Individual provider Active NPI

Radhika B Mehta, DO

  • Internal Medicine Physician
  • Baltimore, MD
National Provider Identifier
1396088191
Registry record updated Jul 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
OS018033 Issued in PA
Practice address
1501 S Clinton St
Baltimore, MD 21224-5730
Phone
(917) 261-4414
NPI assigned
Mar 29, 2013
Last updated
Jul 13, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 0102205651 VA
Internal Medicine Physician 207R00000X OS018033 PA Primary

Addresses

Primary practice location

1501 S Clinton St
Baltimore, MD 21224-5730

Mailing address

1 Liberty PLZ Ste 301
New York, NY 10006-1404
Phone (917) 261-4414

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, DC, IL, NY, WI, AL, FL, TX, MD, KY, TN11 enrollments
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 11

Enrollment IDStateProvider typePAC IDDetails
I20170126000310 PA Practitioner - Internal Medicine 4486952884 Reassigns benefits to 1 organization
I20200310001401 DC Practitioner - Internal Medicine 4486952884 Reassigns benefits to 2 organizations
I20260514002989 IL Practitioner - Internal Medicine 4486952884 Reassigns benefits to 1 organization
I20260514002991 NY Practitioner - Internal Medicine 4486952884 Reassigns benefits to 1 organization
I20260514003278 WI Practitioner - Internal Medicine 4486952884 Reassigns benefits to 1 organization
I20260516000149 AL Practitioner - Internal Medicine 4486952884 Reassigns benefits to 1 organization
I20260518003793 FL Practitioner - Internal Medicine 4486952884 Reassigns benefits to 1 organization
I20260518003833 TX Practitioner - Internal Medicine 4486952884 Reassigns benefits to 1 organization
I20260519002027 MD Practitioner - Internal Medicine 4486952884 Reassigns benefits to 1 organization
I20260521002041 KY Practitioner - Internal Medicine 4486952884 Reassigns benefits to 1 organization
I20260521003211 TN Practitioner - Internal Medicine 4486952884 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2008
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2 Maryland Farms
Suite 210
Brentwood, TN 37027-1000

3499 Blazer Pkwy
Suite 330
Lexington, KY 40509-1830

350 Bonar Ave
Waynesburg, PA 15370-1608

350 Bonar Ave
Waynesburg, PA 15370-1697

6095 Marshalee Dr
Suite 130
Elkridge, MD 21075-5926

850 Concourse Pkwy S
Suite 200
Maitland, FL 32751-6145

PO Box
Suite 8209
Vienna, VA 22183

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS018033PAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fairfax Internal Medicine Associates, PC Internal Medicine CurrentSince Feb 3, 2020 Accepting new patients
Openloop Healthcare Partners Wisconsin, SC Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Michael Karagas, M.D., P.C. D/B/a/ KMG Medical Group Past Accepting new patients

Locations

8302 Old Courthouse Rd
Ste C
Vienna, VA 22182
Phone (703) 462-8138

Interoperability endpoints

  • Direct secure messaging: radhika.bhatt@337577483108356.direct.elationemr.com

Organizations & group practices 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1364515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689206400000",
    "number": "1396088191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 LIBERTY PLZ STE 301",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100061404",
            "telephone_number": "917-261-4414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 S CLINTON ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212245730",
            "telephone_number": "917-261-4414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEHTA",
        "first_name": "RADHIKA",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-29",
        "last_updated": "2023-07-13",
        "certification_date": "2023-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0102205651",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "OS018033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.