NPIMap

Individual provider Active NPI

Nisarg Mehta, DO

  • Surgery Physician
  • Pittsburgh, PA
National Provider Identifier
1346697109
Registry record updated Jul 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
OS021352 Issued in PA
Practice address
4815 Liberty Ave Ste 439
Pittsburgh, PA 15224-2156
Phone
(724) 260-7300
NPI assigned
May 20, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X OS021352 PA Primary

Addresses

Primary practice location

4815 Liberty Ave Ste 439
Pittsburgh, PA 15224-2156

Mailing address

4815 Liberty Ave Ste 439
Pittsburgh, PA 15224-2156
Phone (724) 260-7300

Other identifiers 1

IdentifierTypeStateIssuer
15182192OtherCAQH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210721003535 PA Practitioner - General Surgery 3173926607 Reassigns benefits to 1 organization
I20230308003141 NJ Practitioner - General Surgery 3173926607 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Lake Erie College of Osteopathic Medicine, Erie, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Atlantic Shore Surgical Associates, PCGroup PAC ID 0446222533, 16 clinicians

Practice addresses (Care Compare)

478 Brick Blvd
Brick, NJ 08723-6077
Phone (732) 701-4848

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.54 of 100Reported as group
Quality
88.84
Improvement activities
40
Cost
70.01

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux192
Melanoma (skin cancer) excision1-10
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ocean Surgical & Oncology Associates, P.C CurrentSince Nov 26, 2022 Accepting new patients
Allegheny Clinic CurrentSince Aug 1, 2021 Accepting new patients
Allegheny Clinic Current Accepting new patients
Allegheny Clinic Surgery CurrentSince Aug 1, 2021 Accepting new patients
Atlantic Shore Surgical Associates, PC Surgery CurrentSince Nov 26, 2022 Accepting new patients

Locations

478 Brick Blvd
Brick, NJ 08723
Phone (732) 701-4848

4815 Liberty Ave
Ste 439
Pittsburgh, PA 15224
Phone (412) 578-3925

320 E North Ave
Ste 261
Pittsburgh, PA 15212
Phone (412) 359-3901

Organizations & group practices 5

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 9

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": "1463702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626307200000",
    "number": "1346697109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4815 LIBERTY AVE STE 439",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152242156",
            "telephone_number": "724-260-7300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4815 LIBERTY AVE STE 439",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152242156",
            "telephone_number": "724-260-7300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEHTA",
        "first_name": "NISARG",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-05-20",
        "last_updated": "2021-07-15",
        "certification_date": "2021-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "OS021352",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "15182192",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.