": "810-487-4500",
            "fax_number": "810-991-8228"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5885 S Main St Ste 2",
            "address_purpose": "LOCATION",
            "city": "Clarkston",
            "state": "MI",
            "postal_code": "483462981",
            "country_code": "US",
            "telephone_number": "810-487-4500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2025 Holland Ave",
            "address_purpose": "LOCATION",
            "city": "Port Huron",
            "state": "MI",
            "postal_code": "480601519",
            "country_code": "US",
            "telephone_number": "810-989-7702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEHTA",
        "first_name": "ANKUR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-01",
        "last_updated": "2021-02-05",
        "certification_date": "2021-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": "036134244",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MI",
            "license": "4301092731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Blanc, MI

Sources for this page

Verify at the official NPI Registry.