Badri Nath Mehrotra, M.D. P.A.

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

ME0021344 Issued in FL

Practice address

301 Health Park Blvd
Suite 216
St. Augustine, FL 32086

Phone

(904) 824-9044

Fax

(904) 824-9055

NPI assigned

Jul 11, 2006

Last updated

Oct 27, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Physician Assistant

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Badri N Mehrotra MD PA

  • Internal Medicine Physician
  • St Augustine, FL
  • NPI 1417270091
  Authorized official Same address or phone

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288137600000",
    "number": "1497789721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 HEALTH PARK BLVD",
            "address_2": "SUITE 216",
            "city": "ST. AUGUSTINE",
            "state": "FL",
            "postal_code": "32086",
            "telephone_number": "904-824-9044",
            "fax_number": "904-824-9055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 HEALTH PARK BLVD",
            "address_2": "SUITE 216",
            "city": "ST. AUGUSTINE",
            "state": "FL",
            "postal_code": "32086",
            "telephone_number": "904-824-9044",
            "fax_number": "904-824-9055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEHROTRA",
        "first_name": "BADRI",
        "middle_name": "NATH",
        "name_prefix": "Dr.",
        "credential": "M.D. P.A.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2010-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME0021344",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "FL",
            "license": "ME0021344",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "052939700",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA-SPECIALTY",
            "identifier": "494005",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael R Medved, PA
• Jill M Meehan, LCSW
• Michael John Meehan, LCSW
• Megan Logan, LCSW, PA
• Alyssa Anthe Megeath
• Maxwell Richard Meigh
• Michelle Meis, RD
• Jennifer Mejia, LCSW
• Meleca Foot and Ankle LLC
• Salvatore Silvio Meleca, DPM

• Gastroenterology Physician in St Augustine, FL
• Providers in St Augustine, FL by specialty
• Gastroenterology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.