Active NPI
Rajendra H Mehta, MD
- Cardiovascular Disease Physician
- Jackson, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- RM068733
- Practice address
- 306 W Washington Ave Ste 102
Jackson, MI 49201-2141 - Phone
- (517) 435-0260
- Fax
- (517) 435-0261
- NPI assigned
- Apr 25, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | RM068733 | MI | Primary |
Addresses
Primary practice location
306 W Washington Ave Ste 102
Jackson, MI 49201-2141
Mailing address
306 W Washington Ave Ste 102
Jackson, MI 49201-2141
Phone (517) 435-0260
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4769501 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040401001179 | MI | Practitioner - Cardiovascular Disease (Cardiology) | 2860484573 | Reassigns benefits to 4 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Other, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
205 N E Ave
Henry Ford Allegiance Health
Jackson, MI 49201-1753
Phone (517) 205-4800
306 W Washington Ave
Suite 102
Jackson, MI 49201-2141
Phone (517) 435-0260
Hospital & facility affiliations
- Henry Ford Allegiance Health
- University of Michigan Health System
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 11 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RM068733 | MI | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| W. a. Foote Memorial Hospital, Inc | Current | Accepting new patients | |
| Rajendra Mehta, MD, PC | Current | Accepting new patients | |
| Jackson OB-GYN PLC | Current | Accepting new patients | |
| Jackson Cardiology & Associates | Cardiovascular Disease | Current | Accepting new patients |
| W.a. Foote Memorial Hospital, Inc | Current | Accepting new patients | |
| Jackson Cardiology Consultants PLLC | Current | Accepting new patients |
Locations
306 W Washington Ave
Ste 102
Jackson, MI 49201
Phone (517) 435-0260
205 N East Ave
Jackson, MI 49201
Phone (517) 788-4730
214 N West Ave
Jackson, MI 49201
Phone (517) 784-9189
1701 Lake Lansing Rd
Ste 100
Lansing, MI 48912
Phone (517) 485-9676
Interoperability endpoints
- rmehta444313@direct.hfhs.org
Organizations & group practices 6
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.
-
- Advanced Heart Failure and Transplant Cardiology Physician
- Jackson, MI
- NPI 1477168607
MI
-
- Cardiovascular Disease Physician
- Jackson, MI
- NPI 1841200722
Cardiovascular Disease, MI
-
- Interventional Cardiology Physician
- Jackson, MI
- NPI 1053970624
MI
-
- Obstetrics & Gynecology Physician
- Jackson, MI
- NPI 1790956837
-
- Interventional Cardiology Physician
- Jackson, MI
- NPI 1497292361
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Ann Arbor, MI
- NPI 1003878539
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1669852800000",
"number": "1770549099",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "306 W WASHINGTON AVE STE 102",
"city": "JACKSON",
"state": "MI",
"postal_code": "492012141",
"telephone_number": "517-435-0260",
"fax_number": "517-435-0261"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "306 W WASHINGTON AVE STE 102",
"city": "JACKSON",
"state": "MI",
"postal_code": "492012141",
"telephone_number": "517-435-0260",
"fax_number": "517-435-0261"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEHTA",
"first_name": "RAJENDRA",
"middle_name": "H",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-04-25",
"last_updated": "2022-12-01",
"certification_date": "2022-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "MI",
"license": "RM068733",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4769501",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2022; 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.