Individual provider Active NPI

Nilesh Mehta, MBBS, MD

  • Gastroenterology Physician
  • New Hyde Park, NY
National Provider Identifier
1649436163
Registry record updated May 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
234007 Issued in NY
Practice address
915 Hillside Ave
New Hyde Park, NY 11040-2529
Phone
(516) 365-8410
Fax
(516) 365-7675
NPI assigned
Aug 4, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 234007 NY Primary

Addresses

Primary practice location

915 Hillside Ave
New Hyde Park, NY 11040-2529

Mailing address

3 Lavenders CT
Manhasset, NY 11030-3923
Phone (516) 365-8410

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20091125000405 NY Practitioner - Gastroenterology 0345389607 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Digestive Disease Care, PCGroup PAC ID 7113093071, 41 clinicians

Practice addresses (Care Compare)

11014 Jamaica Ave
Richmond Hill, NY 11418-2320
Phone (516) 750-8000

1575 Hillside Ave
New Hyde Park, NY 11040-2501
Phone (516) 750-8000

27005 75TH Ave
New Hyde Park, NY 11040-1402
Phone (516) 750-8000

366 N Broadway
Suite LW2
Jericho, NY 11753-2027
Phone (516) 750-8000

373 W Main St
Babylon, NY 11702-3023
Phone (516) 750-8000

380 S Broadway
Hicksville, NY 11801-5033
Phone (516) 750-8000

709 Hawkins Ave
Ronkonkoma, NY 11779-2293
Phone (516) 750-8000

800 Old Country Rd
Riverhead, NY 11901-2140
Phone (516) 750-8000

Hospital & facility affiliations

  • St Charles Hospital Hospital, Port Jefferson, NY, CCN 330246
  • Long Island Jewish Medical Center Hospital, New Hyde Park, NY, CCN 330195
  • North Shore University Hospital Hospital, Manhasset, NY, CCN 330106

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy132
Upper gastrointestinal (GI) endoscopy for acid reflux93

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Newyork-Presbyterian-Queens CurrentSince Jan 1, 2014 Accepting new patients
Digestive Disease Care, PC Gastroenterology CurrentSince Jul 5, 2009 Accepting new patients
Northeast Endoscopy LLC Current Accepting new patients
Newyork-Presbyterian/Queens CurrentSince Jan 1, 2014 Accepting new patients
Booth Medical Associates PC Gastroenterology Past Accepting new patients

Locations

373 W Main St
Babylon, NY 11702
Phone (516) 822-6655

5645 Main St
Flushing, NY 11355
Phone (718) 670-1435

380 S Broadway
Hicksville, NY 11801
Phone (516) 437-9000

17561 Hillside Ave
Ste 402
Jamaica, NY 11432
Phone (718) 670-1021

366 N Broadway
Ste LW2
Jericho, NY 11753
Phone (516) 407-7395

150 Broadhollow Rd
Ste 120
Melville, NY 11747
Phone (631) 450-1400

1575 Hillside Ave
Ste 301
New Hyde Park, NY 11040
Phone (516) 354-2200

1991 Marcus Ave
Ste M200
New Hyde Park, NY 11042
Phone (516) 204-4242

1061 N Broadway
Ste 2
North Massapequa, NY 11758
Phone (516) 420-4300

915 Hillside Ave
North New Hyde Pk, NY 11040
Phone (516) 437-9000

11014 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 335-4747

750 Old Country Rd
Bldg 2
Riverhead, NY 11901
Phone (631) 450-1500

800 Old Country Rd
Riverhead, NY 11901
Phone (631) 228-5565

235 N Belle Mead Rd
Setauket, NY 11733
Phone (631) 450-1200

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678

Interoperability endpoints

  • Direct secure messaging: nmehta@ddcare.curemd.direct-ci.com

Organizations & group practices 5

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 3

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": "1217808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432771200000",
    "number": "1649436163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 LAVENDERS CT",
            "city": "MANHASSET",
            "state": "NY",
            "postal_code": "110303923",
            "telephone_number": "516-365-8410",
            "fax_number": "516-365-7675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 HILLSIDE AVE",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110402529",
            "telephone_number": "516-365-8410",
            "fax_number": "516-365-7675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEHTA",
        "first_name": "NILESH",
        "name_prefix": "Dr.",
        "credential": "MBBS, MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-04",
        "last_updated": "2015-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "234007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Hyde Park, NY

Sources for this page

Verify at the official NPI Registry.