Individual provider Active NPI

Ravi Mehta, M.D.

  • Interventional Cardiology Physician
  • Knoxville, TN
National Provider Identifier
1669462230
Registry record updated Aug 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
MD33998 Issued in TN
Practice address
10800 Parkside Dr
Suite 331
Knoxville, TN 37934-1922
Phone
(865) 392-3400
Fax
(865) 392-3449
NPI assigned
Oct 25, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X MD33998 TN Primary

Addresses

Primary practice location

10800 Parkside Dr
Suite 331
Knoxville, TN 37934-1922

Mailing address

10800 Parkside Dr Ste 331
Knoxville, TN 37934-1922
Phone (865) 392-3400

Other practice location 1

7211 Wellington Dr Ste 101
Knoxville, TN 37919-5968
Phone (865) 584-5762

Other identifiers 1

IdentifierTypeStateIssuer
Q024115MedicaidTN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ravi.mehta.1@10667.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20040304000123 TN Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 4082501960 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Knoxville Hma Cardiology PPM, LLCGroup PAC ID 1658542758, 42 clinicians

Practice addresses (Care Compare)

10810 Parkside Dr
Suite 301
Knoxville, TN 37934-1982
Phone (865) 470-2273

Hospital & facility affiliations

  • Physicians Regional Medical Center Hospital, Powell, TN, CCN 440120
  • Sweetwater Hospital Association Hospital, Sweetwater, TN, CCN 440084
  • Tennova Healthcare-Jefferson Memorial Hospital Hospital, Jefferson City, TN, CCN 440056
  • Starr Regional Medical Center Athens Hospital, Athens, TN, CCN 440068
  • Tennova Healthcare - Newport Medical Center Hospital, Newport, TN, CCN 440153

Merit-based Incentive Payment System (MIPS)

Final score
88.07 of 100Reported as apm
Quality
73.89
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting21
Pacemaker insertion or repair1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD33998TNMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Medical Group, PLLC CurrentSince Sep 1, 2024 Accepting new patients
Summit Medical Group, PLLC CurrentSince Sep 1, 2024 Accepting new patients
Knoxville Hma Cardiology PPM, LLC Cardiovascular Disease CurrentSince Oct 1, 2011 Accepting new patients
Parkwest Medical Center Past Accepting new patients
Chicago Vascular Clinic LTD Cardiovascular Disease Past Accepting new patients
Mohammad Waseem Kagzi MD LTD Cardiovascular Disease PastSince Dec 1, 2015 Accepting new patients

Locations

135 N Meadows Dr
#A
Athens, TN 37303
Phone (423) 453-5314

900 E Hill Ave
Fl 4
Knoxville, TN 37915
Phone (865) 525-6688

10800 Parkside Dr
Ste 331
Knoxville, TN 37934
Phone (865) 392-3400

10820 Parkside Dr
Knoxville, TN 37934
Phone (865) 218-7011

900 E Hill Ave
Knoxville, TN 37915
Phone (865) 545-7817

1225 E Weisgarber Rd
Ste 200
Knoxville, TN 37909
Phone (865) 938-3627

7211 Wellington Dr
Ste 101
Knoxville, TN 37919
Phone (865) 588-8005

10810 Parkside Dr
Ste 301
Knoxville, TN 37934
Phone (865) 470-2273

824 Middle Creek Rd
Sevierville, TN 37862
Phone (865) 429-8773

Interoperability endpoints

  • Direct secure messaging: ravi.mehta.1@10667.direct.athenahealth.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: mehtasr@yourcarecommunity.org

Organizations & group practices 6

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 5

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": "1130198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724803200000",
    "number": "1669462230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10800 PARKSIDE DR STE 331",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379341922",
            "telephone_number": "865-392-3400",
            "fax_number": "865-392-3449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10800 PARKSIDE DR",
            "address_2": "SUITE 331",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379341922",
            "telephone_number": "865-392-3400",
            "fax_number": "865-392-3449"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7211 Wellington Dr Ste 101",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379195968",
            "country_code": "US",
            "telephone_number": "865-584-5762",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEHTA",
        "first_name": "RAVI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-25",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "TN",
            "license": "MD33998",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q024115",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ravi.mehta.1@10667.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR direct address",
            "address_1": "10800 Parkside Dr",
            "address_2": "Suite 331",
            "city": "Knoxville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "379341922",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.