Individual provider Active NPI

Neal Mehta, M.D.

  • Internal Medicine Physician
  • Batesville, AR
National Provider Identifier
1811429210
Registry record updated Jul 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
286876 Issued in MA
Practice address
1710 Harrison St
Batesville, AR 72501-7303
Phone
(870) 262-1200
NPI assigned
Apr 3, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 7, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 01000001270687 VA
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 286876 MA Primary
Hospitalist Physician 208M00000X 62154 TN

Addresses

Primary practice location

1710 Harrison St
Batesville, AR 72501-7303

Mailing address

75 Francis St
Boston, MA 02115-6110
Phone (617) 278-0055

Other practice location 1

408 N State Of Franklin Rd Ste 24
Johnson City, TN 37604-6048
Phone (423) 431-7111

Other practice location 2

16000 Johnston Memorial Dr Fl 4
Abingdon, VA 24211-7664
Phone (276) 258-4050

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, TN, MA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20201117000578 VA Practitioner - Hospitalist 0749559664 Reassigns benefits to 1 organization
I20201119003133 TN Practitioner - Hospitalist 0749559664 Reassigns benefits to 2 organizations
I20210714001644 MA Practitioner - Internal Medicine 0749559664 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Tennessee, HSC, College of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

75 Francis St
Boston, MA 02115-6110
Phone (617) 732-5500

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
286876MAMDInternal Medicine Physician
01000001270687VAMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Brigham and Women'S Hospital Current Accepting new patients
Blue Ridge Medical Management Corporation CurrentSince Nov 8, 2020 Accepting new patients
Brigham & Womens Physicians Organization Inc Multi-Specialty CurrentSince Jul 1, 2021 Accepting new patients
Blue Ridge Medical Management Corporation Multi-Specialty CurrentSince Nov 8, 2020 Accepting new patients
Blue Ridge Medical Management Corporation Multi-Specialty Current Accepting new patients
Blue Ridge Medical Management Corporation Multi-Specialty Current Accepting new patients
Wellmont Medical Associates Inc Multi-Specialty CurrentSince Nov 8, 2020 Accepting new patients
Blue Ridge Medical Management Corporation Multi-Specialty CurrentSince Nov 8, 2020 Accepting new patients

Locations

75 Francis St
Boston, MA 02115

254 2nd Ave
Ste 100
Needham Heights, MA 02494
Phone (781) 416-8412

1497 W Elk Ave
Ste 20
Elizabethton, TN 37643
Phone (423) 547-7380

1019 W Oakland Ave
Ste 1
Johnson City, TN 37604
Phone (423) 915-5000

408 N State of Franklin Rd
Ste 24
Johnson City, TN 37604
Phone (423) 431-1810

111 W Stone Dr
Ste 100
Kingsport, TN 37660
Phone (423) 247-5197

130 W Ravine Rd
Kingsport, TN 37660
Phone (423) 224-3150

323 Falls Dr NW
Abingdon, VA 24210
Phone (276) 628-2612

16000 Johnston Memorial Dr
Fl 4
Abingdon, VA 24211
Phone (276) 258-1000

Interoperability endpoints

  • Direct secure messaging: mehta.neal.bwh@direct.partners.masshiway.net

Organizations & group practices 8

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 4

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": "1491177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625616000000",
    "number": "1811429210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 FRANCIS ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021156110",
            "telephone_number": "617-278-0055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1710 HARRISON ST",
            "city": "BATESVILLE",
            "state": "AR",
            "postal_code": "725017303",
            "telephone_number": "870-262-1200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "408 N State Of Franklin Rd Ste 24",
            "address_purpose": "LOCATION",
            "city": "Johnson City",
            "state": "TN",
            "postal_code": "376046048",
            "country_code": "US",
            "telephone_number": "423-431-7111",
            "fax_number": "423-431-7092",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16000 Johnston Memorial Dr Fl 4",
            "address_purpose": "LOCATION",
            "city": "Abingdon",
            "state": "VA",
            "postal_code": "242117664",
            "country_code": "US",
            "telephone_number": "276-258-4050",
            "fax_number": "276-258-4056",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEHTA",
        "first_name": "NEAL",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-04-03",
        "last_updated": "2021-07-07",
        "certification_date": "2021-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "VA",
            "license": "01000001270687",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "286876",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "TN",
            "license": "62154",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Batesville, AR

Sources for this page

Verify at the official NPI Registry.