Individual provider Active NPI

Rajendra Kumar Mehta, M.D.

  • Internal Medicine Physician
  • Independence, OH
National Provider Identifier
1710060215
Registry record updated Dec 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35055709 Issued in OH
Practice address
6150 Oak Tree Blvd # 100a
Independence, OH 44131-6917
Phone
(440) 743-8145
Fax
(216) 201-6382
NPI assigned
Oct 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 29, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35055709 OH Primary

Addresses

Primary practice location

6150 Oak Tree Blvd # 100a
Independence, OH 44131-6917

Mailing address

PO Box 39473
Solon, OH 44139-0473
Phone (216) 520-3022

Other identifiers 2

IdentifierTypeStateIssuer
P00130605OtherOHRAILROAD MEDICARE ID
0702421MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rajendramehta@uhps.allscriptsdirect.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20040429001264 OH Practitioner - Internal Medicine 7618964842 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1969
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Hospitals Regional Practices LLCGroup PAC ID 3779818638, 26 clinicians

Practice addresses (Care Compare)

6150 Oak Tree Blvd
Suite 100a
Independence, OH 44131-6917
Phone (440) 743-8145

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.24 of 100Reported as group
Quality
62.05
Promoting interoperability
100
Improvement activities
40
Cost
73.19

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35055709OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Hospitals Regional Practices LLC Internal Medicine CurrentSince Jul 21, 2019 Accepting new patients
Uhhs Bedford Internal Medicine Past Accepting new patients
State of Ohio Office of Budget and Management State Accounting Past Accepting new patients
University Hospitals Ahuja Medical Center, Inc Past Accepting new patients

Locations

20800 Harvard Rd
Fl 2
Highland Hills, OH 44122
Phone (216) 358-2156

6150 Oak Tree Blvd
Ste 100A
Independence, OH 44131
Phone (440) 743-8145

15976 E High St
Ste 100
Middlefield, OH 44062
Phone (440) 632-0770

Interoperability endpoints

  • Direct secure messaging: rmehta37538@ehrdirect.uhhospitals.org

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.

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": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609200000000",
    "number": "1710060215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 39473",
            "city": "SOLON",
            "state": "OH",
            "postal_code": "441390473",
            "telephone_number": "216-520-3022",
            "fax_number": "216-520-3023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6150 OAK TREE BLVD # 100A",
            "city": "INDEPENDENCE",
            "state": "OH",
            "postal_code": "441316917",
            "telephone_number": "440-743-8145",
            "fax_number": "216-201-6382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEHTA",
        "first_name": "RAJENDRA",
        "middle_name": "KUMAR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-20",
        "last_updated": "2020-12-29",
        "certification_date": "2020-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35055709",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE ID",
            "identifier": "P00130605",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0702421",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rajendramehta@uhps.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "6150 Oak Tree Blvd # 100A",
            "city": "Independence",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441316917",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Independence, OH

Sources for this page

Verify at the official NPI Registry.