Individual provider Active NPI

Avani Mukesh Mehta, PA-C

  • Physician Assistant
  • Katy, TX
National Provider Identifier
1386109064
Registry record updated Feb 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA12582 Issued in TX
Practice address
21700 Kingsland Blvd Ste 104
Katy, TX 77450-2546
Phone
(281) 829-6570
NPI assigned
Feb 6, 2019
Last updated
Feb 6, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA12582 TX Primary

Addresses

Primary practice location

21700 Kingsland Blvd Ste 104
Katy, TX 77450-2546

Mailing address

10606 Prescott Hollow CT
Katy, TX 77494-8623
Phone (281) 687-0596

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190503000256 TX Practitioner - Physician Assistant 9032451554 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Next Level MV LLCGroup PAC ID 5991062085, 124 clinicians
Nluc PLLCGroup PAC ID 3072752302, 219 clinicians

Practice addresses (Care Compare)

1717 W 34TH St
Houston, TX 77018-6256
Phone (281) 783-8162

4936 Beechnut St
Houston, TX 77096-1605
Phone (281) 783-8162

5211 FM 2920 Rd
Suite 101
Spring, TX 77388-3004
Phone (281) 783-8162

5749 San Felipe St
Houston, TX 77057-3101
Phone (281) 783-8162

8100 Hwy 6 N
Suite E
Houston, TX 77095-1923
Phone (281) 783-8162

8325 Broadway St
Suite 220
Pearland, TX 77581-5773
Phone (281) 783-8162

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Nluc PLLC CurrentSince Mar 28, 2019 Accepting new patients
Next Level MV LLC CurrentSince Mar 28, 2019 Accepting new patients
Nluc PLLC CurrentSince Mar 28, 2019 Accepting new patients

Locations

7710 Garth Rd
Ste A
Baytown, TX 77521

1246 N FM 3083 Rd W
Ste B
Conroe, TX 77304

21700 Kingsland Blvd
Ste 104
Katy, TX 77450
Phone (281) 556-1764

8325 Broadway St
Ste 220
Pearland, TX 77581
Phone (281) 873-8162

5211 FM 2920 Rd
Ste 101
Spring, TX 77388

16312 Southwest Fwy
Ste 18
Sugar Land, TX 77479

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1549411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549411200000",
    "number": "1386109064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10606 PRESCOTT HOLLOW CT",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774948623",
            "telephone_number": "281-687-0596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21700 KINGSLAND BLVD STE 104",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774502546",
            "telephone_number": "281-829-6570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEHTA",
        "first_name": "AVANI",
        "middle_name": "MUKESH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-06",
        "last_updated": "2019-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA12582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

Verify at the official NPI Registry.