Jay G Mehta, DO

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

006512 Issued in AZ

Practice address

11340 W Bell Rd Ste 127
Surprise, AZ 85378-9335

Phone

(623) 225-7546

Fax

(623) 225-7548

NPI assigned

Mar 11, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

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

Specialty

DermatologyAlso: Internal Medicine

Education

Arizona College of Osteopathic Medicine Mid Western University, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Arizona Skin Institute PCGroup PAC ID 4981824273, 3 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

94.9 of 100Reported as group

Promoting interoperability

94

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• Arizona Skin Institute, PC

  dba Arizona Skin

  • Dermatology Physician
  • Surprise, AZ
  • NPI 1992105126
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1236729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763942400000",
    "number": "1255572863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11340 W BELL RD STE 127",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853789335",
            "telephone_number": "623-225-7546",
            "fax_number": "623-225-7548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11340 W BELL RD STE 127",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853789335",
            "telephone_number": "623-225-7546",
            "fax_number": "623-225-7548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEHTA",
        "first_name": "JAY",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-03-11",
        "last_updated": "2025-11-24",
        "certification_date": "2025-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "AZ",
            "license": "006512",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "58-003057",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "006512",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "960351",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Medical and Surgical Health and Healing Institute, L.L.C.
• Kandy Lizzeth Medina Perez, FNP-C
• Vanessa Medina
• Medirad, LLC
• Michael Reyes Medrano, PHD
• Kishor D Mehta, MD
• Nirav J Mehta, MD
• Prachi Heeten Mehta
• Urja Mukeshbhai Mehta, M.D.
• Jane Renee Meier, MSW, LCSW

• Dermatology Physician in Surprise, AZ
• Providers in Surprise, AZ by specialty
• Dermatology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.