Individual provider Active NPI

Rajesh Kumar Mehta, MD

  • Child & Adolescent Psychiatry Physician
  • Norfolk, VA
National Provider Identifier
1871858340
Registry record updated Aug 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
0101280942 Issued in VA
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

Updated by the provider on Aug 29, 2024

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X 27410 WV
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X 35.134733 OH
Child & Adolescent Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0804X 35.134733 OH
Child & Adolescent Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170829000024 WV Practitioner - Psychiatry 5698048502 Reassigns benefits to 1 organization
I20240617001843 VA Practitioner - Psychiatry 5698048502 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
27410WVMDPsychiatry Physician
2012017200MOMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
The Metrohealth System Current Accepting new patients
Summit BHC West Virginia, LLC Multi-Specialty CurrentSince Jul 1, 2020 Accepting new patients
Childrens Specialty Group PLLC Multi-Specialty CurrentSince Jun 1, 2024 Accepting new patients
Summit BHC West Virginia LLC CurrentSince Jul 1, 2020 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.