Individual provider Active NPI

Saumya Kumari Mehta, M.D.

  • Family Medicine Physician
  • Fort Mill, SC
National Provider Identifier
1336451616
Registry record updated Mar 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
36188 Issued in SC
Practice address
502 Sixth Baxter Xing
Suite a
Fort Mill, SC 29708-6428
Phone
(803) 835-2088
Fax
(803) 835-2099
NPI assigned
Jul 2, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 36188 SC Primary

Addresses

Primary practice location

502 Sixth Baxter Xing
Suite a
Fort Mill, SC 29708-6428

Mailing address

502 Sixth Baxter Xing
Suite a
Fort Mill, SC 29708-6428
Phone (803) 835-2088

Other identifiers 1

IdentifierTypeStateIssuer
361888MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20131104001024 SC Practitioner - Family Practice 3779718598 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Piedmont Physician Network LLCGroup PAC ID 7911287552, 92 clinicians

Practice addresses (Care Compare)

502 6TH Baxter Xing
Fort Mill, SC 29708-6596
Phone (803) 396-8100

Hospital & facility affiliations

  • Neighbors Care Home Health Agency, an Amedisys Co Home health agency, Chester, SC, CCN 427063
  • Piedmont Medical Center Hospital, Rock Hill, SC, CCN 420002

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Piedmont Physician Network LLC Family Medicine CurrentSince Oct 23, 2017 Accepting new patients

Locations

502 6th Baxter Xing
Unit A
Fort Mill, SC 29708
Phone (803) 802-2424

515 Rivercrossing Dr
Ste 180
Fort Mill, SC 29715
Phone (803) 547-7541

502 6th Baxter Xing
Fort Mill, SC 29708
Phone (803) 396-8100

986 Wellness Way
Ste 240
Fort Mill, SC 29715
Phone (803) 232-9232

760 Addison Dr
Rock Hill, SC 29730
Phone (803) 329-1930

200 Herlong Ave S
Ste E
Rock Hill, SC 29732
Phone (803) 324-1950

1795 Devinney Rd
York, SC 29745
Phone (803) 335-0780

Interoperability endpoints

  • Direct secure messaging: saumya.mehta.1@14929.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/14929/brand/3/csg/1/fhir/r4

Organizations & group practices 1

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 2

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": "1278028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394582400000",
    "number": "1336451616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 SIXTH BAXTER XING",
            "address_2": "SUITE A",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297086428",
            "telephone_number": "803-835-2088",
            "fax_number": "803-835-2099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 SIXTH BAXTER XING",
            "address_2": "SUITE A",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297086428",
            "telephone_number": "803-835-2088",
            "fax_number": "803-835-2099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEHTA",
        "first_name": "SAUMYA",
        "middle_name": "KUMARI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-02",
        "last_updated": "2014-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "36188",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "361888",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Mill, SC

Sources for this page

Verify at the official NPI Registry.