Individual provider Active NPI

Maitri Mehta, MD

  • Ophthalmology Physician
  • Houston, TX
National Provider Identifier
1326500331
Registry record updated Oct 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
U5460 Issued in TX
Practice address
8731 Katy Fwy Ste 300
Houston, TX 77024-1734
Phone
(713) 827-8311
Fax
(713) 827-7488
NPI assigned
Apr 1, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X U5460 TX Primary

Addresses

Primary practice location

8731 Katy Fwy Ste 300
Houston, TX 77024-1734

Mailing address

1401 Patterson St
Houston, TX 77007-3403

Other practice location 1

21502 Merchants Way Ste A
Katy, TX 77449-2515
Phone (281) 579-6777

Other names 1

  • Maitri Pancholy Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20231012000645 TX Practitioner - Ophthalmology 6709113665 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Jefferson Medical College of Thomas Jefferson University, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Berkeley Eye Institute, PLLCGroup PAC ID 4082602156, 62 clinicians

Practice addresses (Care Compare)

3100 Weslayan St
Suite 400
Houston, TX 77027-5752
Phone (713) 526-1600

Merit-based Incentive Payment System (MIPS)

Final score
89.82 of 100Reported as group
Quality
81.48
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery152

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Berkeley Eye Institute, PLLC Ophthalmology CurrentSince Aug 1, 2023 Accepting new patients
Berkeley Eye Institute, PLLC Ophthalmology CurrentSince Aug 1, 2023 Accepting new patients
Clear Lake Eye Center LLP Past Accepting new patients

Locations

3100 Weslayan St
Ste 400
Houston, TX 77027
Phone (713) 526-1600

8800 Katy Fwy
Ste 107
Houston, TX 77024
Phone (713) 827-7666

12140 East Fwy
Houston, TX 77029
Phone (832) 995-2613

8731 Katy Fwy
Ste 300
Houston, TX 77024
Phone (713) 424-4824

21502 Merchants Way
Katy, TX 77449
Phone (281) 579-6777

21502 Merchants Way
Ste A
Katy, TX 77449
Phone (281) 579-6777

22741 Professional Dr
Kingwood, TX 77339
Phone (281) 319-4334

Interoperability endpoints

  • Direct secure messaging: mmehta01@direct.berkeleyeye.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1554076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697155200000",
    "number": "1326500331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 PATTERSON ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770073403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8731 KATY FWY STE 300",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770241734",
            "telephone_number": "713-827-8311",
            "fax_number": "713-827-7488"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21502 Merchants Way Ste A",
            "address_purpose": "LOCATION",
            "city": "Katy",
            "state": "TX",
            "postal_code": "774492515",
            "country_code": "US",
            "telephone_number": "281-579-6777",
            "fax_number": "281-578-6534",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEHTA",
        "first_name": "MAITRI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-01",
        "last_updated": "2023-10-13",
        "certification_date": "2023-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "U5460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MAITRI",
            "last_name": "PANCHOLY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.