Active NPI
Amit Kumar Mehta, M.D.
- Internal Medicine Physician
- East Lansing, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 3101100366
- 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.
-
- Orthopaedic Surgery Physician
- Eureka, CA
- NPI 1386937225
-
- General Practice Physician
- Diamond Bar, CA
- NPI 1285890624
-
- Family Medicine Physician
- Anaheim, CA
- NPI 1639715709
-
- Internal Medicine Physician
- Santa Rosa, CA
- NPI 1740584473
Internal Medicine
-
- Community/Retail Pharmacy
- Klamath Falls, OR
- NPI 1003654625
-
- Local Education Agency (LEA)
- East Lansing, MI
- NPI 1184182982
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Santa Rosa, CA
- NPI 1134152549
Hospital
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Providence Medical Foundation
Practice addresses (Care Compare)
1000 Trancas St
Napa, CA 94558-2906
Phone (707) 252-4411
Hospital & facility affiliations
- Healdsburg Hospital
- Providence Santa Rosa Memorial Hospital
- Petaluma Valley Hospital
- Healdsburg Hospital
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151118001436 | OR | Practitioner - Internal Medicine | 4486954716 | Reassigns benefits to 1 organization |
| I20180821004030 | CA | Practitioner - Internal Medicine | 4486954716 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3101100366 | MI | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Medical Foundation | Internal Medicine | Current | Accepting new patients |
| Providence Medical Foundation | Current | Accepting new patients | |
| Sky Lakes Medical Center Inc | Current | Accepting new patients | |
| Sky Lakes Medical Center Inc | Current | 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 3101100366 | MI | Primary |
Addresses
NPPES NPI RegistryPrimary 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.