Keyur Kamlesh Mehta, MD

Primary specialty

Pediatric Cardiology PhysicianTaxonomy code 2080P0202X

License

0101266293 Issued in VA

Practice address

8609 Sudley Rd
Manassas, VA 20110-8321

Phone

(410) 955-5000

NPI assigned

Jul 31, 2012

Last updated

Sep 5, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in VA, DC2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kmehta519773@direct.healthsystem.virginia.edu

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.

• Inova Health Care Services

  • Internal Medicine Physician
  • Falls Church, VA
  • NPI 1952320061

  DC, Pediatrics

  Medicare reassignment NPD
• Mary Washington Hospital, Inc.

  dba Mary Washington Cardiology

  • Cardiovascular Disease Physician
  • Fredericksburg, VA
  • NPI 1013089879
  Medicare reassignment NPD
• Johns Hopkins Regional Physicians LLC

  dba ENTAA Care

  • Otolaryngology Physician
  • Glen Burnie, MD
  • NPI 1396253555

  DC

  Medicare reassignment NPD
• Inova Health Care Services

  dba Inova Urgent Care Center

  • Urgent Care Clinic/Center
  • Vienna, VA
  • NPI 1275886418
  NPD
• Inova Health Care Services

  dba Inova Blood Donor Services

  • Medical Technologist
  • Sterling, VA
  • NPI 1699655589
  NPD
• Mary Washington Hospital Inc.

  • General Acute Care Hospital
  • Fredericksburg, VA
  • NPI 1942288527
  NPD
• Johns Hopkins Regional Physicians LLC

  dba JHRP - 10285 Little Patuxent Pkwy Ste 200 - Provider Type: 20

  • Internal Medicine Physician
  • Columbia, MD
  • NPI 1871454934
  NPD
• Children's Heart Institute

  dba Children's Heart Clinic

  • Specialist
  • Herndon, VA
  • NPI 1922058668
  NPD (past)
• Children's Multispecialty Clinic, PLC

  • Specialist
  • Herndon, VA
  • NPI 1700217684
  NPD (past)
• Frederick Health Hospital Inc

  dba Frederick Health Hospital

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

{
    "created_epoch": "1343692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693872000000",
    "number": "1255687950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8609 SUDLEY RD STE 203",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201104500",
            "telephone_number": "571-612-2611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8609 SUDLEY RD",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201108321",
            "telephone_number": "410-955-5000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "450 Clarkson Ave",
            "address_2": "Kings County Hospital Center",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112032012",
            "country_code": "US",
            "telephone_number": "718-530-2700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3300 Gallows Rd",
            "address_purpose": "LOCATION",
            "city": "Falls Church",
            "state": "VA",
            "postal_code": "220423307",
            "country_code": "US",
            "telephone_number": "703-776-4001",
            "fax_number": "703-776-7113",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8609 Sudley Rd Ste 203",
            "address_purpose": "LOCATION",
            "city": "Manassas",
            "state": "VA",
            "postal_code": "201104500",
            "country_code": "US",
            "telephone_number": "571-612-2611",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEHTA",
        "first_name": "KEYUR",
        "middle_name": "KAMLESH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-31",
        "last_updated": "2023-09-05",
        "certification_date": "2023-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "VA",
            "license": "0101266293",
            "primary": false
        },
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "VA",
            "license": "0101266293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Medserv Medical Management Services LLC (Medical and Vision Clinic)
• Medsquare LLC (The Medsquare)
• Medstar Medical Group II LLC
• Medstar Medical Group II LLC
• Melissa Mehiel
• Danielle Meise, RBT
• Nicole Mejia
• Hayley Ann Meleason, PA-C
• Orlando Yamir Melendez Miranda, LCSW
• Gary N Melnick, MD

• Pediatric Cardiology Physician in Manassas, VA
• Providers in Manassas, VA by specialty
• Pediatric Cardiology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.