Individual provider Active NPI

Ruta U Mayekar, MD

  • Child & Adolescent Psychiatry Physician
  • Holmes, PA
National Provider Identifier
1619037264
Registry record updated Nov 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
MD030644E Issued in PA
Practice address
2173 Macdade Blvd
Suite K/L
Holmes, PA 19043-1217
Phone
(610) 461-3530
Fax
(610) 461-3532
NPI assigned
Dec 12, 2006
Last updated
Nov 4, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 4, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X MD030644E PA Primary

Addresses

Primary practice location

2173 Macdade Blvd
Suite K/L
Holmes, PA 19043-1217

Mailing address

PO Box 1750
Delco Psychiatric Associates LLC
Chadds Ford, PA 19317
Phone (610) 461-3530

Other identifiers 5

IdentifierTypeStateIssuer
2622998000OtherPERSONAL CHOICE
250897OtherMENTAL HEALTH NETWORK
539935OtherBLUE CROSS BLUE SHIELD
0010637200017MedicaidPA
250879OtherTRICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Prospect Health Access Network, Inc. CurrentSince Jul 1, 2016 Accepting new patients
Human Services, Inc. CurrentSince Jun 27, 2017 Accepting new patients
Human Services, Inc Current Accepting new patients
Prospect Health Access Network, Inc. Current Accepting new patients
Prospect Health Access Network, Inc. CurrentSince Jul 1, 2016 Accepting new patients
Health Access Network Past Accepting new patients
Delco Psychiatric Associates, LLC PastSince Jul 1, 2012 Accepting new patients
Collegeville Psychological Center Inc Past Accepting new patients
Penn Psychiatric Center Inc PastSince Aug 26, 2019 Accepting new patients

Locations

1 Medical Center Blvd
Chester, PA 19013
Phone (610) 447-6666

1 Medical Center Blvd
Ste 301
Chester, PA 19013
Phone (610) 566-6744

2600 W 9th St
Chester, PA 19013
Phone (610) 497-7200

100 W Sproul Rd
Ste 123
Springfield, PA 19064
Phone (610) 619-8281

50 James Buchanan Rd
Thorndale, PA 19372
Phone (610) 200-6222

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GEDIBA

Organizations & group practices 9

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": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225756800000",
    "number": "1619037264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1750",
            "address_2": "DELCO PSYCHIATRIC ASSOCIATES LLC",
            "city": "CHADDS FORD",
            "state": "PA",
            "postal_code": "19317",
            "telephone_number": "610-461-3530",
            "fax_number": "610-461-3532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2173 MACDADE BLVD",
            "address_2": "SUITE K/L",
            "city": "HOLMES",
            "state": "PA",
            "postal_code": "190431217",
            "telephone_number": "610-461-3530",
            "fax_number": "610-461-3532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYEKAR",
        "first_name": "RUTA",
        "middle_name": "U",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-12",
        "last_updated": "2008-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "PA",
            "license": "MD030644E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL CHOICE",
            "identifier": "2622998000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MENTAL HEALTH NETWORK",
            "identifier": "250897",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "539935",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0010637200017",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "250879",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Holmes, PA

Sources for this page

Verify at the official NPI Registry.