Sheetal Mehta, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

01100830A Issued in IN

Practice address

70 W 94TH PL
Crown Point, IN 46307-1710

Phone

(219) 662-8822

Fax

(219) 662-8833

NPI assigned

Apr 23, 2007

Last updated

Sep 25, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 11

Addresses

Other identifiers 1

Electronic endpoints 8

Medicare fee-for-service enrollment

Enrolled in IL

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

Specialty

Micrographic Dermatologic Surgery (MDS)

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dupage Medical Group LTDGroup PAC ID 5496667941, 1,326 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sheetal.mehta.p1@direct.forefrontderm.nextgenshare.com
• Direct secure messaging: smehta209003@dulyhealthandcare.direct-ci.com

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.

• Dupage Medical Group LTD

  dba DuPage Medical Group

  • Multi-Specialty Clinic/Center
  • Downers Grove, IL
  • NPI 1801833983
  Medicare reassignment Care Compare group NPD
• Schaumburg Dermatology SC

  • Dermatology Physician
  • Schaumburg, IL
  • NPI 1609987171
  Medicare reassignment NPD
• Dupage Medical Group LTD

  • Durable Medical Equipment & Medical Supplies
  • Glen Ellyn, IL
  • NPI 1760979447
  NPD
• Loyola University Physician Foundation

  • General Practice Physician
  • Maywood, IL
  • NPI 1235148891
  NPD (past)
• Oak Dermatology LLC

  • MOHS-Micrographic Surgery Physician
  • Itasca, IL
  • NPI 1487168258
  NPD (past)
• Rockford Psychiatric Medical Services, S.C.

  • Psychiatry Physician
  • Rockford, IL
  • NPI 1821391442
  NPD (past)
• Rush University Medical Center

  dba University Gastroenterologists

  • Gastroenterology Physician
  • Chicago, IL
  • NPI 1073555769
  NPD (past)

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790294400000",
    "number": "1841418035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 YORK ST",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542204630",
            "telephone_number": "920-663-9008",
            "fax_number": "920-684-1439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 W 94TH PL",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463071710",
            "telephone_number": "219-662-8822",
            "fax_number": "219-662-8833"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6807 Knightdale Blvd Ste C",
            "address_purpose": "LOCATION",
            "city": "Knightdale",
            "state": "NC",
            "postal_code": "275456563",
            "country_code": "US",
            "telephone_number": "919-217-5510",
            "fax_number": "919-217-5501",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "615 Valley View Dr Ste 204",
            "address_purpose": "LOCATION",
            "city": "Moline",
            "state": "IL",
            "postal_code": "612656180",
            "country_code": "US",
            "telephone_number": "309-227-6552",
            "fax_number": "309-277-6553",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1400 Scheuring Rd",
            "address_purpose": "LOCATION",
            "city": "DE Pere",
            "state": "WI",
            "postal_code": "541151067",
            "country_code": "US",
            "telephone_number": "920-964-0229",
            "fax_number": "920-964-0248",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5700 Mexico Rd Ste 14",
            "address_purpose": "LOCATION",
            "city": "Saint Peters",
            "state": "MO",
            "postal_code": "633761667",
            "country_code": "US",
            "telephone_number": "636-277-0371",
            "fax_number": "636-447-4161",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4020 New Vision Dr",
            "address_purpose": "LOCATION",
            "city": "Fort Wayne",
            "state": "IN",
            "postal_code": "468451737",
            "country_code": "US",
            "telephone_number": "260-423-2567",
            "fax_number": "260-420-2415",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2155 City Gate Ln Ste 225",
            "address_purpose": "LOCATION",
            "city": "Naperville",
            "state": "IL",
            "postal_code": "605637770",
            "country_code": "US",
            "telephone_number": "630-547-5040",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3935 N Lightning Dr",
            "address_purpose": "LOCATION",
            "city": "Appleton",
            "state": "WI",
            "postal_code": "549136717",
            "country_code": "US",
            "telephone_number": "920-968-1790",
            "fax_number": "920-968-1794",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2613 Hospital Rd",
            "address_purpose": "LOCATION",
            "city": "Goldsboro",
            "state": "NC",
            "postal_code": "275349424",
            "country_code": "US",
            "telephone_number": "919-736-0222",
            "fax_number": "919-736-0223",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7560 Carpenter Fire Station Rd Ste 204",
            "address_purpose": "LOCATION",
            "city": "Cary",
            "state": "NC",
            "postal_code": "275199637",
            "country_code": "US",
            "telephone_number": "919-439-4206",
            "fax_number": "919-439-9375",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8567 Watson Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "Webster Groves",
            "state": "MO",
            "postal_code": "631195251",
            "country_code": "US",
            "telephone_number": "314-528-9040",
            "fax_number": "314-528-9041",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEHTA",
        "first_name": "SHEETAL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-23",
        "last_updated": "2026-09-25",
        "certification_date": "2026-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "IN",
            "license": "01100830A",
            "primary": true
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NC",
            "license": "2026-04051",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "IL",
            "license": "036-114222",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MO",
            "license": "2026045232",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "NC",
            "license": "2026-04051",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "IL",
            "license": "036.114222",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "IN",
            "license": "01100830A",
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "IL",
            "license": "036.11422",
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "IN",
            "license": "01100830A",
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "NC",
            "license": "2026-04051",
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "MO",
            "license": "2026045232",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036114222",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "smehta209003@dulyhealthandcare.direct-ci.com",
            "affiliation": "N",
            "address_1": "2155 City Gate Ln Ste 225",
            "city": "Naperville",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605637770",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Sheetal.Mehta@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "8567 Watson Rd Ste A",
            "city": "Webster Groves",
            "state": "MO",
            "country_code": "US",
            "postal_code": "631195251",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Sheetal.Mehta@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "5700 Mexico Rd Ste 14",
            "city": "Saint Peters",
            "state": "MO",
            "country_code": "US",
            "postal_code": "633761667",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Sheetal.Mehta@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "6807 Knightdale Blvd Ste C",
            "city": "Knightdale",
            "state": "NC",
            "country_code": "US",
            "postal_code": "275456563",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Sheetal.Mehta@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "2613 Hospital Rd",
            "city": "Goldsboro",
            "state": "NC",
            "country_code": "US",
            "postal_code": "275349424",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Sheetal.Mehta@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "7560 Carpenter Fire Station Rd Ste 204",
            "city": "Cary",
            "state": "NC",
            "country_code": "US",
            "postal_code": "275199637",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Sheetal.Mehta@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "4020 New Vision Dr",
            "city": "Fort Wayne",
            "state": "IN",
            "country_code": "US",
            "postal_code": "468451737",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Sheetal.Mehta@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "70 W 94th Pl",
            "city": "Crown Point",
            "state": "IN",
            "country_code": "US",
            "postal_code": "463071710",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Mary E Means, CRNA
• Brandy Medendorp
• Rachel Medina, DPT
• Brittany Medley, NP
• Susan Mehok, PTA
• Addis Mekonnen
• Kimberly Melf, LCSW
• Fabian Mendoza
• Stephanie Mensonides, CCC-SLP
• Alisa Meredith, RBT

• Dermatology Physician in Crown Point, IN
• Providers in Crown Point, IN by specialty
• Dermatology Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 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.

Verify at the official NPI Registry.