Individual provider Active NPI

Monica Mehta, M.D.

  • Pediatrics Physician
  • Baltimore, MD
National Provider Identifier
1427580398
Registry record updated Jun 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
D0089282 Issued in MD
Practice address
22 S Greene St
Department of Pediatrics - N5W70
Baltimore, MD 21201-1544
Phone
(410) 328-6662
NPI assigned
Mar 30, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X D0089282 MD Primary

Addresses

Primary practice location

22 S Greene St
Department of Pediatrics - N5W70
Baltimore, MD 21201-1544

Mailing address

1005 Prince Frederick Blvd
Ste 101
Prince Frederick, MD 20678-3195

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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 1

Enrollment IDStateProvider typePAC IDDetails
I20200701003394 MD Practitioner - HospitalistPractitioner - Pediatric Medicine 7315212297 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0089282MDMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bhargesh P. Mehta, M.D., P.a. Pediatrics CurrentSince Jul 6, 2020 Accepting new patients
Mdics at Calvert LLC CurrentSince Sep 21, 2020 Accepting new patients
Bhargesh P. Mehta, M.D., P.a. Pediatrics PastSince Jun 28, 2020 Accepting new patients

Locations

1005 Prince Frederick Blvd
Ste 101
Prnc Frederck, MD 20678
Phone 4105355555 ext. 105

100 Hospital Rd
Prnc Frederck, MD 20678
Phone (410) 414-4791

Interoperability endpoints

  • Direct secure messaging: monica.mehta@bpmm.eclinicaldirectplus.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1490832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593043200000",
    "number": "1427580398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 PRINCE FREDERICK BLVD",
            "address_2": "STE 101",
            "city": "PRINCE FREDERICK",
            "state": "MD",
            "postal_code": "206783195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 S GREENE ST",
            "address_2": "DEPARTMENT OF PEDIATRICS - N5W70",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212011544",
            "telephone_number": "410-328-6662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEHTA",
        "first_name": "MONICA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-30",
        "last_updated": "2020-06-25",
        "certification_date": "2020-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MD",
            "license": "D0089282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.