NPIMap

Individual provider Active NPI

Samir Mehta, M.D.

  • Diagnostic Radiology Physician
  • Menlo Park, CA
National Provider Identifier
1528404480
Registry record updated Aug 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
A158669 Issued in CA
Practice address
795 Willow Rd
Menlo Park, CA 94025-2539
Phone
(650) 493-5000
NPI assigned
May 20, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 0101278899 VA
Diagnostic Radiology Physician 2085R0202X A158669 CA Primary

Addresses

Primary practice location

795 Willow Rd
Menlo Park, CA 94025-2539

Mailing address

1255 S Cedar Crest Blvd Ste 3200
Allentown, PA 18103-6232

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, CA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180709002254 PA Practitioner - Diagnostic Radiology 3779723630 Reassigns benefits to 1 organization
I20220829000226 CA Practitioner - Diagnostic Radiology 3779723630 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Raleigh Radiology Associates IncGroup PAC ID 6800874611, 58 clinicians
Centra Medical Group LLCGroup PAC ID 4789606088, 709 clinicians
Raleigh Radiology Wakemed Imaging, LLCGroup PAC ID 8325453459, 57 clinicians
Raleigh Radiology LLCGroup PAC ID 6305739707, 61 clinicians

Practice addresses (Care Compare)

5220 Greens Dairy Rd
Raleigh, NC 27616-4612

565 Front LN
Mountain View, CA 94041-1370
Phone (434) 200-5047

974 Bonita Ave
Mountain View, CA 94040-2619
Phone (919) 781-1437

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A158669CAMDDiagnostic Radiology Physician
0101278899VAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Centra Medical Group, LLC CurrentSince Aug 9, 2023 Accepting new patients
Radiology Group of Abington PC Diagnostic Radiology CurrentSince Jul 1, 2018 Accepting new patients
Raleigh Radiology, LLC Diagnostic Radiology CurrentSince Feb 5, 2024 Accepting new patients
Geisinger Clinic Diagnostic Radiology CurrentSince Jun 13, 2022 Accepting new patients
Raleigh Radiology Associates, Inc. Diagnostic Radiology CurrentSince Sep 1, 2023 Accepting new patients
Raleigh Radiology Wakemed Imaging, LLC Diagnostic Radiology CurrentSince May 31, 2025 Accepting new patients

Locations

1200 York Rd
Abington, PA 19001
Phone (215) 481-2222

100 N Academy Ave
Danville, PA 17822

Organizations & group practices 6

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 12

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": "1369008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690848000000",
    "number": "1528404480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1255 S CEDAR CREST BLVD STE 3200",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181036232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "795 WILLOW RD",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940252539",
            "telephone_number": "650-493-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEHTA",
        "first_name": "SAMIR",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-20",
        "last_updated": "2023-08-01",
        "certification_date": "2023-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "VA",
            "license": "0101278899",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A158669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Menlo Park, CA

Sources for this page

Verify at the official NPI Registry.