Individual provider Active NPI

Samar Bharat Mehta, M.D., PH.D.

  • Critical Care Medicine (Internal Medicine) Physician
  • Baltimore, MD
National Provider Identifier
1851689673
Registry record updated Jun 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
AU4176435-M999110988 Issued in MD
Practice address
900 S Caton Ave
Baltimore, MD 21229-5201
Phone
(667) 234-6000
NPI assigned
Jul 13, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 15, 2023

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 274534 MA
Internal Medicine Physician 207R00000X 274534 MA
Infectious Disease Physician 207RI0200X 274534 MA
Student in an Organized Health Care Education/Training Program 390200000X 274534 MA
Critical Care Medicine (Internal Medicine) Physician 207RC0200X AU4176435-M999110988 MD Primary

Addresses

Primary practice location

900 S Caton Ave
Baltimore, MD 21229-5201

Mailing address

1730 Bank St Apt 7
Baltimore, MD 21231-2448
Phone (713) 299-9924

Other practice location 1

22 S Greene St
Baltimore, MD 21201
Phone (410) 328-8667

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20230622003538 MD Practitioner - Critical Care (Intensivists)Practitioner - Internal Medicine 1850656786 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Critical Care (Intensivists)Also: Internal Medicine
Education
State University of New York Downstate Medical Center, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Agnes Healthcare IncGroup PAC ID 9830092733, 265 clinicians

Practice addresses (Care Compare)

900 Caton Ave
Baltimore, MD 21229-5201
Phone (667) 234-3120

Hospital & facility affiliations

  • Accentcare Hospice & Palliative Care of Maryland Hospice, Columbia, MD, CCN 211507
  • Saint Agnes Hospital Hospital, Baltimore, MD, CCN 210011

Merit-based Incentive Payment System (MIPS)

Final score
84.24 of 100Reported as group
Quality
75.4
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AU4176435-M999110988MDMDCritical Care Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Medicine Associates P.a., P.C. Internal Medicine CurrentSince Aug 1, 2023 Accepting new patients
Mep Health, LLC Emergency Medicine CurrentSince Oct 15, 2023 Accepting new patients
St Agnes Healthcare Inc Internal Medicine CurrentSince Jul 5, 2023 Accepting new patients
Emergency Medicine Associates P.a., P.C. Emergency Medicine CurrentSince Aug 1, 2023 Accepting new patients
St Agnes Healthcare Inc CurrentSince Jul 5, 2023 Accepting new patients
St. Agnes Healthcare, Inc. Past Accepting new patients

Locations

900 S Caton Ave
Baltimore, MD 21229
Phone (410) 368-3120

12500 Willowbrook Rd
Cumberland, MD 21502
Phone (240) 964-1255

3585 Washington Blvd
Halethorpe, MD 21227

200 Memorial Ave
Westminster, MD 21157
Phone (410) 848-3000

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1310515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686787200000",
    "number": "1851689673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1730 BANK ST APT 7",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212312448",
            "telephone_number": "713-299-9924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 S CATON AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212295201",
            "telephone_number": "667-234-6000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22 S Greene St",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "21201",
            "country_code": "US",
            "telephone_number": "410-328-8667",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEHTA",
        "first_name": "SAMAR",
        "middle_name": "BHARAT",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-07-13",
        "last_updated": "2023-06-15",
        "certification_date": "2023-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MA",
            "license": "274534",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "274534",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "MA",
            "license": "274534",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MA",
            "license": "274534",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "MD",
            "license": "AU4176435-M999110988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.