Individual provider Active NPI

Anila Mehta, M.D.

  • Internal Medicine Physician
  • Woodbury, NJ
National Provider Identifier
1619264959
Registry record updated Nov 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101255550 Issued in VA
Practice address
75 W Red Bank Ave
Woodbury, NJ 08096-1694
Phone
(856) 853-2055
Fax
(856) 848-2879
NPI assigned
Jul 7, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 0101255550 VA
Internal Medicine Physician 207R00000X 0101255550 VA Primary

Addresses

Primary practice location

75 W Red Bank Ave
Woodbury, NJ 08096-1694

Mailing address

4511 Rhett LN
Fairfax, VA 22030-6140
Phone (585) 314-0557

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20141014001757 DC Practitioner - Emergency Medicine 2860613973 Reassigns benefits to 2 organizations
I20201028000674 VA Practitioner - Internal Medicine 2860613973 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101255550VAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Medicine Associates P.a., P.C. Internal Medicine CurrentSince Sep 1, 2014 Accepting new patients
Emergency Medicine Associates P.a., P.C. Emergency Medicine CurrentSince Sep 1, 2014 Accepting new patients
Emergency Medicine Associates, P.a.,P.C. Internal Medicine CurrentSince Oct 1, 2020 Accepting new patients
Uva Community Health Medical Group, LLC CurrentSince Aug 1, 2023 Accepting new patients
Uva Community Health Medical Group, LLC Internal Medicine CurrentSince Aug 1, 2023 Accepting new patients
Virginia Internal Medicine Inc Internal Medicine CurrentSince Jan 1, 2021 Accepting new patients

Locations

5255 Loughboro Rd NW
Washington, DC 20016
Phone (202) 243-2280

20010 Century Blvd
Ste 200
Germantown, MD 20874

12420 Milestone Center Dr
Ste 200
Germantown, MD 20876
Phone (336) 509-7515

9722 Groffs Mill Dr
Owings Mills, MD 21117
Phone (410) 205-9255

1701 N George Mason Dr
Arlington, VA 22205
Phone (703) 558-5000

9640 Burke Lake Rd
Burke, VA 22015
Phone (347) 761-7200

4105 Lewis and Clark Dr
Charlottesvle, VA 22911

3440 S Jefferson St
Falls Church, VA 22041
Phone (703) 578-7108

3440 S Jefferson St
#12202
Falls Church, VA 22041
Phone (703) 820-1488

100 Fairview Dr
Franklin, VA 23851
Phone (757) 516-1153

15225 Heathcote Blvd
Haymarket, VA 20169
Phone (571) 284-1000

8700 Sudley Rd
Manassas, VA 20110
Phone (703) 369-8000

Interoperability endpoints

  • Direct secure messaging: amehta574564@direct.healthsystem.virginia.edu

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.

NPI Registry JSON

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

{
    "created_epoch": "1309996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574121600000",
    "number": "1619264959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4511 RHETT LN",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220306140",
            "telephone_number": "585-314-0557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 W RED BANK AVE",
            "city": "WOODBURY",
            "state": "NJ",
            "postal_code": "080961694",
            "telephone_number": "856-853-2055",
            "fax_number": "856-848-2879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEHTA",
        "first_name": "ANILA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-07",
        "last_updated": "2019-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "VA",
            "license": "0101255550",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101255550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbury, NJ

Sources for this page

Verify at the official NPI Registry.