Individual provider Active NPI

Bhupat Mehta, MD

  • Gastroenterology Physician
  • Chicago, IL
National Provider Identifier
1295717643
Registry record updated Aug 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
036055686 Issued in IL
Practice address
645 S Central Ave
Chicago, IL 60644-5059
Phone
(630) 280-7222
Fax
(708) 656-3551
NPI assigned
Nov 18, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 036055686 IL Primary

Addresses

Primary practice location

645 S Central Ave
Chicago, IL 60644-5059

Mailing address

67 Regent Dr
Oak Brook, IL 60523-1745
Phone (630) 280-7222

Other identifiers 5

IdentifierTypeStateIssuer
110047291OtherILRR MEDICARE PIN
131009OtherILADVOCATE HEALTH PARNERS PIN
2487312OtherILAETNA
036055686MedicaidIL
2221466OtherILBLUE SHIELD

Other names 1

  • Bhupatkumar N Mehta Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20100114000662 IL Practitioner - Internal MedicinePractitioner - Gastroenterology 3779625678 Practice locations: Chicago, IL; Oak Park, IL

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Gastroenterology
Education
Other, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

645 S Central Ave
Chicago, IL 60644-5059
Phone (708) 652-2040

Hospital & facility affiliations

  • Loretto Hospital Hospital, Chicago, IL, CCN 140083

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux32

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036055686ILMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Loretto Hospital Current Accepting new patients
Adventist Midwest Health Past Accepting new patients

Locations

645 S Central Ave
Chicago, IL 60644
Phone (773) 626-4300

Interoperability endpoints

  • Direct secure messaging: bhupatkumar.mehta@loretto.medalliesdirect.net

Organizations & group practices 2

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.

Hospital & facility affiliations 1

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": "1132272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787875200000",
    "number": "1295717643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 REGENT DR",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231745",
            "telephone_number": "630-280-7222",
            "fax_number": "708-656-3551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "645 S CENTRAL AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606445059",
            "telephone_number": "630-280-7222",
            "fax_number": "708-656-3551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEHTA",
        "first_name": "BHUPAT",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-18",
        "last_updated": "2026-08-28",
        "certification_date": "2026-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "IL",
            "license": "036055686",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE PIN",
            "identifier": "110047291",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADVOCATE  HEALTH  PARNERS PIN",
            "identifier": "131009",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2487312",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036055686",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "2221466",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BHUPATKUMAR",
            "last_name": "MEHTA",
            "middle_name": "N",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.