Active NPI
Rajan I Mehta, M.D.
- Allergy & Immunology Physician
- Salina, KS
National Provider Identifier
1659354843
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology Physician
- License
- 01038376
- Practice address
- 737 E Crawford St
Salina, KS 67401-5103 - Phone
- (785) 827-7261
- Fax
- (785) 833-5709
- NPI assigned
- Nov 22, 2005
- Last updated
- Dec 10, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy & Immunology Physician | 207K00000X | 01038376 | IN | Primary |
Addresses
Primary practice location
737 E Crawford St
Salina, KS 67401-5103
Mailing address
737 E Crawford St
Salina, KS 67401-5103
Phone (785) 822-0202
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 351830931100 | Other | IN | CARESOURCE PIN |
| 100184670A | Medicaid | IN | |
| 000000088459 | Other | IN | ANTHEM |
| 280784 | Other | IN | HARMONY PIN |
| 351830931 | Other | IN | TAX ID |
| 110051751 | Other | IN | RAILROAD MCR PIN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rajan.mehta.p1@direct.moweryclinic.nextgenshare.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01038376 | IN | MD | Allergy & Immunology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mowery Clinic LLC | Current | Accepting new patients | |
| Goode Chiropractic Services LLC | Past | Accepting new patients |
Locations
737 E Crawford St
Salina, KS 67401
Phone (785) 827-7261
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 2
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.
-
- Internal Medicine Physician
- Salina, KS
- NPI 1790742278
-
- Chiropractor
- Bloomington, IN
- NPI 1013168228
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132617600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607558400000",
"number": "1659354843",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "737 E CRAWFORD ST",
"city": "SALINA",
"state": "KS",
"postal_code": "674015103",
"telephone_number": "785-822-0202",
"fax_number": "785-827-6334"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "737 E CRAWFORD ST",
"city": "SALINA",
"state": "KS",
"postal_code": "674015103",
"telephone_number": "785-827-7261",
"fax_number": "785-833-5709"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEHTA",
"first_name": "RAJAN",
"middle_name": "I",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-22",
"last_updated": "2020-12-10",
"certification_date": "2020-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "207K00000X",
"taxonomy_group": "",
"desc": "Allergy & Immunology",
"state": "IN",
"license": "01038376",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CARESOURCE PIN",
"identifier": "351830931100",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100184670A",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000088459",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARMONY PIN",
"identifier": "280784",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "351830931",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MCR PIN",
"identifier": "110051751",
"state": "IN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rajan.mehta.p1@direct.moweryclinic.nextgenshare.com",
"affiliation": "N",
"address_1": "737 E Crawford St",
"city": "Salina",
"state": "KS",
"country_code": "US",
"postal_code": "674015103",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Salina, KS
- Kelsey Joyce McKenna, APRN
- Casey Lee McNeil, MD
- Medexpress Urgent Care Kansas, P.a. (MedExpress Urgent Care - Salina, S 9th St)
- Medirx Inc PA (dba Gibson Pharmacy)
- Stanley Ray Meek, LAC
- Margaret Lanay Meier, LAC
- Carley M Melander, LMSW
- Kaitlyn Therese Mello, T-LMLP
- Douglas E Mergen, RPH
- Kally Mermis
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.