Active NPI
Ruby Mehta, MD
- Pediatric Gastroenterology Physician
- Washington, DC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Gastroenterology Physician
- License
- MD043649
- Practice address
- 4200 Wisconsin Ave NW Ste 2
Washington, DC 20016-2143 - Phone
- (202) 243-3558
- Fax
- (877) 680-5504
- NPI assigned
- Feb 7, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Gastroenterology Physician | 2080P0206X | 4301089849 | MI | |
| Pediatric Transplant Hepatology Physician | 2080T0004X | 4696 | GA | |
| Pediatric Gastroenterology Physician | 2080P0206X | MD043649 | DC | Primary |
Addresses
Primary practice location
4200 Wisconsin Ave NW Ste 2
Washington, DC 20016-2143
Mailing address
4200 Wisconsin Ave NW Ste 2
Washington, DC 20016-2143
Phone (202) 243-3558
Other practice location 1
4200 Wisconsin Ave NW Ste 2
Washington, DC 20016-2143
Phone (202) 243-3558
Other practice location 2
50 N Dunlap St
Memphis, TN 38103-2800
Phone (901) 287-6221
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD043649 | DC | MD | Pediatric Gastroenterology Physician |
| 4301089849 | MI | MD | Pediatric Gastroenterology Physician |
| 4696 | GA | MD | Pediatric Transplant Hepatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MGMC, LLC | Current | Accepting new patients | |
| Medstar Medical Group II LLC | Current | Accepting new patients | |
| Medstar Medical Group II LLC | Current | Accepting new patients |
Locations
4200 Wisconsin Ave NW
Washington, DC 20016
Phone (202) 243-3400
1145 19th St NW
Ste 311
Washington, DC 20036
Phone (202) 429-2401
4200 Wisconsin Ave NW
Ste 2
Washington, DC 20016
Phone (202) 243-3558
3800 Reservoir Rd NW
Washington, DC 20007
Phone (202) 687-2203
Organizations & group practices 3
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.
-
- General Practice Physician
- Washington, DC
- NPI 1891797148
-
- General Practice Physician
- White Plains, MD
- NPI 1407559081
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1538352000000",
"number": "1497933832",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4200 WISCONSIN AVE NW STE 2",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200162143",
"telephone_number": "202-243-3558",
"fax_number": "877-680-5504"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4200 WISCONSIN AVE NW STE 2",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200162143",
"telephone_number": "202-243-3558",
"fax_number": "877-680-5504"
}
],
"practiceLocations": [
{
"address_1": "4200 Wisconsin Ave NW Ste 2",
"address_purpose": "LOCATION",
"city": "Washington",
"state": "DC",
"postal_code": "200162143",
"country_code": "US",
"telephone_number": "202-243-3558",
"fax_number": "877-680-5504",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "50 N Dunlap St",
"address_purpose": "LOCATION",
"city": "Memphis",
"state": "TN",
"postal_code": "381032800",
"country_code": "US",
"telephone_number": "901-287-6221",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MEHTA",
"first_name": "RUBY",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-02-07",
"last_updated": "2018-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0206X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Gastroenterology",
"state": "MI",
"license": "4301089849",
"primary": false
},
{
"code": "2080T0004X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Transplant Hepatology",
"state": "GA",
"license": "4696",
"primary": false
},
{
"code": "2080P0206X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Gastroenterology",
"state": "DC",
"license": "MD043649",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2018; 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.