Individual provider Active NPI

Sanjay Mehra, MD

  • Cardiovascular Disease Physician
  • Greenville, NC
National Provider Identifier
1629136205
Registry record updated Feb 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
2010-00211 Issued in NC
Practice address
115 Heart Dr
East Carolina Heart Institute at Ecu
Greenville, NC 27834-8944
Phone
(252) 744-4400
Fax
(252) 744-3987
NPI assigned
Dec 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2012

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 2010-00211 NC
Cardiovascular Disease Physician 207RC0000X 2010-00211 NC Primary
Internal Medicine Physician 207R00000X 2010-00211 NC

Addresses

Primary practice location

115 Heart Dr
East Carolina Heart Institute at Ecu
Greenville, NC 27834-8944

Mailing address

PO Box 75169
Ecu Physicians
Charlotte, NC 28275-0169

Other identifiers 4

IdentifierTypeStateIssuer
35056OtherFLBC/BS
15691OtherNCBCBSNC
5916169MedicaidNC
99267OtherBC/BS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20100623000867 NC Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 1153352117 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vidant Medical Group LLCGroup PAC ID 0345343893, 986 clinicians

Practice addresses (Care Compare)

101 Clinic Dr
Tarboro, NC 27886-1935
Phone (252) 823-2105

105 Hospital Dr
Tarboro, NC 27886-2011
Phone (252) 641-7714

111 Hospital Dr
Tarboro, NC 27886-2011
Phone (252) 641-8585

2100 Stantonsburg Rd
Greenville, NC 27834-2818
Phone (252) 847-1757

3724 Raleigh Rd Pkwy W
Wilson, NC 27896-9742
Phone (252) 246-8840

401 A N Main St
Kenansville, NC 28349-8801
Phone (910) 296-0941

401 N Main St
Kenansville, NC 28349-8801
Phone (910) 296-0941

417 N Main St
Kenansville, NC 28349-8801
Phone (910) 296-8080

4800 S Croatan Hwy
Outer Banks Hospital
Nags Head, NC 27959-9704
Phone (252) 449-5645

606 E 12TH St
Washington, NC 27889-3409
Phone (252) 974-9460

608 E 12TH St
Vidant Multispecialty Clinic Washiington
Washington, NC 27889-3409
Phone (252) 974-7500

628 E 12TH St
Vidant Beaufort Hospitalists
Washington, NC 27889-3409
Phone (252) 975-4178

800 WH Smith Blvd
Greenville, NC 27834-3763

850 WH Smith Blvd
Vidant Cardiology Greenville
Greenville, NC 27834-3763
Phone (252) 758-3211

Hospital & facility affiliations

  • Ecu Health Medical Center Hospital, Greenville, NC, CCN 340040
  • Vidant Edgecombe Hospital Hospital, Tarboro, NC, CCN 340107
  • The Outer Banks Hospital, Inc Hospital, Nags Head, NC, CCN 341324

Merit-based Incentive Payment System (MIPS)

Final score
96.95 of 100Reported as apm
Quality
82.44
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2010-00211NCMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hospitalist Medicine Physicians of North Carolina PLLC Internal Medicine CurrentSince Jun 9, 2019 Accepting new patients
East Carolina University Internal Medicine CurrentSince Dec 1, 2011 Accepting new patients
Outer Banks Professional Services, LLC Internal Medicine CurrentSince Sep 18, 2025 Accepting new patients
Williamston Clinic Corp Internal Medicine CurrentSince Aug 1, 2021 Accepting new patients
Vidant Medical Group LLC CurrentSince Jul 1, 2016 Accepting new patients
East Carolina University Current Accepting new patients
Cogent Healthcare of North Carolina, PC Internal Medicine CurrentSince Aug 2, 2018 Accepting new patients
Ocala Hospitalist Group P a Internal Medicine Past Accepting new patients

Locations

1240 Huffman Mill Rd
Burlington, NC 27215
Phone (336) 538-7000

115 Heart Dr
Greenville, NC 27834
Phone (252) 744-4400

2310 Stantonsburg Rd
Greenville, NC 27834
Phone (252) 847-6611

600 Moye Blvd
Greenville, NC 27834
Phone (252) 744-1111

317 Western Blvd
Jacksonville, NC 28546
Phone (910) 577-2240

401 N Main St
Kenansville, NC 28349
Phone (910) 296-0941

4800 S Croatan Hwy
Nags Head, NC 27959
Phone (252) 449-4500

5565 N Croatan Hwy
Southrn Shore, NC 27949
Phone (252) 261-5800

104 Medical Dr
Williamston, NC 27892
Phone (252) 809-6300

310 S McCaskey Rd
Williamston, NC 27892
Phone (252) 809-6133

Organizations & group practices 8

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.

Hospital & facility affiliations 4

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": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328140800000",
    "number": "1629136205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 75169",
            "address_2": "ECU PHYSICIANS",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282750169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 HEART DR",
            "address_2": "EAST CAROLINA HEART INSTITUTE AT ECU",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278348944",
            "telephone_number": "252-744-4400",
            "fax_number": "252-744-3987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEHRA",
        "first_name": "SANJAY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-05",
        "last_updated": "2012-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NC",
            "license": "2010-00211",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NC",
            "license": "2010-00211",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "2010-00211",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "35056",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSNC",
            "identifier": "15691",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5916169",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "99267",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, NC

Sources for this page

Verify at the official NPI Registry.