Organization Active NPI

Dr Kavita Mehta, PSC

  • Anesthesiology Physician
  • Louisville, KY
National Provider Identifier
1376056465
Registry record updated Nov 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
DR KAVITA MEHTA, PSC
Practice address
4041 Whiteblossom Estates CT
Louisville, KY 40241-6110
Phone
(502) 298-2565
NPI assigned
Nov 10, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2017

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

Authorized official

Name
Dr. Kavita Mehta, MDNPI 1023100906
Title
Owner
Phone
(502) 298-2565

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X Primary

Addresses

Primary practice location

4041 Whiteblossom Estates CT
Louisville, KY 40241-6110

Mailing address

4041 Whiteblossom Estates CT
Louisville, KY 40241-6110
Phone (502) 298-2565

Other identifiers 1

IdentifierTypeStateIssuer
64021926MedicaidKY

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.

NPI Registry JSON

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

{
    "created_epoch": "1510272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510272000000",
    "number": "1376056465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4041 WHITEBLOSSOM ESTATES CT",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402416110",
            "telephone_number": "502-298-2565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4041 WHITEBLOSSOM ESTATES CT",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402416110",
            "telephone_number": "502-298-2565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR KAVITA MEHTA, PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-10",
        "last_updated": "2017-11-10",
        "status": "A",
        "authorized_official_last_name": "MEHTA",
        "authorized_official_first_name": "KAVITA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "502-298-2565",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64021926",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2017; 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.