Active NPI
Ashwinkumar S Mehta, MD
- Gastroenterology Physician
- Tampa, FL
National Provider Identifier
1497732424
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- ME0047762
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 045108800 | Medicaid | FL |
Other names 1
- Ashwin S Mehta
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110315000368 | FL | Practitioner - Gastroenterology | 5890742050 | Practice locations: Tampa, FL |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME0047762 | FL | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ashwinkumar S Mehta MD | Gastroenterology | Current | 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.
-
- Gastroenterology Physician
- Tampa, FL
- NPI 1871280719
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2010; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.