Individual provider Active NPI

Yashbir Mehta, MD

  • Radiation Oncology Physician
  • Gurnee, IL
National Provider Identifier
1730160946
Registry record updated Dec 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
036044625 Issued in IL
Practice address
95 N Greenleaf St
Gurnee, IL 60031-3309
Phone
(847) 623-2114
NPI assigned
Nov 7, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 036044625 IL Primary

Addresses

Primary practice location

95 N Greenleaf St
Gurnee, IL 60031-3309

Mailing address

PO Box 379
Orland Park, IL 60462-0379
Phone (708) 460-9833

Other identifiers 9

IdentifierTypeStateIssuer
01633381OtherILBCBSIL ADVANCED RAD
1548251986OtherADV RAD NPI #
04932214OtherILBCBSIL ROTATING GAMMA
1902897358OtherROT GMA NPI#
920007667OtherILRR MEDICARE ADVANCED RAD
P00042095OtherILRR MEDICARE ROT GMA
CK9135OtherILRR MEDICARE ADV RAD GR#
036044625MedicaidIL
DA2626OtherILRR MEDICARE ROT GMA GR#

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address yashbirmehta@uropart.allscriptsdirect.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20120105000053 IL Practitioner - Radiation Oncology 4385680636 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Other, 1963
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Uropartners LLCGroup PAC ID 9436182946, 133 clinicians

Practice addresses (Care Compare)

95 N Greenleaf St
Suite a
Gurnee, IL 60031-3309
Phone (847) 623-4640

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Uropartners, LLC CurrentSince Sep 3, 2019 Accepting new patients
Uropartners, LLC CurrentSince Sep 3, 2019 Accepting new patients
City of Hope Medical Group of Illinois PLLC CurrentSince Aug 20, 2019 Accepting new patients
Uropartners LLC Radiation Oncology Current Accepting new patients
Advocate Condell Medical Center Past Accepting new patients
Female Health Specialist Inc. Past Accepting new patients

Locations

2361 Paysphere Cir
Chicago, IL 60674
Phone (847) 746-4358

95 N Greenleaf St
#A
Gurnee, IL 60031
Phone (847) 249-3090

801 S Milwaukee Ave
Libertyville, IL 60048
Phone (847) 362-2900

2225 Enterprise Dr
Ste 2511
Westchester, IL 60154
Phone (708) 486-0076

2520 Elisha Ave
Zion, IL 60099
Phone (800) 322-9183

Interoperability endpoints

  • Direct secure messaging: yashbirmehta@uropart.allscriptsdirect.net

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1131321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638921600000",
    "number": "1730160946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 379",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604620379",
            "telephone_number": "708-460-9833",
            "fax_number": "708-460-1117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 N GREENLEAF ST",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600313309",
            "telephone_number": "847-623-2114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEHTA",
        "first_name": "YASHBIR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-07",
        "last_updated": "2021-12-08",
        "certification_date": "2021-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "IL",
            "license": "036044625",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSIL ADVANCED RAD",
            "identifier": "01633381",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADV RAD NPI #",
            "identifier": "1548251986",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSIL ROTATING GAMMA",
            "identifier": "04932214",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ROT GMA NPI#",
            "identifier": "1902897358",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE ADVANCED RAD",
            "identifier": "920007667",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE ROT GMA",
            "identifier": "P00042095",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE ADV RAD GR#",
            "identifier": "CK9135",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036044625",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE ROT GMA GR#",
            "identifier": "DA2626",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "yashbirmehta@uropart.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "95 N Greenleaf St",
            "city": "Gurnee",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600313309",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Gurnee, IL

Sources for this page

Verify at the official NPI Registry.