Individual provider Active NPI

Divyang Dolat Mehta, M.D.

  • Radiation Oncology Physician
  • Baton Rouge, LA
National Provider Identifier
1285833608
Registry record updated Jun 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
N7723 Issued in TX
Practice address
4950 Essen LN
Baton Rouge, LA 70809-3738
Phone
(225) 767-0847
Fax
(225) 215-1380
NPI assigned
Jul 16, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 12735 NV
Radiation Oncology Physician 2085R0001X N7723 TX Primary

Addresses

Primary practice location

4950 Essen LN
Baton Rouge, LA 70809-3738

Mailing address

PO Box 11407 Dept 1299
Birmingham, AL 35246-1230
Phone (972) 997-8000

Other practice location 1

133 Jeff Davis Blvd
Natchez, MS 39120-5103
Phone (601) 442-1285

Other identifiers 5

IdentifierTypeStateIssuer
P00889692OtherTXRAILROAD MEDICARE
218362602MedicaidTX
218362601MedicaidTX
P00790625OtherNVRAILROAD MEDICARE
1285833608MedicaidNV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, MS, LA3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20110106000508 TX Practitioner - Radiation Oncology 5890858385 Reassigns benefits to 1 organization
I20170928001468 MS Practitioner - Radiation Oncology 5890858385 Reassigns benefits to 2 organizations
I20240417001004 LA Practitioner - Radiation Oncology 5890858385 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Howard University College of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mary Bird Perkins Cancer CenterGroup PAC ID 4385646280, 95 clinicians
Radiation Oncology Center - Zachary LLCGroup PAC ID 2163652975, 3 clinicians

Practice addresses (Care Compare)

133 Jefferson Davis Blvd
Natchez, MS 39120-5103
Phone (601) 442-1285

4950 Essen LN
Baton Rouge, LA 70809-3738
Phone (225) 767-0847

4950 Essen LN
Suite 500
Baton Rouge, LA 70809-3482
Phone (225) 767-0847

6180 Main St
Suite B
Zachary, LA 70791-4069
Phone (225) 570-1212

8585 Picardy Ave
Baton Rouge, LA 70809-3748
Phone (225) 387-7000

Hospital & facility affiliations

  • Baton Rouge General Medical Center Hospital, Baton Rouge, LA, CCN 190065
  • Lane Regional Medical Center Hospital, Zachary, LA, CCN 190020

Merit-based Incentive Payment System (MIPS)

Final score
78.3 of 100Reported as group
Quality
57.21
Promoting interoperability
99
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
N7723TXMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Oncology PA Radiation Oncology CurrentSince Sep 15, 2010 Accepting new patients
State of Mississippi - University of Mississippi Medical Center CurrentSince Aug 10, 2017 Accepting new patients
Texas Oncology PA Radiation Oncology CurrentSince Sep 15, 2010 Accepting new patients
Baton Rouge General Medical Center Current Accepting new patients
Radiation Oncology Center - Zachary CurrentSince Mar 3, 2024 Accepting new patients
Baton Rouge General Medical Center CurrentSince Mar 16, 2024 Accepting new patients
Radiation Oncology Center - Zachary, LLC CurrentSince Mar 3, 2024 Accepting new patients
Texas Oncology PA Radiation Oncology Current Accepting new patients
State of Mississippi - University of Mississippi Medical Center CurrentSince Aug 10, 2017 Accepting new patients
Baton Rouge General Medical Center CurrentSince Mar 16, 2024 Accepting new patients
Mary Bird Perkins Cancer Center Radiation Oncology CurrentSince Feb 15, 2021 Accepting new patients
Susan Reisinger, MD Prof. Corp. Radiation Oncology PastSince Sep 23, 2024 Accepting new patients
Baton Rouge General Medical Center Past Accepting new patients

Locations

3600 Florida St
Baton Rouge, LA 70806
Phone (225) 381-2615

3401 North Blvd
Baton Rouge, LA 70806
Phone (225) 381-2755

8585 Picardy Ave
Baton Rouge, LA 70809
Phone (225) 763-4000

8490 Picardy Ave
Ste 100B
Baton Rouge, LA 70809

1006 S Harrison St
Covington, LA 70433
Phone (985) 845-9000

4950 Essen Ln
St George, LA 70809
Phone (225) 767-0847

6180 Main St
Ste B
Zachary, LA 70791
Phone (225) 381-6550

2500 N State St
Jackson, MS 39216
Phone (601) 815-4775

133 Jefferson Davis Blvd
Natchez, MS 39120
Phone (601) 422-1285

7848 Gateway Blvd E
El Paso, TX 79915
Phone (915) 599-1313

925 Gessner Rd
Ste 550
Houston, TX 77024
Phone (713) 467-1722

2026 S Jackson St
Jacksonville, TX 75766
Phone (903) 541-4500

501 W Medical Center Blvd
Webster, TX 77598
Phone (281) 316-4926

Organizations & group practices 13

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 13

Hospital & facility affiliations 12

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1184544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719187200000",
    "number": "1285833608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11407 DEPT 1299",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352461230",
            "telephone_number": "972-997-8000",
            "fax_number": "972-234-0813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4950 ESSEN LN",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708093738",
            "telephone_number": "225-767-0847",
            "fax_number": "225-215-1380"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "133 Jeff Davis Blvd",
            "address_purpose": "LOCATION",
            "city": "Natchez",
            "state": "MS",
            "postal_code": "391205103",
            "country_code": "US",
            "telephone_number": "601-442-1285",
            "fax_number": "601-446-9683",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEHTA",
        "first_name": "DIVYANG",
        "middle_name": "DOLAT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-16",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "NV",
            "license": "12735",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "TX",
            "license": "N7723",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00889692",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "218362602",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "218362601",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00790625",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1285833608",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.