Active NPI
Bhargesh Pramodray Mehta, M.D.
- Pediatrics Physician
- Prince Frederick, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- D0046264
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1020694 | Other | CIGNA | |
| 870226 | Other | MH | ALLIANCE PPO |
| 090422 | Other | AETNA | |
| 53593501 | Other | MD | BC/BS OF MARYLAND |
| 1201708 | Other | UNITED HEALTHCARE | |
| 4379 | Other | BC/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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bhargesh P. Mehta, M.D., P.a. | Pediatrics | Current | Accepting new patients |
| Bhargesh P. Mehta, M.D., P.a. | Pediatrics | Current | 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
- 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.
-
- Pediatrics Physician
- Prince Frederick, MD
- NPI 1144420647
-
- Pediatrics Physician
- Dunkirk, MD
- NPI 1689513954
-
dba CalvertHealth Medical Center
- General Acute Care Hospital
- Prince Frederick, MD
- NPI 1457389298
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
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
- Medstar Medical Group - Southern Maryland LLC (MedStar Shah Medical Group LLC)
- Medstar Medical Group - Southern Maryland LLC
- Medstar Medical Group II LLC
- Medstar Medical Group II LLC
- Medstar Medical Group II LLC
- Melissa Shepard, MD, LLC
- Elena Mendez-Hutchinson, OT
- Nayantara Mendonca, MD
- Meraj ASC, LLC
- Meraj Dental Spa, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2008; 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.