Individual provider Active NPI

Hansa N. Mehta, MD

  • Child & Adolescent Psychiatry Physician
  • Tampa, FL
National Provider Identifier
1437273844
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
ME160646 Issued in FL
Practice address
10734 Cory Lake Dr
Tampa, FL 33647-2724
Phone
(408) 519-4420
Fax
(408) 519-4420
NPI assigned
Mar 19, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X C51342 CA
Child & Adolescent Psychiatry Physician 2084P0804X ME160646 FL Primary

Addresses

Primary practice location

10734 Cory Lake Dr
Tampa, FL 33647-2724

Mailing address

PO Box 917770
Orlando, FL 32891-0001

Other practice location 1

3515 E Fletcher Ave
Tampa, FL 33613-4706
Phone (813) 821-8038

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address hmehta279614@direct.tgh.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, FL2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20040714000930 CA Practitioner - Psychiatry 3375522360 Reassigns benefits to 1 organization
I20230927002387 FL Practitioner - Psychiatry 3375522360 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1970
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

4202 E Fowler Ave
Tampa, FL 33620-6750

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME160646FLMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Medical Service Association Inc CurrentSince Sep 19, 2023 Accepting new patients
County of Santa Clara Child & Adolescent Psychiatry CurrentSince Jul 22, 2018 Accepting new patients
University Medical Service Association Inc Current Accepting new patients
University Medical Service Association Inc CurrentSince Sep 19, 2023 Accepting new patients
Tampa General Hospital Current Accepting new patients
County of Santa Clara Past Accepting new patients

Locations

1215 1st St
Gilroy, CA 95020
Phone (408) 686-2360

1650 Las Plumas Ave
Ste K
San Jose, CA 95133
Phone (408) 272-6726

1075 E Santa Clara St
San Jose, CA 95116
Phone (408) 299-6175

751 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-5110

1887 Monterey Hwy
Ste 205
San Jose, CA 95112
Phone (408) 494-1561

2221 Enborg Ln
San Jose, CA 95128
Phone (408) 885-6220

660 S Fair Oaks Ave
Sunnyvale, CA 94086
Phone (408) 885-7366

12901 Bruce B Downs Blvd
#62
Tampa, FL 33612

3515 E Fletcher Ave
Tampa, FL 33613
Phone (813) 974-2748

4202 E Fowler Ave
Stop SHS100
Tampa, FL 33620
Phone (813) 974-2331

Interoperability endpoints

  • Direct secure messaging: hmehta279614@direct.tgh.org
  • FHIR API: https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/

Organizations & group practices 7

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": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1437273844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 917770",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328910001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10734 CORY LAKE DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336472724",
            "telephone_number": "408-519-4420",
            "fax_number": "408-519-4420"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3515 E Fletcher Ave",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336134706",
            "country_code": "US",
            "telephone_number": "813-821-8038",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEHTA",
        "first_name": "HANSA",
        "middle_name": "N.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-19",
        "last_updated": "2023-11-27",
        "certification_date": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "CA",
            "license": "C51342",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "FL",
            "license": "ME160646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hmehta279614@direct.tgh.org",
            "affiliation": "N",
            "address_1": "3515 E Fletcher Ave",
            "city": "Tampa",
            "state": "FL",
            "country_code": "US",
            "postal_code": "336134706",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.