Individual provider Active NPI

Niraj Mahendra Mehta, D.O.

  • Internal Medicine Physician
  • Keller, TX
National Provider Identifier
1730186230
Registry record updated Oct 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
L7482 Issued in TX
Practice address
8845 Davis Blvd Ste 100
Keller, TX 76248-0391
Phone
(817) 900-9525
Fax
(817) 900-9545
NPI assigned
Jun 30, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2021

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 L7482 TX Primary

Addresses

Primary practice location

8845 Davis Blvd Ste 100
Keller, TX 76248-0391

Mailing address

8845 Davis Blvd Ste 100
Keller, TX 76248-0391
Phone (817) 900-9525

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20041123000673 TX Practitioner - Internal MedicinePractitioner - Osteopathic Manipulative Medicine 7618932591 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Osteopathic Manipulative Medicine
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8845 Davis Blvd
Suite 100
Keller, TX 76248-0391
Phone (817) 900-9525

Hospital & facility affiliations

  • Healing Hands Healthcare LLC Home health agency, Wichita Falls, TX, CCN 677101
  • Discovery at Home in Texas Inc Home health agency, Plano, TX, CCN 679350
  • Medical City Alliance Hospital, Fort Worth, TX, CCN 670103

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Helical Health PLLC Internal Medicine CurrentSince May 9, 2017 Accepting new patients

Locations

8845 Davis Blvd
Ste 100
Keller, TX 76248
Phone (817) 900-9525

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HFADCD
  • Direct secure messaging: niraj.mehta@txshhp.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/HFADCD/Endpoint/HFADCD

Organizations & group practices 1

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": "1120089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633996800000",
    "number": "1730186230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8845 DAVIS BLVD STE 100",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762480391",
            "telephone_number": "817-900-9525",
            "fax_number": "817-900-9545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8845 DAVIS BLVD STE 100",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762480391",
            "telephone_number": "817-900-9525",
            "fax_number": "817-900-9545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEHTA",
        "first_name": "NIRAJ",
        "middle_name": "MAHENDRA",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-30",
        "last_updated": "2021-10-12",
        "certification_date": "2021-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "L7482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Keller, TX

Sources for this page

Verify at the official NPI Registry.