Individual provider Active NPI

Charulata Patel Mehta, M.D.

  • Internal Medicine Physician
  • Columbia, MD
National Provider Identifier
1255490686
Registry record updated Aug 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D0034974 Issued in MD
Practice address
8775 Cloudleap CT
Suite 224
Columbia, MD 21045-3044
Phone
(410) 740-0100
Fax
(410) 772-9473
NPI assigned
Dec 8, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2011

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 D0034974 MD Primary

Addresses

Primary practice location

8775 Cloudleap CT
Suite 224
Columbia, MD 21045-3044

Mailing address

8775 Cloudleap CT
Suite 224
Columbia, MD 21045-3044
Phone (410) 740-0100

Other identifiers 1

IdentifierTypeStateIssuer
477911800MedicaidMD

Other names 1

  • Dr. Charulata Patel-Mehta Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20050314000858 MD Practitioner - Internal Medicine 8325093248 Reassigns benefits to 1 organization
Practice locations: Columbia, MD

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1970
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8775 Cloudleap CT
Suite 13
Columbia, MD 21045-3045

8775 Cloudleap CT
Suite 13
Columbia, MD 21045-3081
Phone (410) 740-0100

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0034974MDMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Palm Diagnostics Inc CurrentSince Feb 1, 2022 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314403200000",
    "number": "1255490686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8775 CLOUDLEAP CT",
            "address_2": "SUITE 224",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210453044",
            "telephone_number": "410-740-0100",
            "fax_number": "410-772-9473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8775 CLOUDLEAP CT",
            "address_2": "SUITE 224",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210453044",
            "telephone_number": "410-740-0100",
            "fax_number": "410-772-9473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEHTA",
        "first_name": "CHARULATA",
        "middle_name": "PATEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-08",
        "last_updated": "2011-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0034974",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "477911800",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHARULATA",
            "last_name": "PATEL-MEHTA",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Columbia, MD

Sources for this page

Verify at the official NPI Registry.