Madhusudan P Mehta, MD

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

35039184 Issued in OH

Practice address

6900 Pearl Rd
2ND Floor
Middleburg HTS, OH 44130

Phone

(440) 845-0900

Fax

(440) 845-7355

NPI assigned

May 17, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184630400000",
    "number": "1285686063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6900 PEARL RD",
            "address_2": "2ND FLOOR",
            "city": "MIDDLEBURG HTS",
            "state": "OH",
            "postal_code": "44130",
            "telephone_number": "440-845-0900",
            "fax_number": "440-845-7355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6900 PEARL RD",
            "address_2": "2ND FLOOR",
            "city": "MIDDLEBURG HTS",
            "state": "OH",
            "postal_code": "44130",
            "telephone_number": "440-845-0900",
            "fax_number": "440-845-7355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEHTA",
        "first_name": "MADHUSUDAN",
        "middle_name": "P",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2007-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "OH",
            "license": "35039184",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0119571",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Linda K Kerata, DDS
• Joseph Gregory Kopacz, ATC, CSCS
• Leslie Pristas DO LLC
• Yaidy E. Lopez
• Genevieve McCaslin, CNM
• Middleburg Heights Nursing Home LLC (O'Neill Healthcare Middleburg Heights)
• Dilip B Narichania, MD
• Northeast Care Center, Inc.
• OB GYN Associates LLC
• Vimla D Pania, MD

• Anatomic Pathology & Clinical Pathology Physician in Middleburg HTS, OH
• Providers in Middleburg HTS, OH by specialty
• Anatomic Pathology & Clinical Pathology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.