NPIMap

Individual provider Active NPI

Kartik B Mehta, D.O

  • Cardiovascular Disease Physician
  • Normal, IL
National Provider Identifier
1205123841
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
036142268 Issued in IL
Practice address
1302 Franklin Ave Ste 4500
Normal, IL 61761-3593
Phone
(309) 556-8300
Fax
(309) 556-8293
NPI assigned
Jul 4, 2011
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 036142268 IL Primary

Addresses

Primary practice location

1302 Franklin Ave Ste 4500
Normal, IL 61761-3593

Mailing address

1302 Franklin Ave Ste 4500
Normal, IL 61761-3593
Phone (309) 556-8300

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170601000603 IL Practitioner - Cardiovascular Disease (Cardiology) 3971800798 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carle Health Care IncorporatedGroup PAC ID 3577515774, 1,592 clinicians
Carle West Physician Group IncGroup PAC ID 8921420308, 282 clinicians

Practice addresses (Care Compare)

100 Lerna S Rd
Mattoon, IL 61938-9384
Phone (217) 258-5900

101 S Major St
Eureka, IL 61530-1246
Phone (309) 304-2128

115 E Walnut St
Fairbury, IL 61739-1516
Phone (815) 692-2982

1302 Franklin Ave
Normal, IL 61761-6522

1302 Franklin Ave
Suite 4500
Normal, IL 61761-3593
Phone (309) 556-8293

1304 Franklin Ave
Normal, IL 61761-3558
Phone (309) 454-1400

2204 Eastland Dr
Bloomington, IL 61704-3567
Phone (309) 663-0222

3024 E Empire St
Bloomington, IL 61704-5402

611 W Park St
Urbana, IL 61801-2501
Phone (888) 712-2753

911 S Chestnut St
Le Roy, IL 61752-1894
Phone (309) 962-2035

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036142268ILMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carle Health Medical Group Cardiovascular Disease CurrentSince Oct 4, 2025 Accepting new patients
Carle Eureka Hospital Current Accepting new patients
Carle West Physician Group Inc CurrentSince Jul 1, 2020 Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince Jul 3, 2017 Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince Jul 3, 2017 Accepting new patients
Gibson Community Hospital Association Past Accepting new patients

Locations

2204 Eastland Dr
Bloomington, IL 61704
Phone (309) 662-9461

214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160

3310 Fields South Dr
Champaign, IL 61822
Phone (217) 417-2352

29373 Network Pl
Chicago, IL 60673

1302 Franklin Ave
Ste 4500
Normal, IL 61761
Phone (309) 556-8300

611 W Park St
Urbana, IL 61801
Phone (217) 383-6941

Organizations & group practices 6

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.

Hospital & facility affiliations 6

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": "1309737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1205123841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1302 FRANKLIN AVE STE 4500",
            "city": "NORMAL",
            "state": "IL",
            "postal_code": "617613593",
            "telephone_number": "309-556-8300",
            "fax_number": "309-556-8293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1302 FRANKLIN AVE STE 4500",
            "city": "NORMAL",
            "state": "IL",
            "postal_code": "617613593",
            "telephone_number": "309-556-8300",
            "fax_number": "309-556-8293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEHTA",
        "first_name": "KARTIK",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "D.O",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-04",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IL",
            "license": "036142268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Normal, IL

Sources for this page

Verify at the official NPI Registry.