Individual provider Active NPI

Ankit Mehta, MD

  • Ophthalmology Physician
  • Jamaica, NY
National Provider Identifier
1649545260
Registry record updated Oct 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
267150 Issued in NY
Practice address
16405 Hillside Ave FL 2
Jamaica, NY 11432-4140
Phone
(718) 206-2893
Fax
(718) 206-2895
NPI assigned
Mar 14, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 22, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 267150 NY Primary

Addresses

Primary practice location

16405 Hillside Ave FL 2
Jamaica, NY 11432-4140

Mailing address

16405 Hillside Ave FL 2
Jamaica, NY 11432-4140
Phone (718) 206-2893

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
I20131204000874 NY Practitioner - Ophthalmology 0749416303 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

16405 Hillside Ave
FL 2
Jamaica, NY 11432-4140
Phone (718) 206-2893

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bayside Eye Care Medical PC Ophthalmology CurrentSince Aug 12, 2013 Accepting new patients
Flushing Hospital Medical Center CurrentSince Mar 6, 2014 Accepting new patients
Flushing Hospital & Medical Center CurrentSince Mar 6, 2014 Accepting new patients
Coney Island Medical Practice Plan, P.C. CurrentSince Jun 2, 2014 Accepting new patients

Locations

2601 Ocean Pkwy
Brooklyn, NY 11235
Phone (718) 616-5354

14601 45th Ave
Flushing, NY 11355
Phone (718) 670-5562

16405 Hillside Ave
Fl 2
Jamaica, NY 11432
Phone (718) 206-2893

5847 Francis Lewis Blvd
Ste 202
Oakland Gdns, NY 11364
Phone (718) 224-5500

Networks

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

Organizations & group practices 4

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": "1331683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603324800000",
    "number": "1649545260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16405 HILLSIDE AVE FL 2",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114324140",
            "telephone_number": "718-206-2893",
            "fax_number": "718-206-2895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16405 HILLSIDE AVE FL 2",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114324140",
            "telephone_number": "718-206-2893",
            "fax_number": "718-206-2895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEHTA",
        "first_name": "ANKIT",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-03-14",
        "last_updated": "2020-10-22",
        "certification_date": "2020-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "267150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamaica, NY

Sources for this page

Verify at the official NPI Registry.