Individual provider Active NPI

Bhasker Rai Mehta, MD

  • Nephrology Physician
  • Arlington, TX
National Provider Identifier
1790787612
Registry record updated Apr 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
F9815 Issued in TX
Practice address
3295 S Cooper St
Suite 131
Arlington, TX 76015-2363
Phone
(817) 557-0099
NPI assigned
Aug 11, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2013

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X F9815 TX
Internal Medicine Physician 207R00000X F9815 TX
Nephrology Physician 207RN0300X F9815 TX Primary

Addresses

Primary practice location

3295 S Cooper St
Suite 131
Arlington, TX 76015-2363

Mailing address

3295 S Cooper St
Suite 131
Arlington, TX 76015-2363

Other identifiers 1

IdentifierTypeStateIssuer
122527803MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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 1

Enrollment IDStateProvider typePAC IDDetails
I20130228000427 TX Practitioner - NephrologyPractitioner - Internal Medicine 0446160188 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arlington Nephrology, P.a. 4 clinicians

Practice addresses (Care Compare)

3295 S Cooper St
Suite 119
Arlington, TX 76015-2359
Phone (817) 557-0099

Hospital & facility affiliations

  • South Arlington Dialysis Center Dialysis facility, Arlington, TX, CCN 452592
  • Grand Prairie Dialysis Center Inc Dialysis facility, Grand Prairie, TX, CCN 452863

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
B Rai Mehta, MD PA Specialist PastSince Feb 8, 2008 Accepting new patients
South Arlington Dialysis Center LLC Past Accepting new patients

Organizations & group practices 3

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.

Hospital & facility affiliations 2

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": "1123718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366588800000",
    "number": "1790787612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3295 S COOPER ST",
            "address_2": "SUITE 131",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760152363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3295 S COOPER ST",
            "address_2": "SUITE 131",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760152363",
            "telephone_number": "817-557-0099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEHTA",
        "first_name": "BHASKER",
        "middle_name": "RAI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-11",
        "last_updated": "2013-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "F9815",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "F9815",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "TX",
            "license": "F9815",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "122527803",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

Verify at the official NPI Registry.