Nimisha Mehta MD PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

NIMISHA MEHTA MD PA

Practice address

860 Hebron Pkwy Ste 401
Lewisville, TX 75057-5143

Phone

(469) 916-6641

Fax

(469) 322-4175

NPI assigned

Aug 10, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Nimisha Mehta, M.D.NPI 1699783696

Title

Managing Member

Phone

(469) 916-6641

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nimisha Apurva Mehta, M.D.

  • Internal Medicine Physician
  • Lewisville, TX
  • NPI 1699783696
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1249862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1293408000000",
    "number": "1346472362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "860 HEBRON PKWY STE 401",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750575143",
            "telephone_number": "469-916-6641",
            "fax_number": "469-322-4175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "860 HEBRON PKWY STE 401",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750575143",
            "telephone_number": "469-916-6641",
            "fax_number": "469-322-4175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIMISHA MEHTA MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-10",
        "last_updated": "2010-12-27",
        "status": "A",
        "authorized_official_last_name": "MEHTA",
        "authorized_official_first_name": "NIMISHA",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "469-916-6641",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0084SV",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Loan Nguyen
• Mai Thanh Nguyen
• Michael Nguyen, DDS
• Oanh Nguyen, PHARMD
• Suzanne Louise Nieves, LPC
• Nishendu M. Vasavada, M.D., P.a.
• Philomena Wangui Njuki
• Norma McCarthy, LPC & Associates
• Kallie Dawn Norred, LPC
• Alison Norris, M.S. CCC/SLP

• Internal Medicine Physician in Lewisville, TX
• Providers in Lewisville, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.