Aditya Mehta, MD
Individual provider Active NPI Advanced Heart Failure and Transplant Cardiology Physician · Salt Lake City, UT
NPI 1487215893 · NPPES record last updated Apr 15, 2025
Key facts
- NPI
- 1487215893
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Advanced Heart Failure and Transplant Cardiology Physician 207RA0001X
- License
- 14215619-1205 (UT)
- Practice address
- 30 N Mario Capecchi Dr RM 3N100
Salt Lake City, UT 84112 - Phone
- (801) 581-2121
- NPI assigned
- Jun 26, 2019
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190723002102 | MI | Order and Referring Only - Internal Medicine |
3678809068 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0116034902 | MI | MD | Student in an Organized Health Care Education/Training Program |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Advanced Heart Failure and Transplant Cardiology Physician | 207RA0001X | 14215619-1205 | UT | Yes |
| Student in an Organized Health Care Education/Training Program | 390200000X | 0116034902 | MI |
Addresses
Primary practice location
30 N Mario Capecchi Dr RM 3N100
Salt Lake City, UT 84112
Mailing address
30 N Mario Capecchi Dr RM 3N100
Salt Lake City, UT 84112
Phone (801) 581-2121
Other practice location 1
3300 Gallows Rd Dept Of
Falls Church, VA 22042-3307
Phone (703) 776-2196
Other providers in Salt Lake City, UT
- Seth Mehl
- Mandy Mehler
- Sonia Mehra
- Ryan Patrick Mehren
- Ray Mehrkish
- Anila Mehta
- Nancy Meidell
- Meier & Meier Hearing Center
- Adam Wade Meier
- Devin James Meier
All providers in Salt Lake City, UT · Advanced Heart Failure and Transplant Cardiology Physician in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 15, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.