Individual provider Active NPI

David Youssef Mehtar, MD

  • Emergency Medicine Physician
  • Dover, DE
National Provider Identifier
1275329641
Registry record updated Apr 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
C7-0018974 Issued in DE
Practice address
640 South State Street
Dover, DE 19901-3007
Phone
(302) 744-6999
NPI assigned
Apr 15, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X C7-0018974 DE Primary

Addresses

Primary practice location

640 South State Street
Dover, DE 19901-3007

Mailing address

640 South State Street
Dover, DE 19901-3007

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
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
I20250507001301 DE Order and Referring Only - Emergency MedicinePractitioner - Emergency Medicine 5597282160

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C7-0018974DEMDEmergency Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1744675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745884800000",
    "number": "1275329641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 SOUTH STATE STREET",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199013007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 SOUTH STATE STREET",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199013007",
            "telephone_number": "302-744-6999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEHTAR",
        "first_name": "DAVID",
        "middle_name": "YOUSSEF",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-04-15",
        "last_updated": "2025-04-29",
        "certification_date": "2025-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "DE",
            "license": "C7-0018974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, DE

Sources for this page

Verify at the official NPI Registry.