Individual provider Active NPI

Vivek Mehta, MD

  • Pain Medicine (Anesthesiology) Physician
  • Arlington, TX
National Provider Identifier
1629085782
Registry record updated Sep 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
N0271 Issued in TX
Practice address
201 W Randol Mill Rd
Arlington, TX 76011-5857
Phone
(214) 552-4284
Fax
(888) 488-0755
NPI assigned
Aug 2, 2006
Last updated
Sep 17, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X ME82325 FL
Pain Medicine (Anesthesiology) Physician 207LP2900X ME82325 FL
Pain Medicine (Anesthesiology) Physician 207LP2900X N0271 TX Primary

Addresses

Primary practice location

201 W Randol Mill Rd
Arlington, TX 76011-5857

Mailing address

201 W Randol Mill Rd
Arlington, TX 76011-5857
Phone (214) 552-4284

Other identifiers 5

IdentifierTypeStateIssuer
2644649-00MedicaidFL
TIN PLUS SUFFIX 091OtherTXTRICARE
TIN PLUS SUFFIX 103OtherTXTRICARE
8BC072OtherTXBCBS OF TEXAS
194677401MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20080611000376 TX Practitioner - AnesthesiologyPractitioner - Interventional Pain Management 8123098696 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Interventional Pain Management
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Global Institute of Spine and Joint Care LLCGroup PAC ID 3072787944, 2 clinicians

Practice addresses (Care Compare)

201 W Randol Mill Rd
Arlington, TX 76011-5857
Phone (817) 987-1805

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME82325FLMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Global Institute of Spine & Joint Care LLC CurrentSince Jun 28, 2011 Accepting new patients

Locations

201 W Randol Mill Rd
Arlington, TX 76011
Phone (817) 795-3737

Interoperability endpoints

  • Direct secure messaging: vivek.mehta@563.securemail.prognocis.com

Organizations & group practices 1

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.

Hospital & facility affiliations 1

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": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442448000000",
    "number": "1629085782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 W RANDOL MILL RD",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760115857",
            "telephone_number": "214-552-4284",
            "fax_number": "888-488-0755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 W RANDOL MILL RD",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760115857",
            "telephone_number": "214-552-4284",
            "fax_number": "888-488-0755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEHTA",
        "first_name": "VIVEK",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-02",
        "last_updated": "2015-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "ME82325",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "FL",
            "license": "ME82325",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "TX",
            "license": "N0271",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2644649-00",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "TIN PLUS SUFFIX 091",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "TIN PLUS SUFFIX 103",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TEXAS",
            "identifier": "8BC072",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "194677401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

Verify at the official NPI Registry.