Individual provider Active NPI

Keyur Mehta, M.D.

  • Therapeutic Radiology Physician
  • Bronx, NY
National Provider Identifier
1235339326
Registry record updated Sep 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Therapeutic Radiology PhysicianTaxonomy code 2085R0203X
License
256684 Issued in NY
Practice address
1625 Poplar St
Suite 101
Bronx, NY 10461-2648
Phone
(718) 405-8560
Fax
(718) 405-8561
NPI assigned
Jul 18, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Therapeutic Radiology Physician 2085R0203X 256684 NY Primary

Addresses

Primary practice location

1625 Poplar St
Suite 101
Bronx, NY 10461-2648

Mailing address

1625 Poplar St
Suite 101
Bronx, NY 10461-2648
Phone (718) 405-8560

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20101007000135 NY Practitioner - Radiation Oncology 5799977948 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Albert Einstein College of Medicine of Yeshiva University, 2004
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Montefiore Medical CenterGroup PAC ID 3779496021, 2,809 clinicians
The New York Proton CenterGroup PAC ID 2466780218, 45 clinicians

Practice addresses (Care Compare)

111 E 210TH St
Bronx, NY 10467-2401
Phone (866) 633-8255

225 E 126TH St
New York, NY 10035-1406
Phone (646) 968-9064

Hospital & facility affiliations

  • Montefiore Medical Center Hospital, Bronx, NY, CCN 330059
  • Montefiore Mount Vernon Hospital Hospital, Mount Vernon, NY, CCN 330086

Merit-based Incentive Payment System (MIPS)

Final score
43.79 of 100Reported as group
Quality
29.93
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Montefiore Medical Center CurrentSince Jun 24, 2010 Accepting new patients
Montefiore Medical Center CurrentSince Jun 24, 2010 Accepting new patients
The New York Proton Center CurrentSince Jul 9, 2019 Accepting new patients
St. Luke'S Cornwall JV, LLC CurrentSince May 17, 2017 Accepting new patients
Montefiore Mount Vernon Hospital Past Accepting new patients

Locations

1250 Waters Pl
Ste 903
Bronx, NY 10461
Phone (718) 450-9955

111 E 210th St
Bronx, NY 10467

1250 Waters Pl
Bronx, NY 10461
Phone (718) 409-9444

1625 Poplar St
Ste 101
Bronx, NY 10461
Phone (718) 405-8560

1625 Poplar St
Bronx, NY 10461
Phone (718) 405-8440

951 Brook Ave
Bronx, NY 10451
Phone (914) 629-0989

15 Laurel Ave
Cornwall, NY 12518
Phone (914) 849-7655

15 Laurel Ave
#100
Cornwall, NY 12518
Phone (845) 458-9000

12 N 7th Ave
Mount Vernon, NY 10550
Phone (914) 361-6511

225 E 126th St
New York, NY 10035
Phone (646) 813-1880

111 N Highland Ave
Nyack, NY 10960
Phone (845) 639-6178

2 Longview Ave
White Plains, NY 10601
Phone (914) 681-2727

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • Direct secure messaging: kmehta@montefioredirect.com

Organizations & group practices 5

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 2

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": "1184716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284508800000",
    "number": "1235339326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1625 POPLAR ST",
            "address_2": "SUITE 101",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104612648",
            "telephone_number": "718-405-8560",
            "fax_number": "718-405-8561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 POPLAR ST",
            "address_2": "SUITE 101",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104612648",
            "telephone_number": "718-405-8560",
            "fax_number": "718-405-8561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEHTA",
        "first_name": "KEYUR",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-18",
        "last_updated": "2010-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0203X",
            "taxonomy_group": "",
            "desc": "Radiology, Therapeutic Radiology",
            "state": "NY",
            "license": "256684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.