Individual provider Active NPI

Bhargesh Pramodray Mehta, M.D.

  • Pediatrics Physician
  • Prince Frederick, MD
National Provider Identifier
1518906056
Registry record updated Apr 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
D0046264 Issued in MD
Practice address
110 Hospital Rd
Suite 205
Prince Frederick, MD 20678-4019
Phone
(410) 535-5555
Fax
(410) 535-5599
NPI assigned
Jun 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X D0046264 MD Primary

Addresses

Primary practice location

110 Hospital Rd
Suite 205
Prince Frederick, MD 20678-4019

Mailing address

110 Hospital Rd
Suite 205
Prince Frederick, MD 20678-4019
Phone (410) 535-5555

Other identifiers 6

IdentifierTypeStateIssuer
1020694OtherCIGNA
870226OtherMHALLIANCE PPO
090422OtherAETNA
53593501OtherMDBC/BS OF MARYLAND
1201708OtherUNITED HEALTHCARE
4379OtherBC/BS BLUE CHOICE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20040929001033 MD Practitioner - Pediatric MedicinePractitioner - Internal Medicine 4082607254 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bhargesh P. Mehta, M.D., P.a. Pediatrics Current Accepting new patients
Bhargesh P. Mehta, M.D., P.a. Pediatrics CurrentSince Oct 1, 1999 Accepting new patients
Calverthealth Medical Center, Inc. Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

3140 W Ward Rd
Ste 207
Dunkirk, MD 20754
Phone (410) 257-1744

110 Hospital Rd
Ste 205
Prince Frederick, MD 20678
Phone (410) 535-5555

1005 Prince Frederick Blvd
Ste 101
Prnc Frederck, MD 20678
Phone (410) 535-5555

Interoperability endpoints

  • Direct secure messaging: bhargesh.mehta@bpmm.eclinicaldirectplus.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207526400000",
    "number": "1518906056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 HOSPITAL RD",
            "address_2": "SUITE 205",
            "city": "PRINCE FREDERICK",
            "state": "MD",
            "postal_code": "206784019",
            "telephone_number": "410-535-5555",
            "fax_number": "410-535-5599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 HOSPITAL RD",
            "address_2": "SUITE 205",
            "city": "PRINCE FREDERICK",
            "state": "MD",
            "postal_code": "206784019",
            "telephone_number": "410-535-5555",
            "fax_number": "410-535-5599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEHTA",
        "first_name": "BHARGESH",
        "middle_name": "PRAMODRAY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2008-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MD",
            "license": "D0046264",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "1020694",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALLIANCE PPO",
            "identifier": "870226",
            "state": "MH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "090422",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF MARYLAND",
            "identifier": "53593501",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "1201708",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS BLUE CHOICE",
            "identifier": "4379",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Prince Frederick, MD

Sources for this page

Verify at the official NPI Registry.