NPIMap

Individual provider Active NPI

Rahul Mehta, M.D.

  • Pulmonary Disease Physician
  • Philadelphia, PA
National Provider Identifier
1225325095
Registry record updated Feb 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
MD452845 Issued in PA
Practice address
230 N Broad St
Philadelphia, PA 19102-1121
Phone
(215) 762-7000
NPI assigned
Jun 30, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD452845 PA
Pulmonary Disease Physician 207RP1001X 25MA10375900 NJ
Pulmonary Disease Physician 207RP1001X MD452845 PA Primary

Addresses

Primary practice location

230 N Broad St
Philadelphia, PA 19102-1121

Mailing address

593 Cranbury Rd
Ste 1a
East Brunswick, NJ 08816-4093
Phone (732) 613-8880

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20141017000330 PA Practitioner - Pulmonary DiseasePractitioner - Internal MedicinePractitioner - Critical Care (Intensivists) 7315168291 Reassigns benefits to 3 organizations
I20180710000757 NJ Practitioner - Pulmonary Disease 7315168291 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary Disease
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
St Lukes Physician Group IncGroup PAC ID 6709798333, 2,161 clinicians

Practice addresses (Care Compare)

123 A Roseberry St
Phillipsburg, NJ 08865-1629
Phone (908) 847-8853

801 Ostrm St
Bethlehem, PA 18015-1000
Phone (610) 954-3301

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.13 of 100Reported as apm
Quality
82.27
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
97.13 of 100Reported as apm
Quality
82.27
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD452845PAMDInternal Medicine Physician
25MA10375900NJMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Luke's Physician Group, Inc. Current Accepting new patients
Drexel University CurrentSince Sep 18, 2014 Accepting new patients
St. Luke's Warren Physician Group, PC CurrentSince Oct 1, 2022 Accepting new patients
Drexel University Current Accepting new patients
St. Luke's Warren Physician Group, PC CurrentSince Oct 1, 2022 Accepting new patients
St. Luke's Warren Physician Group, PC Current Accepting new patients
St. Luke's Physician Group, Inc CurrentSince Feb 1, 2020 Accepting new patients
Pulmonary and Intensive Care Specialists of New Jersey Pulmonary Disease CurrentSince Aug 13, 2018 Accepting new patients
Gslpg, Inc CurrentSince Mar 23, 2020 Accepting new patients
Drexel University CurrentSince Sep 18, 2014 Accepting new patients
St Luke's Physician Group Inc CurrentSince Feb 1, 2020 Accepting new patients
St. Luke's Physician Group, Inc Past Accepting new patients
Robert Wood Johnson Physician Enterprise Internal Medicine PastSince Aug 13, 2018 Accepting new patients

Locations

593 Cranbury Rd
Ste 1A
East Brunswick, NJ 08816
Phone (732) 613-8880

123B Roseberry St
Phillipsburg, NJ 08865
Phone (908) 213-3433

185 Roseberry St
Phillipsburg, NJ 08865
Phone (908) 213-6611

279 State Route 31 S
Washington, NJ 07882
Phone (908) 689-2201

315 State Route 31 S
Washington, NJ 07882
Phone (908) 689-0777

1700 St Lukes Blvd
Ste 300
Easton, PA 18045
Phone (610) 838-7638

709 Delaware Ave
Fountain Hill, PA 18015
Phone (610) 954-3890

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

100 Paramount Blvd
Orwigsburg, PA 17961
Phone (272) 639-1000

1427 Vine St
Fl 8
Philadelphia, PA 19102
Phone (215) 762-6660

230 N Broad St
Philadelphia, PA 19102
Phone (215) 255-3828

1427 Vine St
Fl 2
Philadelphia, PA 19102
Phone (215) 762-2530

4 Life Mark Dr
Sellersville, PA 18960
Phone (215) 453-4026

Interoperability endpoints

  • Direct secure messaging: rahul.mehta@slpg.direct-sluhn.org

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 10

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": "1309392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549929600000",
    "number": "1225325095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "593 CRANBURY RD",
            "address_2": "STE 1A",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088164093",
            "telephone_number": "732-613-8880",
            "fax_number": "732-613-8880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 N BROAD ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191021121",
            "telephone_number": "215-762-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEHTA",
        "first_name": "RAHUL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-30",
        "last_updated": "2019-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD452845",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NJ",
            "license": "25MA10375900",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "PA",
            "license": "MD452845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.