Individual provider Active NPI

Ashwinkumar S Mehta, MD

  • Gastroenterology Physician
  • Tampa, FL
National Provider Identifier
1497732424
Registry record updated Sep 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
ME0047762 Issued in FL
Practice address
3709 W Hamiltion Ave
#5
Tampa, FL 33614-4015
Phone
(813) 932-4430
Fax
(813) 932-4250
NPI assigned
Dec 30, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X ME0047762 FL Primary

Addresses

Primary practice location

3709 W Hamiltion Ave
#5
Tampa, FL 33614-4015

Mailing address

3709 W Hamiltion Ave
#5
Tampa, FL 33614-4015
Phone (813) 932-4430

Other identifiers 1

IdentifierTypeStateIssuer
045108800MedicaidFL

Other names 1

  • Ashwin S Mehta Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20110315000368 FL Practitioner - GastroenterologyPractitioner - Internal Medicine 5890742050 Practice locations: Tampa, FL

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME0047762FLMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ashwinkumar S Mehta MD Gastroenterology CurrentSince Jan 1, 1986 Accepting new patients

Locations

3709 W Hamilton Ave
Ste 5
Tampa, FL 33614
Phone (813) 436-0050

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1135900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283990400000",
    "number": "1497732424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3709 W HAMILTION AVE",
            "address_2": "#5",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336144015",
            "telephone_number": "813-932-4430",
            "fax_number": "813-932-4250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3709 W HAMILTION AVE",
            "address_2": "#5",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336144015",
            "telephone_number": "813-932-4430",
            "fax_number": "813-932-4250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEHTA",
        "first_name": "ASHWINKUMAR",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-30",
        "last_updated": "2010-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "FL",
            "license": "ME0047762",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "045108800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASHWIN",
            "last_name": "MEHTA",
            "middle_name": "S",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.