Active NPI
Ajeet Singh Mehta, M.D.
- Diagnostic Radiology Physician
- Lisle, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- MD472494
- Practice address
- 430 Warrenville Rd Ste 110
Lisle, IL 60532-1348 - Phone
- (630) 946-2020
- NPI assigned
- Apr 18, 2012
- Last updated
- Sep 23, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NU | ||
| Neuroradiology Physician | 2085N0700X | 036-152359 | IL | |
| Neuroradiology Physician | 2085N0700X | MD472494 | PA | |
| Diagnostic Radiology Physician | 2085R0202X | MD472494 | PA | Primary |
| Diagnostic Radiology Physician | 2085R0202X | 036152359 | IL | |
| Diagnostic Radiology Physician | 2085R0202X | 080909 | GA |
Addresses
Primary practice location
430 Warrenville Rd Ste 110
Lisle, IL 60532-1348
Mailing address
PO Box 713260
Chicago, IL 60677-1260
Phone (630) 469-9200
Other practice location 1
401 Liberty Ave Ste 2000
Pittsburgh, PA 15222-1029
Phone (412) 230-8200
Other practice location 2
110 Irving St NW
Department of Internal Medicine
Washington, DC 20010-3017
Phone (202) 877-8278
Other practice location 3
790 Church St NE Ste 400
Marietta, GA 30060-8957
Phone (678) 239-0420
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036152359 | Medicaid | IL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | amehta209749@dulyhealthandcare.direct-ci.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, IL, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- University of Pittsburgh School of Medicine, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1118 Hampshire St
Quincy, IL 62301-3027
Phone (217) 222-6550
211 N Eddy St
South Bend, IN 46617-2808
Phone (574) 234-8161
430 Warrenville Rd
Suite 210
Lisle, IL 60532-1348
Phone (630) 432-6180
861 W Roscoe St
Unit 3
Chicago, IL 60657-2303
Phone (832) 422-9562
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-152359 | IL | MD | Neuroradiology Physician |
| MD472494 | PA | MD | Neuroradiology Physician |
| 036152359 | IL | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Quincy Physicians & Surgeons Clinic, PLLC | Current | Accepting new patients | |
| The South Bend Clinic LLC | Current | Accepting new patients | |
| The South Bend Clinic, LLC | Current | Accepting new patients | |
| Quincy Physicians & Surgeons Clinic, PLLC | Current | Accepting new patients | |
| Columbus Radiology Corp | Diagnostic Radiology | Current | Accepting new patients |
| Dupage Medical Group LTD | Current | Accepting new patients | |
| Dupage Medical Group LTD | Current | Accepting new patients | |
| Quincy Physicians & Surgeons Clinic, PLLC | Current | Accepting new patients | |
| Diagnostic Systems Inc | Diagnostic Radiology | Past | Accepting new patients |
| Synergy Radiology, LLC | Past | Accepting new patients |
Locations
30 Stratford Dr
Bloomingdale, IL 60108
Phone (630) 893-2210
1860 Paysphere Cir
Chicago, IL 60674
Phone (630) 469-2000
430 Warrenville Rd
Ste 110
Lisle, IL 60532
Phone (630) 946-2020
430 Warrenville Rd
Ste 210
Lisle, IL 60532
Phone (630) 432-6180
1025 Maine St
Quincy, IL 62301
Phone 21722265503163
1118 Hampshire St
Quincy, IL 62301
1800 N Main St
Wheaton, IL 60187
Phone (630) 469-0045
301 E Day Rd
Mishawaka, IN 46545
Phone (574) 204-7300
211 N Eddy St
South Bend, IN 46617
Phone (574) 237-9331
800 W Main St
Coldwater, OH 45828
Phone (419) 678-2341
107 Royal Birkdale Dr
Ste A
Columbiana, OH 44408
Phone (330) 482-9350
111 S Grant Ave
Columbus, OH 43215
Phone (614) 461-3232
471 E Broad St
Ste 1400
Columbus, OH 43215
Phone (614) 221-9241
1404 E 2nd St
Defiance, OH 43512
Phone (567) 368-1008
550 Mirabeau St
Greenfield, OH 45123
Phone (937) 672-4128
401 N Ewing St
Lancaster, OH 43130
Phone (740) 687-8000
2600 Navarre Ave
Oregon, OH 43616
Phone (419) 696-7200
45 St Lawrence Dr
Tiffin, OH 44883
Phone (419) 448-1900
2213 Cherry St
Toledo, OH 43608
Phone (419) 251-4283
3404 W Sylvania Ave
Toledo, OH 43623
Phone (419) 407-1422
1932 Niles Cortland Rd NE
Ste X
Warren, OH 44484
Phone (330) 306-5371
100 Dawn Ln
Waverly, OH 45690
Phone (740) 947-2186
1430 Columbus Ave
Wshngtn Ct Hs, OH 43160
Phone (740) 333-2705
Interoperability endpoints
- amehta209749@dulyhealthandcare.direct-ci.com
- https://epicproxy.et1296.epichosted.com/APIProxyPRD/api/FHIR/R4/
Organizations & group practices 12
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.
