Organization Active NPI

P J Mehta MD PA

  • Internal Medicine Physician
  • Salisbury, MD
National Provider Identifier
1760675540
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
P J MEHTA MD PA
Practice address
829 Eastern Shore Dr
Salisbury, MD 21804-5944
Phone
(410) 546-3223
NPI assigned
Aug 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Authorized official

Name
Piyush J Mehta, MDNPI 1962401737
Title
Owner
Phone
(410) 546-3223

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

829 Eastern Shore Dr
Salisbury, MD 21804-5944

Mailing address

PO Box 2518
Salisbury, MD 21802-2518
Phone (443) 366-5023

Other practice location 1

813 Eastern Shore Dr Ste B
Salisbury, MD 21804-5975
Phone (443) 260-2660

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050927001492 MD Part B Supplier - Clinic/Group Practice 6305871484 Receives reassigned benefits from 1 practitioner
Practice locations: Salisbury, MD

National Provider Directory

National Provider Directory

Locations

813 Eastern Shore Dr
#B
Salisbury, MD 21804
Phone (410) 546-3223

829 Eastern Shore Dr
Salisbury, MD 21804
Phone (410) 546-3223

813 Eastern Shore Dr
Ste B
Salisbury, MD 21804
Phone (443) 260-2660

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1187913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1760675540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2518",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218022518",
            "telephone_number": "443-366-5023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "829 EASTERN SHORE DR",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218045944",
            "telephone_number": "410-546-3223"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "813 Eastern Shore Dr Ste B",
            "address_purpose": "LOCATION",
            "city": "Salisbury",
            "state": "MD",
            "postal_code": "218045975",
            "country_code": "US",
            "telephone_number": "443-260-2660",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "P J MEHTA MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-24",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "MEHTA",
        "authorized_official_first_name": "PIYUSH",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-546-3223",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salisbury, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.