Active NPI
Nalini K Mehta, MD
- Pediatrics Physician
- Saint Louis, MO
National Provider Identifier
1346295490
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- R3G84
- Practice address
- 2220 Lemp Ave
Soulard Benton Health Center
Saint Louis, MO 63104-2700 - Phone
- (314) 814-8531
- Fax
- (314) 814-8542
- NPI assigned
- May 24, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | R3G84 | MO | |
| Pediatrics Physician | 208000000X | R3G84 | MO | Primary |
Addresses
Primary practice location
2220 Lemp Ave
Soulard Benton Health Center
Saint Louis, MO 63104-2700
Mailing address
1717 Biddle St
Saint Louis, MO 63106-3454
Phone (314) 814-8531
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 208481119 | Medicaid | MO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R3G84 | MO | MD | Emergency Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1472256000000",
"number": "1346295490",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1717 BIDDLE ST",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631063454",
"telephone_number": "314-814-8531",
"fax_number": "314-814-8542"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2220 LEMP AVE",
"address_2": "SOULARD BENTON HEALTH CENTER",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631042700",
"telephone_number": "314-814-8531",
"fax_number": "314-814-8542"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEHTA",
"first_name": "NALINI",
"middle_name": "K",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-24",
"last_updated": "2016-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MO",
"license": "R3G84",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MO",
"license": "R3G84",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "208481119",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.