-
dba DuPage Medical Group
- Multi-Specialty Clinic/Center
- Downers Grove, IL
- NPI 1801833983
-
- Clinic/Center
- Quincy, IL
- NPI 1548234198
-
- Clinic/Center
- South Bend, IN
- NPI 1073680419
-
dba Highlands Hospital Physicians
- Family Medicine Physician
- Connellsville, PA
- NPI 1447443957
IL
-
- Durable Medical Equipment & Medical Supplies
- Glen Ellyn, IL
- NPI 1760979447
-
dba Quincy Medical Group Barry Affiliate
- Rural Health Clinic/Center
- Barry, IL
- NPI 1013981547
-
- Durable Medical Equipment & Medical Supplies
- Pittsfield, IL
- NPI 1871794925
-
- Anesthesiology Physician
- South Bend, IN
- NPI 1487307492
-
dba Open MRI Of Savannah LLC
- Diagnostic Radiology Physician
- Savannah, GA
- NPI 1518064237
-
dba American Health Imaging of Douglasville, LLC
- Radiology Clinic/Center
- Douglasville, GA
- NPI 1588229918
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Adena Regional Medical Center
- General Acute Care Hospital
- Chillicothe, OH
- NPI 1902839673
-
- General Acute Care Hospital
- Lancaster, OH
- NPI 1467433763
-
- General Acute Care Hospital
- Saint Marys, OH
- NPI 1639133002
-
dba Mercer Health
- General Acute Care Hospital
- Coldwater, OH
- NPI 1497784144
-
dba Mercy Health St Vincent Medical Center
- General Acute Care Hospital
- Toledo, OH
- NPI 1467493551
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1334707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790121600000",
"number": "1811254592",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 713260",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606771260",
"telephone_number": "630-469-9200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "430 WARRENVILLE RD STE 110",
"city": "LISLE",
"state": "IL",
"postal_code": "605321348",
"telephone_number": "630-946-2020"
}
],
"practiceLocations": [
{
"address_1": "401 Liberty Ave Ste 2000",
"address_purpose": "LOCATION",
"city": "Pittsburgh",
"state": "PA",
"postal_code": "152221029",
"country_code": "US",
"telephone_number": "412-230-8200",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "110 Irving St NW",
"address_2": "Department of Internal Medicine",
"address_purpose": "LOCATION",
"city": "Washington",
"state": "DC",
"postal_code": "200103017",
"country_code": "US",
"telephone_number": "202-877-8278",
"fax_number": "202-877-6292",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "790 Church St NE Ste 400",
"address_purpose": "LOCATION",
"city": "Marietta",
"state": "GA",
"postal_code": "300608957",
"country_code": "US",
"telephone_number": "678-239-0420",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MEHTA",
"first_name": "AJEET",
"middle_name": "SINGH",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-04-18",
"last_updated": "2026-09-23",
"certification_date": "2026-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "2085N0700X",
"taxonomy_group": "",
"desc": "Radiology, Neuroradiology",
"state": "IL",
"license": "036-152359",
"primary": false
},
{
"code": "2085N0700X",
"taxonomy_group": "",
"desc": "Radiology, Neuroradiology",
"state": "PA",
"license": "MD472494",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "PA",
"license": "MD472494",
"primary": true
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "IL",
"license": "036152359",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "GA",
"license": "080909",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036152359",
"state": "IL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "amehta209749@dulyhealthandcare.direct-ci.com",
"affiliation": "N",
"address_1": "430 Warrenville Rd Ste 110",
"city": "Lisle",
"state": "IL",
"country_code": "US",
"postal_code": "605321348",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Lisle, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2026; 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.