Active NPI
Mehta Medical Services
- Family Medicine Physician
- Fayetteville, NC
National Provider Identifier
1730351073
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 20167
- Legal business name
- MEHTA MEDICAL SERVICES
- Practice address
- 518 Sandhurst Dr
Fayetteville, NC 28304-4426 - Phone
- (910) 323-4091
- Fax
- (910) 323-4092
- NPI assigned
- Mar 27, 2008
- Last updated
- Mar 27, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Hasumati V Mehta, M.D
- Title
- President
- Phone
- (910) 323-4091
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 20167 | NC | Primary |
Addresses
Primary practice location
518 Sandhurst Dr
Fayetteville, NC 28304-4426
Mailing address
PO Box 87169
Fayetteville, NC 28304-7169
Phone (910) 323-4091
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02145 | Other | NC | BCBS GROUP |
| 8958493 | Medicaid | NC | |
| 0323 | Other | NC | MEDICARE GROUP |
| 208795 | Other | NC | MEDICARE INDIVIDUAL |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Medicine Physician
- Fayetteville, NC
- NPI 1265401962
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1206576000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1206576000000",
"number": "1730351073",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 87169",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283047169",
"telephone_number": "910-323-4091",
"fax_number": "910-323-4092"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "518 SANDHURST DR",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283044426",
"telephone_number": "910-323-4091",
"fax_number": "910-323-4092"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEHTA MEDICAL SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2008-03-27",
"last_updated": "2008-03-27",
"status": "A",
"authorized_official_last_name": "MEHTA",
"authorized_official_first_name": "HASUMATI",
"authorized_official_middle_name": "V",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "910-323-4091",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NC",
"license": "20167",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS GROUP",
"identifier": "02145",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8958493",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP",
"identifier": "0323",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE INDIVIDUAL",
"identifier": "208795",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fayetteville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.