Individual provider Active NPI

Nirav Rashmikant Mehta, DO

  • Nephrology Physician
  • Flushing, NY
National Provider Identifier
1871825067
Registry record updated Aug 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
263134 Issued in NY
Practice address
15352 76TH Rd Unit CF1
Flushing, NY 11367-3183
Phone
(718) 820-0120
Fax
(718) 820-0121
NPI assigned
Feb 12, 2010
Last updated
Aug 22, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 263134 NY Primary

Addresses

Primary practice location

15352 76TH Rd Unit CF1
Flushing, NY 11367-3183

Mailing address

1820 E Ray Rd Ste B201
Chandler, AZ 85225-8720
Phone (855) 397-0197

Other practice location 1

7108 Park Ave
Fresh Meadows, NY 11365-4105
Phone (718) 820-0120

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20150812006757 NY Practitioner - NephrologyPractitioner - Internal Medicine 1557676103 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
New York College of Osteo Medicine of New York Institute of Technology, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Park Avenue Nephrology and Medicine PCGroup PAC ID 0840430344, 5 clinicians

Practice addresses (Care Compare)

15352 76TH Rd
Flushing, NY 11367-3183
Phone (718) 820-0120

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Park Avenue Nephrology & Medicine, PC Nephrology CurrentSince Jan 2, 2018 Accepting new patients

Locations

1840 E Ray Rd
Chandler, AZ 85225
Phone (855) 397-0197

15352 76th Rd
Ste CF1
Flushing, NY 11367
Phone (718) 820-0120

7108 Park Ave
Fresh Meadows, NY 11365
Phone (718) 820-0120

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: nmehta43391@direct.davitaphysiciansolutions.com

Organizations & group practices 1

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.

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": "1265932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661126400000",
    "number": "1871825067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1820 E RAY RD STE B201",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852258720",
            "telephone_number": "855-397-0197",
            "fax_number": "800-272-6512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15352 76TH RD UNIT CF1",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113673183",
            "telephone_number": "718-820-0120",
            "fax_number": "718-820-0121"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7108 Park Ave",
            "address_purpose": "LOCATION",
            "city": "Fresh Meadows",
            "state": "NY",
            "postal_code": "113654105",
            "country_code": "US",
            "telephone_number": "718-820-0120",
            "fax_number": "718-820-0121",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEHTA",
        "first_name": "NIRAV",
        "middle_name": "RASHMIKANT",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-02-12",
        "last_updated": "2022-08-22",
        "certification_date": "2022-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NY",
            "license": "263134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

Verify at the official NPI Registry.