Organization Active NPI

Virendrakumar D Mehta MD PA

  • Obstetrics & Gynecology Physician
  • Wichita Falls, TX
National Provider Identifier
1356484034
Registry record updated Nov 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
G2432 Issued in TX
Legal business name
VIRENDRAKUMAR D MEHTA MD PA
Doing business as
Virendrakumar D Mehta MD PA
Practice address
1815 10TH St
Wichita Falls, TX 76301-5054
Phone
(940) 766-1079
Fax
(940) 322-6023
NPI assigned
Feb 14, 2007
Last updated
Nov 8, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2013

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

Authorized official

Name
Dr. Virendrakumar D Mehta, M.D.
Title
Owner
Phone
(940) 766-1079

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X G2432 TX Primary

Addresses

Primary practice location

1815 10TH St
Wichita Falls, TX 76301-5054

Mailing address

1815 10TH St
Wichita Falls, TX 76301-5054
Phone (940) 766-1079

Other identifiers 1

IdentifierTypeStateIssuer
123332202MedicaidTX

Other names 1

  • VIRENDRAKUMAR D MEHTA MD PA Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383868800000",
    "number": "1356484034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1815 10TH ST",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763015054",
            "telephone_number": "940-766-1079",
            "fax_number": "940-322-6023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1815 10TH ST",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763015054",
            "telephone_number": "940-766-1079",
            "fax_number": "940-322-6023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIRENDRAKUMAR D MEHTA MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-14",
        "last_updated": "2013-11-08",
        "status": "A",
        "authorized_official_last_name": "MEHTA",
        "authorized_official_first_name": "VIRENDRAKUMAR",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "940-766-1079",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "G2432",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "123332202",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VIRENDRAKUMAR D MEHTA MD PA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wichita Falls, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.