Individual provider Active NPI

Amit Kumar Mehta, M.D.

  • Internal Medicine Physician
  • East Lansing, MI
National Provider Identifier
1740544360
Registry record updated Aug 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
3101100366 Issued in MI
Practice address
804 Service Road, Room A225
Msu Clinical Center
East Lansing, MI 48824
Phone
(517) 353-4941
Fax
(517) 432-3145
NPI assigned
Jun 28, 2012
Sex
Male
Sole proprietor
No

Organizations & group practices 8

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 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hospitalist
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Providence Medical Foundation 1,461 clinicians

Practice addresses (Care Compare)

1000 Trancas St
Napa, CA 94558-2906
Phone (707) 252-4411

Hospital & facility affiliations

  • Healdsburg Hospital Hospital, Healdsburg, CA, CCN 051321
  • Providence Santa Rosa Memorial Hospital Hospital, Santa Rosa, CA, CCN 050174
  • Petaluma Valley Hospital Hospital, Petaluma, CA, CCN 050136
  • Healdsburg Hospital Nursing home, CCN 05Z321

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20151118001436 OR Practitioner - Internal Medicine 4486954716 Reassigns benefits to 1 organization
I20180821004030 CA Practitioner - Internal MedicinePractitioner - Hospitalist 4486954716 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3101100366MIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Medical Foundation Internal Medicine CurrentSince Dec 1, 2020 Accepting new patients
Providence Medical Foundation CurrentSince Dec 1, 2020 Accepting new patients
Sky Lakes Medical Center Inc CurrentSince Sep 19, 2015 Accepting new patients
Sky Lakes Medical Center Inc CurrentSince Sep 19, 2015 Accepting new patients
Providence Medical Foundation Current Accepting new patients
Michigan State University Past Accepting new patients

Locations

1000 Trancas St
Napa, CA 94558
Phone (707) 226-2901

1100 Trancas St
Ste 209
Napa, CA 94558
Phone (707) 251-1850

1165 Montgomery Dr
Santa Rosa, CA 95405
Phone (707) 525-5300

1165 Montgomery Dr
#1112
Santa Rosa, CA 95405
Phone (707) 546-3210

500 Doyle Park Dr
Ste 100
Santa Rosa, CA 95405
Phone (714) 449-4842

2865 Daggett Ave
Klamath Falls, OR 97601
Phone (541) 833-6221

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 3101100366 MI Primary

Addresses

NPPES NPI Registry

Primary practice location

804 Service Road, Room A225
Msu Clinical Center
East Lansing, MI 48824

Mailing address

788 Service Road, Room B301
Msu Clinical Center
East Lansing, MI 48824
Phone (517) 353-5100

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 30, 2026.

{
    "created_epoch": "1340841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788048000000",
    "number": "1740544360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "788 SERVICE ROAD, ROOM B301",
            "address_2": "MSU CLINICAL CENTER",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "48824",
            "telephone_number": "517-353-5100",
            "fax_number": "517-432-2759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 SERVICE ROAD, ROOM A225",
            "address_2": "MSU CLINICAL CENTER",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "48824",
            "telephone_number": "517-353-4941",
            "fax_number": "517-432-3145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEHTA",
        "first_name": "AMIT",
        "middle_name": "KUMAR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-28",
        "last_updated": "2026-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "3101100366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Lansing, MI

Sources for this page

Verify at the official NPI Registry.