Active NPI
Siddhi Mehta, D.O.
- Internal Medicine Physician
- Blacksburg, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 0116028210
- Practice address
- 3700 S Main St
Blacksburg, VA 24060 - Phone
- (540) 951-1111
- NPI assigned
- Apr 27, 2015
- Last updated
- Aug 13, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 0116028210 | VA | Primary |
Addresses
Primary practice location
3700 S Main St
Blacksburg, VA 24060
Mailing address
3700 S Main St
Blacksburg, VA 24060-7017
Phone (540) 951-1111
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Edward Via Col of Osteo Medicine-Virginia Campus, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1602 Skipwith Rd
Richmond, VA 23229-5205
Phone (804) 289-4500
2400 N I
35E Baylor Scott and White
Waxahachie, TX 75165
Phone (469) 843-4280
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2087 | NE | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthtexas Provider Network | Current | Accepting new patients | |
| Healthtexas Provider Network | Current | Accepting new patients | |
| Lonestar Hospital Medicine Associates, PA | Internal Medicine | Current | Accepting new patients |
| Healthtexas Provider Network | Internal Medicine | Current | Accepting new patients |
| Southeastern Intensivist Services PC | Internal Medicine | Current | Accepting new patients |
| Baylor Medical Center at Waxahachie | Past | Accepting new patients |
Locations
4001 Worth St
#A
Dallas, TX 75246
Phone (214) 820-8665
2700 E Broad St
Mansfield, TX 76063
Phone (682) 242-2000
1201 E Highway 287
Midlothian, TX 76065
Phone (469) 695-2065
821 N Coleman St
Ste 100
Prosper, TX 75078
Phone (469) 800-5200
2400 Round Rock Ave
Round Rock, TX 78681
Phone (512) 255-6066
2400 N Interstate Highway 35 E
Waxahachie, TX 75165
Phone (469) 843-4000
1401 Johnston Willis Dr
North Chesterfield, VA 23235
Phone (804) 327-4046
1602 Skipwith Rd
Richmond, VA 23229
Phone (804) 289-4500
7101 Jahnke Rd
Richmond, VA 23225
Phone (804) 323-1088
7700 E Parham Rd
Richmond, VA 23294
Phone (804) 289-4852
Interoperability endpoints
- smehta1110626@direct.sw.org
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Hospitalist Physician
- West Memphis, AR
- NPI 1912942665
Internal Medicine, VA
-
- Hospitalist Physician
- Mansfield, TX
- NPI 1518237429
Internal Medicine
-
- Family Medicine Physician
- Plano, TX
- NPI 1003811639
-
dba Symmetry Anesthesia
- Anesthesiology Physician
- Lakeway, TX
- NPI 1104714583
-
dba Baylor Scott & White Medical Center - Waxahachie
- General Acute Care Hospital
- Waxahachie, TX
- NPI 1265430177
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Baylor Scott & White Medical Center - Waxahachie
- General Acute Care Hospital
- Waxahachie, TX
- NPI 1265430177
-
dba Baylor Scott & White Heart and Vascular Hospital - Dallas
- General Acute Care Hospital
- Dallas, TX
- NPI 1609855139
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1430092800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534118400000",
"number": "1609253889",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3700 S MAIN ST",
"city": "BLACKSBURG",
"state": "VA",
"postal_code": "240607017",
"telephone_number": "540-951-1111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3700 S MAIN ST",
"city": "BLACKSBURG",
"state": "VA",
"postal_code": "24060",
"telephone_number": "540-951-1111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEHTA",
"first_name": "SIDDHI",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-04-27",
"last_updated": "2018-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "VA",
"license": "0116028210",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Blacksburg, VA
- Carole M McNamee, PHD
- Joseph H McVoy, PHD
- Adrienne J Means-Christensen, PH.D.
- Christy Fagg Medeus, D.O.
- Medical Associates of Southwest Virginia
- Georgia Rubiane Meira DO Rosario de Souza
- Melissa Adams Ms LLC
- Amanda Mellowspring, MS,RD,CEDRD
- Mentor Abi, LLC (NeuroRestorative Virginia)
- Ashley Nicole Merrifield, AUD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.