NPIMap

Individual provider Active NPI

Rajesh M. Mehta, M.D.

  • Gastroenterology Physician
  • Austin, TX
National Provider Identifier
1255414157
Registry record updated Jul 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
N0270 Issued in TX
Practice address
9312 Brodie LN
Austin, TX 78748-5176
Phone
(512) 368-5294
Fax
(512) 368-5289
NPI assigned
Oct 23, 2006
Last updated
Jul 7, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 7, 2022

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X N0270 TX Primary
Gastroenterology Physician 207RG0100X 35062919 OH
Gastroenterology Physician 207RG0100X 16787 WV
Hepatology Physician 207RI0008X 35062919 OH
Hepatology Physician 207RI0008X 16787 WV

Addresses

Primary practice location

9312 Brodie LN
Austin, TX 78748-5176

Mailing address

PO Box 161328
Austin, TX 78716-1328
Phone (512) 368-5294

Other identifiers 7

IdentifierTypeStateIssuer
0854384MedicaidOH
1396812491OtherOHVEC NPI
1434905OtherUMWA
313917202MedicaidTX
DF8863OtherRR MEDCR
313917201MedicaidTX
P00401030OtherRR MEDCR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20120806000119 TX Practitioner - GastroenterologyPractitioner - Internal Medicine 4688652548 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 1982
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

9312 Brodie LN
Suite 102
Austin, TX 78748-5176
Phone (512) 368-5294

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.1 of 100Reported as individual
Quality
83.33
Improvement activities
40
Cost
71.79

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy116
Upper gastrointestinal (GI) endoscopy for acid reflux145

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
N0270TXMDGastroenterology Physician
35062919OHMDHepatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lonestar Anesthesia of Austin, PLLC Current Accepting new patients
Lone Star Endoscopy of Austin, PLLC Current Accepting new patients
West Virginia Gastroenterology & Endoscopy Gastroenterology Past Accepting new patients
Austin Regional Clinic, PA Past Accepting new patients
Valley Gastroenterology & Endoscopy Gastroenterology Past Accepting new patients

Locations

9312 Brodie Ln
Austin, TX 78748
Phone (512) 904-9240

9312 Brodie Ln
Ste 102
Austin, TX 78748
Phone (512) 368-5294

Interoperability endpoints

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

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": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657152000000",
    "number": "1255414157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 161328",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787161328",
            "telephone_number": "512-368-5294",
            "fax_number": "512-368-5289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9312 BRODIE LN",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787485176",
            "telephone_number": "512-368-5294",
            "fax_number": "512-368-5289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEHTA",
        "first_name": "RAJESH",
        "middle_name": "M.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-23",
        "last_updated": "2022-07-07",
        "certification_date": "2022-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "TX",
            "license": "N0270",
            "primary": true
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "OH",
            "license": "35062919",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "WV",
            "license": "16787",
            "primary": false
        },
        {
            "code": "207RI0008X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hepatology",
            "state": "OH",
            "license": "35062919",
            "primary": false
        },
        {
            "code": "207RI0008X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hepatology",
            "state": "WV",
            "license": "16787",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0854384",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VEC NPI",
            "identifier": "1396812491",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UMWA",
            "identifier": "1434905",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "313917202",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDCR",
            "identifier": "DF8863",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "313917201",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDCR",
            "identifier": "P00401030",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.