Pratima M Mehta, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

01032516A Issued in IN

Practice address

5825 Broadway
Suite a
Merrillville, IN 46410-2687

Phone

(219) 884-1400

Fax

(219) 884-1453

NPI assigned

Aug 5, 2006

Last updated

Nov 26, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Northwest Indiana Nephrology PC

  • Nephrology Physician
  • Valparaiso, IN
  • NPI 1285991885
  NPD (past)
• Porter Health Services

  dba Westchester Medical Group

  • Family Medicine Physician
  • Chesterton, IN
  • NPI 1164483590
  NPD (past)
• Porter Physician Services LLC

  • Family Medicine Physician
  • Valparaiso, IN
  • NPI 1508075680
  NPD (past)
• Sterling Emergency Services of Indiana, Inc

  • Nurse Practitioner
  • Gary, IN
  • NPI 1568420206
  NPD (past)
• Sterling Emergency Services of Indiana, Inc

  • Nurse Practitioner
  • Merrillville, IN
  • NPI 1629036363
  NPD (past)
• The Methodist Hospitals, Inc

  dba D/B/A Methodist Cosmetic & Reconstructive Surgery

  • Plastic and Reconstructive Surgery Physician
  • Gary, IN
  • NPI 1356574701
  NPD (past)

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416960000000",
    "number": "1780693341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "441,SCARBOROUGH ROAD,",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463858008",
            "telephone_number": "219-465-1834",
            "fax_number": "219-548-7061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5825 BROADWAY",
            "address_2": "SUITE A",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464102687",
            "telephone_number": "219-884-1400",
            "fax_number": "219-884-1453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEHTA",
        "first_name": "PRATIMA",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-05",
        "last_updated": "2014-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146D00000X",
            "taxonomy_group": "",
            "desc": "Personal Emergency Response Attendant",
            "state": "IN",
            "license": "01032516A",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01032516A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP INDIVIDUAL",
            "identifier": "247800C",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP",
            "identifier": "247800",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patty A Meding
• Diane Medley, BS
• Medlife Diagnostic Services, Inc (Medlife Diagnostics)
• Medlife Diagnostic Services, Inc
• Mahesh P Mehta, MD
• Meijer Stores Limited Partnership (Meijer Pharmacy #165)
• Eleanor Mellin
• Jacek Wladyslaw Mendala, PT
• Israel Ronaldo Mendoza, AA
• Mental Maneuvers Counseling, LLC

• Family Medicine Physician in Merrillville, IN
• Providers in Merrillville, IN by specialty
• Family Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2014; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.