Individual provider Active NPI

Atam J Mehdiratta, MD

  • Gastroenterology Physician
  • Anderson, IN
National Provider Identifier
1700828050
Registry record updated Jul 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
01059560A Issued in IN
Practice address
2020 Meridian St Ste 340
Anderson, IN 46016-4349
Phone
(765) 646-8477
Fax
(765) 649-4290
NPI assigned
Jun 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X M6762 TX
Gastroenterology Physician 207RG0100X 01059560A IN Primary

Addresses

Primary practice location

2020 Meridian St Ste 340
Anderson, IN 46016-4349

Mailing address

100 Hospital LN
Ste 100
Danville, IN 46122-1993

Other practice location 1

107 Medical Cir
Sulphur Springs, TX 75482-2138
Phone (903) 885-1770

Other identifiers 2

IdentifierTypeStateIssuer
P01678977OtherINMEDICARE RR
200491100MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND, NE, TX, MI4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20031201000563 ND Practitioner - GastroenterologyPractitioner - Internal Medicine 7810892171 Reassigns benefits to 1 organization
I20150415000976 NE Practitioner - Gastroenterology 7810892171 Reassigns benefits to 1 organization
I20170220000232 TX Practitioner - Gastroenterology 7810892171 Reassigns benefits to 4 organizations
I20170323001582 MI Practitioner - Gastroenterology 7810892171 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CHI Health Clinic Specialty LLCGroup PAC ID 4789098443, 317 clinicians

Practice addresses (Care Compare)

3219 Central Ave
Suite 200
Kearney, NE 68847-2958
Phone (308) 865-2370

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy40
Upper gastrointestinal (GI) endoscopy for acid reflux100

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01059560AINMDGastroenterology Physician
M6762TXMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
CHI Health Clinic Specialty, LLC Gastroenterology CurrentSince Jan 1, 2021 Accepting new patients
Hood Medical Group CurrentSince Dec 1, 2022 Accepting new patients
Wael Asi MD PA Gastroenterology CurrentSince Jul 1, 2020 Accepting new patients
Altru Health System CurrentSince Mar 18, 2019 Accepting new patients
Bronson Methodist Hospital CurrentSince Apr 3, 2017 Accepting new patients
Hendrick Provider Network CurrentSince Aug 1, 2021 Accepting new patients
Hood Medical Group Gastroenterology CurrentSince Dec 1, 2022 Accepting new patients
Christus Trinity Clinic Texas Gastroenterology CurrentSince Sep 26, 2016 Accepting new patients
Hendrick Provider Network CurrentSince Aug 1, 2021 Accepting new patients
Altru Health System CurrentSince Mar 18, 2019 Accepting new patients
Union Hospital Inc. Current Accepting new patients
Christus Trinity Clinic Texas CurrentSince Sep 26, 2016 Accepting new patients

Locations

1429 N 6th St
Ofc
Terre Haute, IN 47807

601 John St
Ste M-124
Kalamazoo, MI 49007
Phone (269) 341-7500

3304 Cooley Ct
Portage, MI 49024
Phone (269) 349-2266

2401 Demers Ave
Grand Forks, ND 58201
Phone (701) 780-1891

1200 S Columbia Rd
Grand Forks, ND 58201
Phone (701) 780-5243

1380 S Columbia Rd
Grand Forks, ND 58201
Phone (701) 795-2000

2620 W Faidley Ave
Grand Island, NE 68803
Phone (308) 382-6856

3219 Central Ave
Ste 200
Kearney, NE 68847
Phone (308) 865-2263

8207 Northwoods Dr
Ste 100
Lincoln, NE 68505
Phone (402) 484-3440

1904 Pine St
Ste 4A
Abilene, TX 79601
Phone (325) 437-4020

1501 Burnet Rd
Brownwood, TX 76801
Phone (325) 646-8541

300 E Commerce St
Brownwood, TX 76801
Phone (325) 510-3400

1310 Paluxy Rd
Granbury, TX 76048
Phone (817) 573-2273

1125 Cypress Station Dr
Ste E
Houston, TX 77090
Phone (281) 419-5818

3203 S Main St
Lindale, TX 75771
Phone (903) 266-4000

107 Medical Cir
Sulphur Springs, TX 75482
Phone (903) 885-1770

1111 Medical Plaza Dr
Ste 250
The Woodlands, TX 77380
Phone (281) 419-5818

630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888

Interoperability endpoints

  • Direct secure messaging: amehdiratta@unionhealth.cernerdirect.com
  • Direct secure messaging: amehdiratta284803@christushealth.direct-ci.net

Organizations & group practices 12

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": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658707200000",
    "number": "1700828050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 HOSPITAL LN",
            "address_2": "STE 100",
            "city": "DANVILLE",
            "state": "IN",
            "postal_code": "461221993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 MERIDIAN ST STE 340",
            "city": "ANDERSON",
            "state": "IN",
            "postal_code": "460164349",
            "telephone_number": "765-646-8477",
            "fax_number": "765-649-4290"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "107 Medical Cir",
            "address_purpose": "LOCATION",
            "city": "Sulphur Springs",
            "state": "TX",
            "postal_code": "754822138",
            "country_code": "US",
            "telephone_number": "903-885-1770",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEHDIRATTA",
        "first_name": "ATAM",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2022-07-25",
        "certification_date": "2022-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "TX",
            "license": "M6762",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "IN",
            "license": "01059560A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "P01678977",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200491100",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anderson, IN

Sources for this page

Verify at the official NPI Registry.