Individual provider Active NPI

Rena Mehta, M.D.

  • Internal Medicine Physician
  • Sanford, FL
National Provider Identifier
1356590293
Registry record updated Dec 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME121282 Issued in FL
Practice address
1506 S French Ave
Sanford, FL 32771-3374
Phone
(321) 257-0489
Fax
(321) 257-0491
NPI assigned
Sep 16, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME121282 FL Primary

Addresses

Primary practice location

1506 S French Ave
Sanford, FL 32771-3374

Mailing address

1506 S French Ave
Sanford, FL 32771-3374
Phone (321) 257-0489

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20170608000902 FL Practitioner - Internal Medicine 2365586179 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tampa Family Health Centers IncGroup PAC ID 1254243769, 66 clinicians

Practice addresses (Care Compare)

12085 W Hillsborough Ave
Tampa, FL 33635-9725
Phone (813) 852-5270

12410 N Nebraska Ave
Tampa, FL 33612-5352
Phone (813) 397-5300

302 W Fletcher Ave
Tampa, FL 33612-3415
Phone (813) 397-5300

4620 N 22ND St
Tampa, FL 33610-6205
Phone (813) 397-5300

6216 E Sligh Ave
Tampa, FL 33617-9105
Phone (813) 397-5300

7814 N Dale Mabry Hwy
Tampa, FL 33614-3220
Phone (813) 397-5300

8108 N Nebraska Ave
Tampa, FL 33604-3107
Phone (813) 397-5300

8213 W Waters Ave
Tampa, FL 33615-1822
Phone (813) 397-5300

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Tampa Family Health Centers Inc Current Accepting new patients
Tampa Family Health Centers, Inc CurrentSince Jun 5, 2025 Accepting new patients
Tampa Family Health Centers, Inc CurrentSince Jun 5, 2025 Accepting new patients

Locations

7814 N Dale Mabry Hwy
Tampa, FL 33614
Phone (813) 405-3939

12085 W Hillsborough Ave
Tampa, FL 33635
Phone (813) 852-5270

302 W Fletcher Ave
Tampa, FL 33612

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1221523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733270400000",
    "number": "1356590293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1506 S FRENCH AVE",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327713374",
            "telephone_number": "321-257-0489",
            "fax_number": "321-257-0491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1506 S FRENCH AVE",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327713374",
            "telephone_number": "321-257-0489",
            "fax_number": "321-257-0491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEHTA",
        "first_name": "RENA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-16",
        "last_updated": "2024-12-04",
        "certification_date": "2024-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME121282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sanford, FL

Sources for this page

Verify at the official NPI Registry.