Active NPI
Hasumati Vijaykumar Mehta, M.D.
- Family Medicine Physician
- Fayetteville, NC
National Provider Identifier
1265401962
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 20167
- Practice address
- 518 Sandhurst Dr
Fayetteville, NC 28304-4426 - Phone
- (910) 323-4091
- Fax
- (910) 323-4092
- NPI assigned
- Mar 15, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 20167 | NC | Primary |
Addresses
Primary practice location
518 Sandhurst Dr
Fayetteville, NC 28304-4426
Mailing address
PO Box 87169
Fayetteville, NC 28304-7169
Phone (910) 323-4091
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02145 | Other | NC | BCBS GROUP NUMBER |
| 8958493 | Medicaid | NC | |
| 208795 | Other | NC | PTAN |
Other names 1
- Mrs. Hasumati Vijaykumar Mehta
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142380800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320364800000",
"number": "1265401962",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 87169",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283047169",
"telephone_number": "910-323-4091",
"fax_number": "910-323-4092"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "518 SANDHURST DR",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283044426",
"telephone_number": "910-323-4091",
"fax_number": "910-323-4092"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEHTA",
"first_name": "HASUMATI",
"middle_name": "VIJAYKUMAR",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-03-15",
"last_updated": "2011-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NC",
"license": "20167",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS GROUP NUMBER",
"identifier": "02145",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8958493",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PTAN",
"identifier": "208795",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "HASUMATI",
"last_name": "MEHTA",
"middle_name": "VIJAYKUMAR",
"prefix": "MRS.",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Fayetteville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2011; 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.