Active NPI
Viplov Kanu Mehta, MD, CMD
- Nephrology Physician
- Brooklyn, NY
National Provider Identifier
1760590236
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 164845
- Practice address
- 894 Eastern Pkwy
Brooklyn, NY 11213-3618 - Phone
- (718) 774-6060
- NPI assigned
- Aug 26, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 164845 | NY | |
| Nephrology Physician | 207RN0300X | 164845 | NY | Primary |
Addresses
Primary practice location
894 Eastern Pkwy
Brooklyn, NY 11213-3618
Mailing address
10 Pineridge Rd
Greenvale, NY 11548-1118
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 274114 | Other | NY | UNITED HEALTHCARE |
| KP685 | Other | NY | OXFORD |
| N2408P | Other | NY | HIP |
| 4565872 | Other | NY | AETNA (BLUE BELL) |
| 01001053 | Medicaid | NY | |
| 97D081 | Other | NY | BLUE CHOICE |
| 0003614 | Other | NY | GHI |
| 0C8521 | Other | NY | PHS - HEALTHNET |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156550400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1300665600000",
"number": "1760590236",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 PINERIDGE RD",
"city": "GREENVALE",
"state": "NY",
"postal_code": "115481118"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "894 EASTERN PKWY",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112133618",
"telephone_number": "718-774-6060"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEHTA",
"first_name": "VIPLOV",
"middle_name": "KANU",
"name_prefix": "Dr.",
"credential": "MD, CMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-26",
"last_updated": "2011-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "164845",
"primary": false
},
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "NY",
"license": "164845",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "274114",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "KP685",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIP",
"identifier": "N2408P",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA (BLUE BELL)",
"identifier": "4565872",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01001053",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CHOICE",
"identifier": "97D081",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "0003614",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHS - HEALTHNET",
"identifier": "0C8521",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.