Active NPI
Saumil Mehta MD PLLC
- Adolescent Medicine (Internal Medicine) Physician
- Plano, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adolescent Medicine (Internal Medicine) Physician
- License
- J3013
- Legal business name
- SAUMIL MEHTA MD PLLC
- Practice address
- 6404 International Pkwy Ste 1010
Plano, TX 75093-8346 - Phone
- (972) 267-1988
- Fax
- (972) 267-3434
- NPI assigned
- Jul 4, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Saumil Mehta, M.D.
- Title
- President
- Phone
- (972) 267-1988
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adolescent Medicine (Internal Medicine) Physician | 207RA0000X | J3013 | TX | Primary |
Addresses
Primary practice location
6404 International Pkwy Ste 1010
Plano, TX 75093-8346
Mailing address
6404 International Pkwy Ste 1010
Plano, TX 75093-8346
Phone (972) 267-1988
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 421242501 | Medicaid | TX | |
| 098858603 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
6404 International Pkwy
Ste 2100
Plano, TX 75093
Phone (972) 267-1988
6404 International Pkwy
Ste 1010
Plano, TX 75093
Phone (972) 267-1988
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Plano, TX
- NPI 1194740381
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1467590400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1715558400000",
"number": "1275985129",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6404 INTERNATIONAL PKWY STE 1010",
"city": "PLANO",
"state": "TX",
"postal_code": "750938346",
"telephone_number": "972-267-1988",
"fax_number": "972-267-3434"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6404 INTERNATIONAL PKWY STE 1010",
"city": "PLANO",
"state": "TX",
"postal_code": "750938346",
"telephone_number": "972-267-1988",
"fax_number": "972-267-3434"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAUMIL MEHTA MD PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-07-04",
"last_updated": "2024-05-13",
"certification_date": "2024-05-13",
"status": "A",
"authorized_official_last_name": "MEHTA",
"authorized_official_first_name": "SAUMIL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "972-267-1988",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207RA0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Adolescent Medicine",
"state": "TX",
"license": "J3013",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "421242501",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "098858603",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Plano, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.