Individual provider Active NPI

Karan D Mehta, MD

  • Family Medicine Physician
  • Traverse City, MI
National Provider Identifier
1760864102
Registry record updated Oct 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301108304 Issued in MI
Practice address
1400 Medical Campus Dr
Traverse City, MI 49684-7823
Phone
(231) 935-8000
Fax
(231) 935-8099
NPI assigned
Jun 22, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 28, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207P00000X MD60940356 WA
Family Medicine Physician 207Q00000X 4301108304 MI Primary

Addresses

Primary practice location

1400 Medical Campus Dr
Traverse City, MI 49684-7823

Mailing address

203 S Western Ave
Tonasket, WA 98855-8803
Phone (509) 486-3144

Other practice location 1

33155 Annapolis St
Wayne, MI 48184-2405
Phone (734) 467-6691

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kmehta262318@epic00.shdirect.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, WA, MA, WI, IL, IN, MN, AK8 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 8

Enrollment IDStateProvider typePAC IDDetails
I20170727000819 MI Practitioner - Family Practice 8022388800 Reassigns benefits to 2 organizations
I20200122001052 WA Practitioner - Emergency MedicinePractitioner - General Practice 8022388800 Reassigns benefits to 8 organizations
I20240409003591 MA Practitioner - Family Practice 8022388800 Reassigns benefits to 2 organizations
I20240612002456 WI Practitioner - HospitalistPractitioner - Emergency Medicine 8022388800 Reassigns benefits to 2 organizations
I20240806003899 IL Practitioner - Family Practice 8022388800 Reassigns benefits to 2 organizations
I20240917004099 IN Practitioner - Emergency Medicine 8022388800 Reassigns benefits to 1 organization
I20241010000030 MN Practitioner - Family Practice 8022388800 Reassigns benefits to 1 organization
I20260223002690 AK Practitioner - Family Practice 8022388800 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northwest Emergency Physicians LLCGroup PAC ID 3476462334, 267 clinicians
Hospital Medicine of Ak LLCGroup PAC ID 5395100598, 35 clinicians
Central Prairie Physicians PLLCGroup PAC ID 9032615059, 23 clinicians

Practice addresses (Care Compare)

1211 24TH St
Anacortes, WA 98221-2562
Phone (360) 299-1300

2801 Debarr Rd
Anchorage, AK 99508-2932
Phone (907) 276-1131

525 E Grant St
Macomb, IL 61455-3313
Phone (309) 833-4101

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301108304MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Black River Health Inc Single Specialty CurrentSince Jun 1, 2024 Accepting new patients
Okanogan County Public Hospital Dist No 4 CurrentSince Dec 1, 2019 Accepting new patients
South Sound Inpatient Physicians PLLC Single Specialty Current Accepting new patients
Pacific County Hospital District 2 Single Specialty CurrentSince Feb 7, 2022 Accepting new patients
Douglas, Grant, Lincoln & Okanogan Counties Public Hospital District 6 Single Specialty CurrentSince Jun 1, 2025 Accepting new patients
Pacific County Hospital District 2 Single Specialty CurrentSince Feb 7, 2022 Accepting new patients
Sound Inpatient Physicians - Michigan, PLLC Family Medicine CurrentSince Feb 3, 2018 Accepting new patients
Beaumont Medical Group Hospital -Based Services Single Specialty CurrentSince Sep 24, 2025 Accepting new patients
Sound Inpatient Physicians-Michigan PLLC Single Specialty CurrentSince Feb 3, 2018 Accepting new patients
Douglas, Grant, Lincoln & Okanogan Counties Public Hospital District 6 CurrentSince Jun 1, 2025 Accepting new patients
Okanogan Douglas County Hospital Dist 1 Single Specialty CurrentSince Aug 1, 2020 Accepting new patients
Steward Medical Group, Inc Single Specialty CurrentSince Jul 17, 2024 Accepting new patients
Emergency Professionals of Indiana, P.C. Single Specialty CurrentSince Oct 1, 2024 Accepting new patients
South Sound Inpatient Physicians, PLLC Family Medicine CurrentSince Mar 1, 2020 Accepting new patients
Steward Medical Group, Inc Single Specialty CurrentSince Jul 17, 2024 Accepting new patients
Central Prairie Physicians PLLC Single Specialty CurrentSince Nov 1, 2025 Accepting new patients
Hospital Medicine of Ak, LLC Single Specialty CurrentSince Jan 11, 2026 Accepting new patients
Okanogan Douglas County Hospital Dist1 Single Specialty CurrentSince Aug 1, 2020 Accepting new patients
Black River Health Inc Single Specialty CurrentSince Jun 1, 2024 Accepting new patients
Okanogan County Public Hospital Dist No 4 Single Specialty CurrentSince Dec 1, 2019 Accepting new patients
Northwest Emergency Physicians LLC Single Specialty CurrentSince Jul 1, 2025 Accepting new patients
Okanogan County Public Hospital Dist No 4 Current Accepting new patients
Sound Inpatient Physicians-Michigan, PLLC Single Specialty Current Accepting new patients
Berkshire Medical Center Inc. CurrentSince Feb 21, 2024 Accepting new patients
Cogent Healthcare of Washington, PC Single Specialty CurrentSince Mar 1, 2020 Accepting new patients
Sarah Bush Lincoln Health Center CurrentSince Jan 3, 2026 Accepting new patients
Clallam County Public Hospital District No 1 Single Specialty Current Accepting new patients
South Sound Inpatient Physicians PLLC Single Specialty CurrentSince Mar 1, 2020 Accepting new patients
Douglas, Grant, Lincoln & Okanogan Counties Public Hospital District 6 Current Accepting new patients
Sarah Bush Lincoln Health Center CurrentSince Jan 3, 2026 Accepting new patients
CCM Health Single Specialty Current Accepting new patients
Berkshire Medical Center, Inc Single Specialty CurrentSince Feb 21, 2024 Accepting new patients
Munson Healthcare Grayling Family Medicine Past Accepting new patients
Douglas, Grant, Lincoln & Okanogan Counties Public Hospital District 6 Past Accepting new patients
Munson Healthcare Grayling Single Specialty Past Accepting new patients

