Active NPI
Dhruv Mahtta, DO, MBA
- Interventional Cardiology Physician
- York, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- OS024987
- Practice address
- 30 Monument Rd Ste 1100
York, PA 17403-5024 - Phone
- (717) 851-2441
- Fax
- (717) 260-3322
- NPI assigned
- Mar 31, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 1018237 | MA | |
| Interventional Cardiology Physician | 207RI0011X | 1018237 | MA | |
| Interventional Cardiology Physician | 207RI0011X | DO01388 | RI | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Interventional Cardiology Physician | 207RI0011X | OS024987 | PA | Primary |
Addresses
Primary practice location
30 Monument Rd Ste 1100
York, PA 17403-5024
Mailing address
601 Memory LN
York, PA 17402-2231
Phone (717) 851-1405
Other practice location 1
1 Baylor Plz
Houston, TX 77030-3411
Phone (713) 798-5928
Other practice location 2
75 Francis St
Boston, MA 02115-6110
Phone (617) 732-7144
Other practice location 3
1600 SW Archer Rd
Suite 4102
Gainesville, FL 32610-3003
Phone (352) 265-0239
Other practice location 4
455 Toll Gate Rd
Warwick, RI 02886-2759
Phone (401) 737-7010
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NH, MA, PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Interventional Cardiology
- Education
- Kansas City University of Med & Biosciences, College of Osteo Med, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
30 Monument Rd
Suite 1100
York, PA 17403-5024
Phone (717) 851-2441
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 76 |
| Pacemaker insertion or repair | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Master of Business Administration
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS024987 | PA | MD | Interventional Cardiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellspan Medical Group | Current | Accepting new patients | |
| The General Hospital Corporation | Current | Accepting new patients | |
| Brigham & Womens Physicians Organization Inc | Internal Medicine | Current | Accepting new patients |
| Massachusetts General Physicians Organization Inc | Internal Medicine | Current | Accepting new patients |
| Mass General Brigham Medical Group Northern Massachusetts Inc | Internal Medicine | Current | Accepting new patients |
| Wellspan Medical Group | Current | Accepting new patients | |
| Wellspan Medical Group | Current | Accepting new patients | |
| Wellspan Medical Group | Past | Accepting new patients |
Locations
55 Fruit St
#2
Boston, MA 02114
Phone (617) 726-2967
55 Fruit St
Boston, MA 02114
75 Francis St
Boston, MA 02115
1 Hutchinson Dr
Danvers, MA 01923
Phone (978) 739-6950
81 Highland Ave
Salem, MA 01970
Phone (978) 354-4009
25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250
1600 S George St
York, PA 17403
Phone (717) 848-3615
30 Monument Rd
Ste 1100
York, PA 17403
Phone (717) 851-2441
601 Memory Ln
York, PA 17402
Phone (717) 851-6670
Interoperability endpoints
- dmahtta480361@wellspan.direct-ci.com
Organizations & group practices 8
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.
-
- Gastroenterology Physician
- York, PA
- NPI 1669770004
-
- Internal Medicine Physician
- Boston, MA
- NPI 1033535497
-
- Emergency Medicine Physician
- Salem, MA
- NPI 1588606123
Internal Medicine
-
- Dermatology Physician
- Boston, MA
- NPI 1801874573
Internal Medicine
-
- General Acute Care Hospital
- Boston, MA
- NPI 1023049236
-
- Pediatric Surgery Physician
- York, PA
- NPI 1104799428
-
- Family Medicine Physician
- Gettysburg, PA
- NPI 1275601676
-
- Family Medicine Physician
- York, PA
- NPI 1598862716
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Gettysburg, PA
- NPI 1265466957
-
- General Acute Care Hospital
- York, PA
- NPI 1326060492
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459382400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750896000000",
"number": "1396108049",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 MEMORY LN",
"city": "YORK",
"state": "PA",
"postal_code": "174022231",
"telephone_number": "717-851-1405",
"fax_number": "717-851-6969"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 MONUMENT RD STE 1100",
"city": "YORK",
"state": "PA",
"postal_code": "174035024",
"telephone_number": "717-851-2441",
"fax_number": "717-260-3322"
}
],
"practiceLocations": [
{
"address_1": "1 Baylor Plz",
"address_purpose": "LOCATION",
"city": "Houston",
"state": "TX",
"postal_code": "770303411",
"country_code": "US",
"telephone_number": "713-798-5928",
"fax_number": "713-798-4334",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "75 Francis St",
"address_purpose": "LOCATION",
"city": "Boston",
"state": "MA",
"postal_code": "021156110",
"country_code": "US",
"telephone_number": "617-732-7144",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1600 SW Archer Rd",
"address_2": "Suite 4102",
"address_purpose": "LOCATION",
"city": "Gainesville",
"state": "FL",
"postal_code": "326103003",
"country_code": "US",
"telephone_number": "352-265-0239",
"fax_number": "352-265-1107",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "455 Toll Gate Rd",
"address_purpose": "LOCATION",
"city": "Warwick",
"state": "RI",
"postal_code": "028862759",
"country_code": "US",
"telephone_number": "401-737-7010",
"fax_number": "401-736-1973",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MAHTTA",
"first_name": "DHRUV",
"credential": "DO, MBA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-03-31",
"last_updated": "2025-06-26",
"certification_date": "2025-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "MA",
"license": "1018237",
"primary": false
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "MA",
"license": "1018237",
"primary": false
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "RI",
"license": "DO01388",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "PA",
"license": "OS024987",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in York, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2025; 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.