Organization Active NPI

Ravindra K. Mehta M.D.

  • Psychiatry Physician
  • Brownsville, PA
National Provider Identifier
1881895084
Registry record updated Feb 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD037238E Issued in PA
Legal business name
RAVINDRA K. MEHTA M.D.
Practice address
129 Simpson Rd
Suite 109
Brownsville, PA 15417-9689
Phone
(724) 785-9444
NPI assigned
May 29, 2007
Last updated
Feb 22, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2017

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

Authorized official

Name
Ravindra K Mehta, M.D.NPI 1063599835
Title
Physician
Phone
(724) 785-9444

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD037238E PA Primary
Geriatric Psychiatry Physician 2084P0805X MD037238E PA

Addresses

Primary practice location

129 Simpson Rd
Suite 109
Brownsville, PA 15417-9689

Mailing address

1701 Hunters Path LN
Pittsburgh, PA 15241-3154

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170427000666 PA Part B Supplier - Clinic/Group Practice 6204732738 Receives reassigned benefits from 2 practitioners
Practice locations: Brownsville, PA

National Provider Directory

National Provider Directory

Locations

129 Simpson Rd
Ste 109
Brownsville, PA 15417
Phone (724) 785-9444

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1180396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487721600000",
    "number": "1881895084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 HUNTERS PATH LN",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152413154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 SIMPSON RD",
            "address_2": "SUITE 109",
            "city": "BROWNSVILLE",
            "state": "PA",
            "postal_code": "154179689",
            "telephone_number": "724-785-9444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAVINDRA K. MEHTA M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-29",
        "last_updated": "2017-02-22",
        "status": "A",
        "authorized_official_last_name": "MEHTA",
        "authorized_official_first_name": "RAVINDRA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "724-785-9444",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD037238E",
            "primary": true
        },
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "PA",
            "license": "MD037238E",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brownsville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.