Locations (25 of 29)

2801 Debarr Rd
Anchorage, AK 99508
Phone (907) 264-1222

1200 E Tremont St
Hillsboro, IL 62049
Phone (217) 532-4154

525 E Grant St
Macomb, IL 61455
Phone (309) 836-1611

650 W Taylor St
Vandalia, IL 62471
Phone (618) 283-1231

3700 Washington Ave
Evansville, IN 47714
Phone (812) 232-0021

3630 Willowcreek Rd
Portage, IN 46368
Phone (219) 364-3000

1900 Roosevelt Rd
Valparaiso, IN 46383
Phone (219) 263-4900

11 Nevins St
Ste 201
Brighton, MA 02135
Phone (617) 789-2442

100 Amesbury St
Ste 103
Lawrence, MA 01840
Phone (978) 683-0157

70 East St
Methuen, MA 01844
Phone (978) 682-1906

725 North St
Pittsfield, MA 01201
Phone (413) 447-2839

400 Hobart St
Cadillac, MI 49601
Phone (231) 876-7200

1100 E Michigan Ave
Grayling, MI 49738
Phone (989) 348-0317

580 W College Ave
Marquette, MI 49855
Phone (906) 225-3131

44201 Dequindre Rd
Troy, MI 48085
Phone (248) 471-8255

33155 Annapolis St
Wayne, MI 48184
Phone (734) 467-4042

824 N 11th St
Montevideo, MN 56265
Phone (320) 269-8877

1211 24th St
Anacortes, WA 98221
Phone (360) 293-3181

202 N Division St
Auburn, WA 98001
Phone (253) 333-2562

16251 Sylvester Rd SW
Burien, WA 98166
Phone (206) 244-9970

530 Bogachiel Way
Forks, WA 98331
Phone (360) 374-5011

411 Fortuyn Rd
Grand Coulee, WA 99133
Phone (509) 633-1753

407 14th Ave SE
Puyallup, WA 98372
Phone (253) 697-4000

888 Swift Blvd
Richland, WA 99352
Phone (509) 942-2115

2000 Hospital Dr
Sedro Woolley, WA 98284
Phone (360) 856-6021

Interoperability endpoints

  • Direct secure messaging: kmehta262318@epic00.shdirect.org

Organizations & group practices 35

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.

View all 35

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1434931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761609600000",
    "number": "1760864102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 S WESTERN AVE",
            "city": "TONASKET",
            "state": "WA",
            "postal_code": "988558803",
            "telephone_number": "509-486-3144",
            "fax_number": "509-486-3176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 MEDICAL CAMPUS DR",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496847823",
            "telephone_number": "231-935-8000",
            "fax_number": "231-935-8099"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "33155 Annapolis St",
            "address_purpose": "LOCATION",
            "city": "Wayne",
            "state": "MI",
            "postal_code": "481842405",
            "country_code": "US",
            "telephone_number": "734-467-6691",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEHTA",
        "first_name": "KARAN",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-06-22",
        "last_updated": "2025-10-28",
        "certification_date": "2025-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medicine",
            "state": "WA",
            "license": "MD60940356",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301108304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kmehta262318@epic00.shdirect.org",
            "affiliation": "N",
            "address_1": "33155 Annapolis St",
            "city": "Wayne",
            "state": "MI",
            "country_code": "US",
            "postal_code": "481842405",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Traverse City, MI

Sources for this page

Verify at the official NPI Registry.