Kishor D Mehta, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

17778 Issued in AZ

Practice address

14973 W Bell Rd Ste 100
Surprise, AZ 85374-3878

Phone

(623) 934-1245

Fax

(623) 934-3598

NPI assigned

Aug 12, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Christopher Stalberg, MD, PLLC

  • Internal Medicine Physician
  • Sun City West, AZ
  • NPI 1689818874
  Medicare reassignment NPD
• Sunrise Medical Associates LLC

  • Internal Medicine Physician
  • Peoria, AZ
  • NPI 1205233285
  Medicare reassignment NPD

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

{
    "created_epoch": "1123804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695859200000",
    "number": "1609878263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13634 N. 93RD AVE",
            "address_2": "SUITE 100",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "85381",
            "telephone_number": "623-933-0301",
            "fax_number": "623-933-0224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14973 W BELL RD STE 100",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853743878",
            "telephone_number": "623-934-1245",
            "fax_number": "623-934-3598"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13660 N 94th Dr Ste C4",
            "address_purpose": "LOCATION",
            "city": "Peoria",
            "state": "AZ",
            "postal_code": "853814841",
            "country_code": "US",
            "telephone_number": "602-767-1959",
            "fax_number": "623-259-9755",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13634 N. 93rd Ave",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Peoria",
            "state": "AZ",
            "postal_code": "85381",
            "country_code": "US",
            "telephone_number": "623-933-0301",
            "fax_number": "623-933-0224",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14506 W Granite Valley Dr Ste 102",
            "address_purpose": "LOCATION",
            "city": "Sun City West",
            "state": "AZ",
            "postal_code": "853756011",
            "country_code": "US",
            "telephone_number": "623-584-7154",
            "fax_number": "623-584-7194",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEHTA",
        "first_name": "KISHOR",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-12",
        "last_updated": "2023-09-28",
        "certification_date": "2021-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "17778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kandy Lizzeth Medina Perez, FNP-C
• Vanessa Medina
• Medirad, LLC
• Michael Reyes Medrano, PHD
• Jay G Mehta, DO
• Nirav J Mehta, MD
• Prachi Heeten Mehta
• Urja Mukeshbhai Mehta, M.D.
• Jane Renee Meier, MSW, LCSW
• Gigi Meleanca

• Internal Medicine Physician in Surprise, AZ
• Providers in Surprise, AZ by specialty
• Internal Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2023; 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.

Verify at the official NPI Registry.