Individual provider Active NPI

Priyesh Mehta, D.O.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Dayton, OH
National Provider Identifier
1811284326
Registry record updated May 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
34.011983 Issued in OH
Practice address
1010 Woodman Dr
Dayton, OH 45432-1400
Phone
(937) 424-2215
NPI assigned
Jul 5, 2011
Last updated
May 11, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X 34.011983 OH Primary
Interventional Pain Medicine Physician 208VP0014X 34.011983 OH

Addresses

Primary practice location

1010 Woodman Dr
Dayton, OH 45432-1400

Mailing address

1010 Woodman Dr
Dayton, OH 45432-1400
Phone (937) 424-2215

Other identifiers 1

IdentifierTypeStateIssuer
0160014MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20160331002114 OH Practitioner - Physical Medicine and RehabilitationPractitioner - Interventional Pain Management 2466759758 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and RehabilitationAlso: Interventional Pain Management
Education
University of New England, College of Osteo Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Suresh Gupta MD IncGroup PAC ID 3173426350, 8 clinicians

Practice addresses (Care Compare)

1010 Woodman Dr
Dayton, OH 45432-1400
Phone (937) 252-2000

Merit-based Incentive Payment System (MIPS)

Final score
87.62 of 100Reported as individual
Quality
76.77
Promoting interoperability
100
Improvement activities
40
Cost
65.56

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal78

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34.011983OHMDPain Medicine (Physical Medicine & Rehabilitation) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Suresh Gupta MD Inc CurrentSince Jun 1, 2016 Accepting new patients
Miami Valley Urgent Care LLC CurrentSince Apr 4, 2017 Accepting new patients
Dayton Outpatient Center Inc Current Accepting new patients
Lima Memorial Joint Operating Company Interventional Pain Medicine Past Accepting new patients
Miami Valley Ambulatory Surgery Center LTD Past Accepting new patients

Locations

1010 Woodman Dr
Dayton, OH 45432
Phone (937) 252-5500

7774 Dayton Springfield Rd
Fairborn, OH 45324
Phone (937) 398-0354

1403 Wagner Ave
Greenville, OH 45331
Phone (937) 459-5389

1 Medical Center Dr
Middletown, OH 45005
Phone (513) 424-2111

998 S Dorset Rd
Ste 206
Troy, OH 45373
Phone (937) 332-1165

8230 Beckett Park Dr
Ste C
West Chester, OH 45069

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/9965/brand/1/csg/1/fhir/r4
  • Direct secure messaging: priyesh.mehta.1@9965.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1309824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683763200000",
    "number": "1811284326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 WOODMAN DR",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454321400",
            "telephone_number": "937-424-2215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 WOODMAN DR",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454321400",
            "telephone_number": "937-424-2215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEHTA",
        "first_name": "PRIYESH",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-05",
        "last_updated": "2023-05-11",
        "certification_date": "2023-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "OH",
            "license": "34.011983",
            "primary": true
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "OH",
            "license": "34.011983",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0160014",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

Verify at the official NPI Registry.