Individual provider Active NPI

Nilesh Shirish Mehta, M.D.

  • Internal Medicine Physician
  • El Paso, TX
National Provider Identifier
1225045735
Registry record updated Apr 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
J2681 Issued in TX
Practice address
6065 Montana Ave
Ste C10
El Paso, TX 79925-1835
Phone
(915) 540-7070
Fax
(888) 822-3363
NPI assigned
Aug 1, 2006
Last updated
Apr 26, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2024

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 J2681 TX Primary

Addresses

Primary practice location

6065 Montana Ave
Ste C10
El Paso, TX 79925-1835

Mailing address

6065 Montana Ave
Ste C10
El Paso, TX 79925-1835
Phone (915) 540-7070

Other identifiers 3

IdentifierTypeStateIssuer
085780701MedicaidTX
0A5550OtherTXMEDICARE GROUP
123380101MedicaidTX

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
I20091230000521 TX Practitioner - Internal MedicinePractitioner - Interventional Pain Management 0840331666 Reassigns benefits to 1 organization

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)

6065 Montana Ave
Suite C10
El Paso, TX 79925-1839
Phone (915) 540-7070

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Nilesh Mehta MD PLLC Internal Medicine CurrentSince Dec 1, 2009 Accepting new patients
Gabriela Hunko MD PLLC Internal Medicine CurrentSince Dec 1, 2009 Accepting new patients

Locations

6065 Montana Ave
Ste C10
El Paso, TX 79925
Phone (915) 540-7070

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EJIHAA/Endpoint/EJIHAA

Organizations & group practices 2

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 3

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": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714089600000",
    "number": "1225045735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6065 MONTANA AVE",
            "address_2": "STE C10",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799251835",
            "telephone_number": "915-540-7070",
            "fax_number": "888-822-3363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6065 MONTANA AVE",
            "address_2": "STE C10",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799251835",
            "telephone_number": "915-540-7070",
            "fax_number": "888-822-3363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEHTA",
        "first_name": "NILESH",
        "middle_name": "SHIRISH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2024-04-26",
        "certification_date": "2024-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "J2681",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "085780701",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "0A5550",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "123380101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.