Individual provider Active NPI

Sanjay S Mehta, MD

  • Interventional Cardiology Physician
  • Urbana, IL
National Provider Identifier
1477572022
Registry record updated Jan 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
036116289 Issued in IL
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.

View all 56

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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 Incorporated 1,592 clinicians
Kirby Medical Center 80 clinicians
Valley View Hospital Association 205 clinicians
Hoopeston Community Memorial Hospital 142 clinicians
Richland Memorial Hospital Inc 107 clinicians

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 Hospital, Urbana, IL, CCN 140091
  • Carle Hoopeston Regional Health Center Hospital, Hoopeston, IL, CCN 141316
  • Valley View Hospital Association Hospital, Glenwood Springs, CO, CCN 060075
  • Iroquois Memorial Hospital Hospital, Watseka, IL, CCN 141353
  • Carle Bromenn Medical Center Hospital, Normal, IL, CCN 140127

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting55
Pacemaker insertion or repair1-10

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, CO2 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
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

LicenseStateTypeSpecialty
036116289ILMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Valley View Hospital Association CurrentSince Apr 1, 2025 Accepting new patients
Richland Memorial Hospital, Inc Current Accepting new patients
Richland Memorial Hospital, Inc CurrentSince Jun 13, 2020 Accepting new patients
Kirby Medical Center CurrentSince Sep 12, 2018 Accepting new patients
Valley View Hospital Association Cardiovascular Disease CurrentSince Apr 1, 2025 Accepting new patients
Hoopeston Community Memorial Hospital Current Accepting new patients
Hoopeston Community Memorial Hospital CurrentSince Jun 19, 2012 Accepting new patients
Hoopeston Community Memorial Hospital Cardiovascular Disease CurrentSince Jun 19, 2012 Accepting new patients
Carle Health Care Incorporated Cardiovascular Disease CurrentSince Apr 1, 2010 Accepting new patients
Richland Memorial Hospital, Inc CurrentSince Jun 13, 2020 Accepting new patients
Valley View Hospital Association Cardiovascular Disease Current Accepting new patients
Kirby Medical Center CurrentSince Sep 12, 2018 Accepting new patients
Kirby Medical Center CurrentSince Jan 3, 2026 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)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 036116289 IL
Interventional Cardiology Physician 207RI0011X 036116289 IL Primary

Addresses

NPPES NPI Registry

Primary 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

Verify at the official NPI Registry.