Individual provider Active NPI

Amit R Mehta, M.D.

  • Hematology & Oncology Physician
  • Cary, NC
National Provider Identifier
1740460377
Registry record updated Mar 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
2010-00625 Issued in NC
Practice address
550 New Waverly Place Suite 120
Cary, NC 27518-6679
Phone
(919) 351-2260
Fax
(919) 230-2311
NPI assigned
Nov 12, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 25MA08334900 NJ
Hematology & Oncology Physician 207RH0003X 2010-00625 NC Primary

Addresses

Primary practice location

550 New Waverly Place Suite 120
Cary, NC 27518-6679

Mailing address

550 New Waverly PL
Ste 120
Cary, NC 27518-7412
Phone (919) 351-2260

Other identifiers 3

IdentifierTypeStateIssuer
5914372MedicaidNC
159GVOtherNCBCBS
P00850257OtherNCRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20100809000109 NC Practitioner - Internal MedicinePractitioner - Hematology/Oncology 1557494754 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hematology/Oncology
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1831 Lake Pine Dr
Suite 200
Cary, NC 27511-6050
Phone (919) 351-2260

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2010-00625NCMDHematology & Oncology Physician
25MA08334900NJMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Duke University Health System, Inc. CurrentSince Nov 1, 2014 Accepting new patients
Premier Hematology & Tele-Oncology Center, PLLC Hematology & Oncology CurrentSince Jun 5, 2016 Accepting new patients
Duke University Health System, Inc. CurrentSince Nov 1, 2014 Accepting new patients
Duke University Health System, Inc. Current Accepting new patients
Regional Cancer Care Hematology & Oncology PastSince Aug 16, 2010 Accepting new patients

Locations

550 New Waverly Pl
Ste 120
Cary, NC 27518
Phone (919) 233-6614

1831 Lake Pine Dr
Ste 200
Cary, NC 27511
Phone (919) 233-3435

40 Duke Medicine Cir
Durham, NC 27710
Phone (919) 681-6588

2100 Erwin Rd
Durham, NC 27705
Phone (919) 648-8111

3643 N Roxboro St
Durham, NC 27704
Phone (919) 470-6186

205 Frasier St
Durham, NC 27704
Phone (919) 477-7003

3400 Wake Forest Rd
Raleigh, NC 27609
Phone (919) 954-3000

Organizations & group practices 5

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": "1194825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519862400000",
    "number": "1740460377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 NEW WAVERLY PL",
            "address_2": "STE 120",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275187412",
            "telephone_number": "919-351-2260",
            "fax_number": "919-230-2311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 NEW WAVERLY PLACE SUITE 120",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275186679",
            "telephone_number": "919-351-2260",
            "fax_number": "919-230-2311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEHTA",
        "first_name": "AMIT",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-12",
        "last_updated": "2018-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NJ",
            "license": "25MA08334900",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NC",
            "license": "2010-00625",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5914372",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "159GV",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00850257",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cary, NC

Sources for this page

Verify at the official NPI Registry.