Individual provider Active NPI

Vishal M Mehta, MD

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Geneva, IL
National Provider Identifier
1508889411
Registry record updated Dec 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
0361137911 Issued in IL
Practice address
2525 Kaneville Rd
Geneva, IL 60134-2578
Phone
(630) 584-1400
Fax
(630) 584-1733
NPI assigned
Jul 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 036113791 IL
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X 0361137911 IL Primary

Addresses

Primary practice location

2525 Kaneville Rd
Geneva, IL 60134-2578

Mailing address

2525 Kaneville Rd
Geneva, IL 60134-2578
Phone (630) 584-1400

Other identifiers 1

IdentifierTypeStateIssuer
036113791OtherILMD

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address vmehta288405@direct.myadvocateaurora.org Direct
FHIR URL https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20060828000265 IL Practitioner - Sports MedicinePractitioner - Orthopedic Surgery 7012911472 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Sports MedicineAlso: Orthopedic Surgery
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1975 Lin Lor LN
Elgin, IL 60123-4902
Phone (847) 468-1400

2350 Royal Blvd
Suite 200
Elgin, IL 60123-4718
Phone (847) 931-5300

2525 Kaneville Rd
Geneva, IL 60134-2578
Phone (847) 468-1400

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.69 of 100Reported as group
Quality
74.66
Promoting interoperability
100
Improvement activities
40
Cost
64.3

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)57

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0361137911ILMDSports Medicine (Orthopaedic Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fox Valley Orthopaedic Associates, PLLC Current Accepting new patients
Fox Valley Orthopaedic Associates, PLLC Orthopaedic Surgery CurrentSince Aug 1, 2006 Accepting new patients
Fox Valley Orthopaedic Associates, S.C. Orthopaedic Surgery CurrentSince Aug 1, 2006 Accepting new patients

Locations

2971 W Algonquin Rd
Ste 101A
Algonquin, IL 60102
Phone (847) 854-8590

420 W Northwest Hwy
Ste M
Barrington, IL 60010
Phone (847) 277-1376

1710 N Randall Rd
Ste 140
Elgin, IL 60123
Phone (224) 293-1170

2350 Royal Blvd
Ste 200
Elgin, IL 60123
Phone (847) 931-5300

1975 Lin Lor Ln
Elgin, IL 60123
Phone (847) 468-1400

2535 Soderquist Ct
Geneva, IL 60134
Phone (630) 584-1400

2525 Kaneville Rd
Geneva, IL 60134
Phone (630) 584-1400

1500 Sycamore Rd
Yorkville, IL 60560
Phone (630) 553-4470

Interoperability endpoints

  • Direct secure messaging: vmehta288405@direct.myadvocateaurora.org
  • Direct secure messaging: vishal.mehta.1@26750.direct.athenahealth.com

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640822400000",
    "number": "1508889411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 KANEVILLE RD",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "601342578",
            "telephone_number": "630-584-1400",
            "fax_number": "630-584-1733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 KANEVILLE RD",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "601342578",
            "telephone_number": "630-584-1400",
            "fax_number": "630-584-1733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEHTA",
        "first_name": "VISHAL",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2021-12-30",
        "certification_date": "2021-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "IL",
            "license": "036113791",
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "IL",
            "license": "0361137911",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MD",
            "identifier": "036113791",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "vmehta288405@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2525 Kaneville Rd",
            "city": "Geneva",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601342578",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "2525 Kaneville Rd",
            "city": "Geneva",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601342578",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Geneva, IL

Sources for this page

Verify at the official NPI Registry.