Individual provider Active NPI

Shilpa Prabodh Mehta, MD

  • Internal Medicine Physician
  • Newark, DE
National Provider Identifier
1447236773
Registry record updated Jan 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
C10007004 Issued in DE
Practice address
1400 Peoples PLZ
Suite 201
Newark, DE 19702-5707
Phone
(302) 392-2200
Fax
(302) 392-2226
NPI assigned
Dec 19, 2005
Last updated
Jan 31, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2008

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 C10007004 DE Primary
Pediatrics Physician 208000000X C10007004 DE

Addresses

Primary practice location

1400 Peoples PLZ
Suite 201
Newark, DE 19702-5707

Mailing address

1400 Peoples PLZ
Suite 201
Newark, DE 19702-5707
Phone (302) 392-2200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C10007004DEMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advocare , LLC Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: shilpa.mehta@advocaredoctors.eclinicaldirectplus.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1134950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201737600000",
    "number": "1447236773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 PEOPLES PLZ",
            "address_2": "SUITE 201",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197025707",
            "telephone_number": "302-392-2200",
            "fax_number": "302-392-2226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 PEOPLES PLZ",
            "address_2": "SUITE 201",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197025707",
            "telephone_number": "302-392-2200",
            "fax_number": "302-392-2226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEHTA",
        "first_name": "SHILPA",
        "middle_name": "PRABODH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-19",
        "last_updated": "2008-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "DE",
            "license": "C10007004",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "DE",
            "license": "C10007004",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.