Active NPI
Rajesh Kumar Mehta, MD
- Child & Adolescent Psychiatry Physician
- Norfolk, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- 0101280942
- Practice address
- 401 Gresham Dr FL 9
Norfolk, VA 23507 - Phone
- (757) 668-4673
- Fax
- (757) 668-8870
- NPI assigned
- Jul 10, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 27410 | WV | |
| Psychiatry Physician | 2084P0800X | 35.134733 | OH | |
| Child & Adolescent Psychiatry Physician | 2084P0804X | 35.134733 | OH | |
| Child & Adolescent Psychiatry Physician | 2084P0804X | 27410 | WV | |
| Student in an Organized Health Care Education/Training Program | 390200000X | 2012017200 | MO | |
| Child & Adolescent Psychiatry Physician | 2084P0804X | 0101280942 | VA | Primary |
Addresses
Primary practice location
401 Gresham Dr FL 9
Norfolk, VA 23507
Mailing address
401 Gresham Dr FL 9
Norfolk, VA 23507
Phone (757) 668-4673
Other practice location 1
300 56th Street, S.E.
Charleston, WV 25304-2308
Phone (304) 926-1600 ext. 1509
Other practice location 2
1438 S Grand Blvd
Saint Louis, MO 63104-1027
Phone (314) 977-4850
Other practice location 3
2500 Metrohealth Dr
Cleveland, OH 44109-1900
Phone (317) 440-2757
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27410 | WV | MD | Psychiatry Physician |
| 2012017200 | MO | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Metrohealth System | Current | Accepting new patients | |
| Summit BHC West Virginia, LLC | Multi-Specialty | Current | Accepting new patients |
| Childrens Specialty Group PLLC | Multi-Specialty | Current | Accepting new patients |
| Summit BHC West Virginia LLC | Current | Accepting new patients |
Locations
2500 Metrohealth Dr
Cleveland, OH 44109
Phone (216) 778-2348
680 Oyster Point Rd
Newport News, VA 23606
Phone (757) 668-4673
850 Southampton Ave
Norfolk, VA 23510
Phone (757) 668-4673
601 Childrens Ln
Norfolk, VA 23507
Phone (757) 668-7272
1924 Landstown Centre Way
Virginia Beach, VA 23456
Phone (757) 668-4673
2021 Concert Dr
Virginia Beach, VA 23456
Phone (757) 668-6550
300 56th St SE
Ste A
Charleston, WV 25304
Phone (304) 926-1600
300 56th St SE
Charleston, WV 25304
Phone (304) 926-1600
Interoperability endpoints
- rmehta189432@direct.metrohealth.org
Organizations & group practices 4
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.
-
- Psychiatric Hospital
- Charleston, WV
- NPI 1427672336
-
- General Acute Care Hospital
- Cleveland, OH
- NPI 1700828852
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1341878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724889600000",
"number": "1871858340",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 GRESHAM DR FL 9",
"city": "NORFOLK",
"state": "VA",
"postal_code": "23507",
"telephone_number": "757-668-4673",
"fax_number": "757-668-8870"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 GRESHAM DR FL 9",
"city": "NORFOLK",
"state": "VA",
"postal_code": "23507",
"telephone_number": "757-668-4673",
"fax_number": "757-668-8870"
}
],
"practiceLocations": [
{
"address_1": "300 56th Street, S.E.",
"address_purpose": "LOCATION",
"city": "Charleston",
"state": "WV",
"postal_code": "253042308",
"country_code": "US",
"telephone_number": "304-926-1600 x1509",
"fax_number": "304-926-1694",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1438 S Grand Blvd",
"address_purpose": "LOCATION",
"city": "Saint Louis",
"state": "MO",
"postal_code": "631041027",
"country_code": "US",
"telephone_number": "314-977-4850",
"fax_number": "314-977-4880",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2500 Metrohealth Dr",
"address_purpose": "LOCATION",
"city": "Cleveland",
"state": "OH",
"postal_code": "441091900",
"country_code": "US",
"telephone_number": "317-440-2757",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MEHTA",
"first_name": "RAJESH",
"middle_name": "KUMAR",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-07-10",
"last_updated": "2024-08-29",
"certification_date": "2024-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "WV",
"license": "27410",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "OH",
"license": "35.134733",
"primary": false
},
{
"code": "2084P0804X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "OH",
"license": "35.134733",
"primary": false
},
{
"code": "2084P0804X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "WV",
"license": "27410",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "MO",
"license": "2012017200",
"primary": false
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "VA",
"license": "0101280942",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Norfolk, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2024; 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.