Active NPI
Radhika B Mehta, DO
- Internal Medicine Physician
- Baltimore, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- OS018033
- Practice address
- 1501 S Clinton St
Baltimore, MD 21224-5730 - Phone
- (917) 261-4414
- NPI assigned
- Mar 29, 2013
- Last updated
- Jul 13, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 11
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
| License | State | Type | Specialty |
|---|---|---|---|
| OS018033 | PA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fairfax Internal Medicine Associates, PC | Internal Medicine | Current | 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
- 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.
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-
- Wound Care Registered Nurse
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- NPI 1518732346
-
- Wound Care Registered Nurse
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- NPI 1811727506
-
- Adult Medicine Physician
- Hauppauge, NY
- NPI 1942074653
-
- Wound Care Registered Nurse
- Maitland, FL
- NPI 1649881434
-
- Wound Care Registered Nurse
- Springfield, PA
- NPI 1891382230
-
- Surgery Physician
- Chicago, IL
- NPI 1093425399
-
- Wound Care Registered Nurse
- Grapevine, TX
- NPI 1396432662
-
dba Personic Wound Care of NV
- Wound Care Registered Nurse
- Vienna, VA
- NPI 1982379590
DC
-
- Wound Care Registered Nurse
- Brentwood, TN
- NPI 1164282182
-
- Wound Care Registered Nurse
- Milwaukee, WI
- NPI 1134928526
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.