Organization Active NPI

Bharat K Mehta MD PC

  • Internal Medicine Physician
  • Easton, PA
National Provider Identifier
1477664399
Registry record updated Jul 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD029443E Issued in PA
Legal business name
BHARAT K MEHTA MD PC
Practice address
2632 Nazareth Rd
Easton, PA 18045-2715
Phone
(610) 253-5257
Fax
(610) 253-2336
NPI assigned
Aug 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2010

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

Authorized official

Name
Dr. Bharat K Mehta, MDNPI 1033104484
Title
President
Phone
(610) 253-5257

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X MD029443E PA Primary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 25MA04623500 NJ

Addresses

Primary practice location

2632 Nazareth Rd
Easton, PA 18045-2715

Mailing address

2632 Nazareth Rd
Easton, PA 18045-2715
Phone (610) 253-5257

Other identifiers 10

IdentifierTypeStateIssuer
110227327OtherRAILROAD MEDICARE
2026982000OtherPAINDEPENDENCE BLUESHIED
2206307MedicaidNJ
P2091522OtherOXFORD
0015368290002MedicaidPA
01429794MedicaidNY
01330668OtherHIGHMARK BLUE SHIELD
P003072OtherGATEWAY
01007201OtherCAPITAL BLUE CROSS
93037OtherAETNA HMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070726000642 PA Part B Supplier - Clinic/Group Practice 7911008529 Receives reassigned benefits from 1 practitioner
Practice locations: Easton, PA

National Provider Directory

National Provider Directory

Locations

2632 Nazareth Rd
Easton, PA 18045
Phone (215) 253-5257

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/5795/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277942400000",
    "number": "1477664399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2632 NAZARETH RD",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180452715",
            "telephone_number": "610-253-5257",
            "fax_number": "610-253-2336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2632 NAZARETH RD",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180452715",
            "telephone_number": "610-253-5257",
            "fax_number": "610-253-2336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BHARAT K MEHTA MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2010-07-01",
        "status": "A",
        "authorized_official_last_name": "MEHTA",
        "authorized_official_first_name": "BHARAT",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "610-253-5257",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD029443E",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA04623500",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110227327",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENCE BLUESHIED",
            "identifier": "2026982000",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2206307",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P2091522",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0015368290002",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01429794",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "01330668",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GATEWAY",
            "identifier": "P003072",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS",
            "identifier": "01007201",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "93037",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Easton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.