Active NPI
Sanjay S Mehta, MD
- Interventional Cardiology Physician
- Urbana, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- 036116289
- Practice address
- 611 W Park St
Cardiology
Urbana, IL 61801-2529 - Phone
- (217) 904-7000
- Fax
- (217) 904-7742
- NPI assigned
- Jul 18, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 56
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.
-
- Internal Medicine Physician
- Urbana, IL
- NPI 1154653947
Cardiovascular Disease, IL
-
- Internal Medicine Physician
- Hoopeston, IL
- NPI 1043683014
Cardiovascular Disease, IL
-
- Cardiovascular Disease Physician
- Glenwood Springs, CO
- NPI 1437271285
Cardiovascular Disease, CO
-
- Critical Access Hospital
- Hoopeston, IL
- NPI 1366480873
-
- Rural Health Clinic/Center
- Hoopeston, IL
- NPI 1578504544
-
- Community/Retail Pharmacy
- Monticello, IL
- NPI 1568074714
-
- Rural Health Clinic/Center
- Olney, IL
- NPI 1326566290
-
- Otolaryngology Physician
- Olney, IL
- NPI 1700063179
-
- General Acute Care Hospital
- Glenwood Springs, CO
- NPI 1982668133
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Hoopeston, IL
- NPI 1366480873
Hospital
-
- Critical Access Hospital
- Watseka, IL
- NPI 1629003470
Hospital
-
- Ambulatory Surgical Clinic/Center
- Basalt, CO
- NPI 1649885849
Hospital
-
- General Acute Care Hospital
- Glenwood Springs, CO
- NPI 1982668133
Hospital
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Other, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Carle Health Care IncorporatedKirby Medical CenterValley View Hospital AssociationHoopeston Community Memorial HospitalRichland Memorial Hospital Inc
Practice addresses (Care Compare)
100 Lerna S Rd
Mattoon, IL 61938-9384
Phone (217) 258-5900
1000 Medical Ctr Dr
Monticello, IL 61856-2116
Phone (217) 762-1540
1001 Heather Dr
Mahomet, IL 61853-2754
Phone (217) 586-8444
1540 E Grove Ave
Rantoul, IL 61866-2736
Phone (217) 893-7700
1701 W Curtis Rd
Champaign, IL 61822-9678
Phone (217) 365-6200
1818 E Windsor Rd
Urbana, IL 61802-9566
Phone (217) 255-9500
1906 Blake Ave
Glenwood SPGS, CO 81601-4227
Phone (970) 384-7290
200 Lerna Rd S
Mattoon, IL 61938-9388
Phone (217) 258-5900
401 N Keller Dr
Suite 3
Effingham, IL 62401-1881
Phone (217) 347-6400
516 W Madison St
Danville, IL 61832-5657
611 W Park St
Urbana, IL 61801-2500
611 W Park St
Urbana, IL 61801-2501
Phone (888) 712-2753
701 E Orange St
Hoopeston, IL 60942-1801
Phone (217) 283-5531
900 E Scott St
Olney, IL 62450-2576
Phone (618) 395-1000
Hospital & facility affiliations
- Carle Foundation Hospital
- Carle Hoopeston Regional Health Center
- Valley View Hospital Association
- Iroquois Memorial Hospital
- Carle Bromenn Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 55 |
| Pacemaker insertion or repair | 1-10 |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060928000467 | IL | Practitioner - Cardiovascular Disease (Cardiology) | 0941205777 | Reassigns benefits to 5 organizations |
| I20250425000085 | CO | Practitioner - Interventional Cardiology | 0941205777 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036116289 | IL | MD | Interventional Cardiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valley View Hospital Association | Current | Accepting new patients | |
| Richland Memorial Hospital, Inc | Current | Accepting new patients | |
| Richland Memorial Hospital, Inc | Current | Accepting new patients | |
| Kirby Medical Center | Current | Accepting new patients | |
| Valley View Hospital Association | Cardiovascular Disease | Current | Accepting new patients |
| Hoopeston Community Memorial Hospital | Current | Accepting new patients | |
| Hoopeston Community Memorial Hospital | Current | Accepting new patients | |
| Hoopeston Community Memorial Hospital | Cardiovascular Disease | Current | Accepting new patients |
| Carle Health Care Incorporated | Cardiovascular Disease | Current | Accepting new patients |
| Richland Memorial Hospital, Inc | Current | Accepting new patients | |
| Valley View Hospital Association | Cardiovascular Disease | Current | Accepting new patients |
| Kirby Medical Center | Current | Accepting new patients | |
| Kirby Medical Center | Current | Accepting new patients | |
| Gibson Community Hospital Association | Past | Accepting new patients | |
| Valley View Hospital Association | Past | Accepting new patients | |
| Carle Health Care Incorporated | Past | Accepting new patients |
Locations
1906 Blake Ave
Glenwood Springs, CO 81601
Phone (970) 384-7033
1701 Curtis Rd
Champaign, IL 61822
Phone (217) 365-6201
701 E Orange St
Hoopeston, IL 60942
Phone (217) 283-5531
837 E Orange St
Hoopeston, IL 60942
Phone (217) 283-5530
200 Lerna Rd S
Mattoon, IL 61938
Phone (217) 258-3640
1000 Medical Center Dr
Monticello, IL 61856
Phone (217) 762-1540
900 E Scott St
Olney, IL 62450
Phone (618) 345-1000
800 E Locust St
Olney, IL 62450
Phone (618) 395-2131
1201 Ricker Rd
Salem, IL 62881
Phone (618) 548-3194
810 W Anthony Dr
Urbana, IL 61802
Phone (217) 326-2911
611 W Park St
Urbana, IL 61801
Phone (217) 383-6941
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 036116289 | IL | |
| Interventional Cardiology Physician | 207RI0011X | 036116289 | IL | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
611 W Park St
Cardiology
Urbana, IL 61801-2529
Mailing address
611 W Park St
BWPC
Urbana, IL 61801-2529
Phone (217) 383-6792
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 6, 2015.
{
"created_epoch": "1153180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1420502400000",
"number": "1477572022",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "611 W PARK ST",
"address_2": "BWPC",
"city": "URBANA",
"state": "IL",
"postal_code": "618012529",
"telephone_number": "217-383-6792",
"fax_number": "217-383-4752"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "611 W PARK ST",
"address_2": "CARDIOLOGY",
"city": "URBANA",
"state": "IL",
"postal_code": "618012529",
"telephone_number": "217-904-7000",
"fax_number": "217-904-7742"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEHTA",
"first_name": "SANJAY",
"middle_name": "S",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-18",
"last_updated": "2015-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "IL",
"license": "036116289",
"primary": false
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "IL",
"license": "036116289",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Urbana, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2015; 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.