Praful R Mehta, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

F5654 Issued in TX

Practice address

6100 Bandera Rd
Suite 710
San Antonio, TX 78238-1652

Phone

(210) 523-9800

Fax

(210) 523-9803

NPI assigned

Oct 4, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276646400000",
    "number": "1831284892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6100 BANDERA RD",
            "address_2": "SUITE 710",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782381652",
            "telephone_number": "210-523-9800",
            "fax_number": "210-523-9803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6100 BANDERA RD",
            "address_2": "SUITE 710",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782381652",
            "telephone_number": "210-523-9800",
            "fax_number": "210-523-9803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEHTA",
        "first_name": "PRAFUL",
        "middle_name": "R",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2010-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "F5654",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1367757-03",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "110160381",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anjlee Mahesh Mehta, M.D.
• Kandarp C Mehta, PHARMD
• Paresh P Mehta, M.D.
• Parth S. Mehta, M.D.
• Parv Mahendra Mehta, MD
• Sumeru Ghanshyam Mehta, M.D.
• Tania Mehta, CRNA
• Vaidehi J Mehta, D.M.D.
• Carl Richard Meier, MD
• Maxwell Meier

• Internal Medicine Physician in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2010; 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.