Individual provider Active NPI

Sameer Mehta, MD,FACC,MBA

  • Interventional Cardiology Physician
  • Miami, FL
National Provider Identifier
1710990908
Registry record updated Jun 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
ME0057724 Issued in FL
Practice address
185 Shore Dr S
Miami, FL 33133-2615
Phone
(305) 860-2843
Fax
(305) 856-2351
NPI assigned
Aug 15, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 8, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X ME0057724 FL
Interventional Cardiology Physician 207RI0011X ME0057724 FL Primary

Addresses

Primary practice location

185 Shore Dr S
Miami, FL 33133-2615

Mailing address

185 Shore Dr S
Miami, FL 33133-2615
Phone (305) 285-4171

Other identifiers 1

IdentifierTypeStateIssuer
372462000MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20110215001031 FL Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 7214117753 Practice locations: Hialeah Gardens, FL; Miami, FL

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

185 Shore Dr S
Miami, FL 33133-2615
Phone (305) 860-2843

2001 W 66TH St
Hialeah, FL 33016-1801
Phone (305) 823-5000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting265
Pacemaker insertion or repair1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Business Administration, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME57724FLMDSpecialist
ME0057724FLMDCardiovascular Disease Physician

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": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307491200000",
    "number": "1710990908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 SHORE DR S",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331332615",
            "telephone_number": "305-285-4171",
            "fax_number": "305-856-2351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 SHORE DR S",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331332615",
            "telephone_number": "305-860-2843",
            "fax_number": "305-856-2351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEHTA",
        "first_name": "SAMEER",
        "name_prefix": "Dr.",
        "credential": "MD,FACC,MBA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-15",
        "last_updated": "2011-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME0057724",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "FL",
            "license": "ME0057724",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "372462000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.