Active NPI
Ankur Mehta, MD
- Ophthalmology Physician
- Grand Blanc, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 4301092731
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Physician Group | Current | Accepting new patients | |
| Vitreoretinal Specialists PLC | Ophthalmology | Current | Accepting new patients |
| University Physician Group | Ophthalmology | Current | 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
- 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.
-
- Ophthalmology Physician
- Grand Blanc, MI
- NPI 1144582438
-
- Counselor
- Detroit, MI
- NPI 1447465661
-
- Specialist
- Grand Blanc, MI
- NPI 1659627339
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Grand Blanc, MI
- NPI 1407877723
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2021; 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.