Individual provider Active NPI

Jagat Mehta, MD

  • Internal Medicine Physician
  • Rochester, NY
National Provider Identifier
1891722062
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
138824 Issued in NY
Practice address
2211 Lyell Ave
Rochester, NY 14606-5743
Phone
(585) 429-6550
Fax
(585) 429-7298
NPI assigned
Jun 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 138824 NY Primary

Addresses

Primary practice location

2211 Lyell Ave
Rochester, NY 14606-5743

Mailing address

790 Linden Ave
Rochester, NY 14625-2716
Phone (585) 385-9030

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
I20110207000217 NY Practitioner - Internal Medicine 2163556051 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2211 Lyell Ave
Rochester, NY 14606-5743
Phone (585) 429-6550

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
138824NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jagat S Mehta MD PC Internal Medicine CurrentSince Jul 23, 1985 Accepting new patients
Sixto R Medina MD Internal Medicine Past Accepting new patients
The Unity Hospital of Rochester PastSince Jan 1, 2016 Accepting new patients
Leena Mehta .D., P.C. Past Accepting new patients

Locations

101 Lincoln Pkwy
East Rochester, NY 14445

2211 Lyell Ave
Rochester, NY 14606
Phone (585) 247-9420

2211 Lyell Ave
Ste 111
Rochester, NY 14606
Phone (585) 429-6550

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": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891722062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 LINDEN AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146252716",
            "telephone_number": "585-385-9030",
            "fax_number": "585-385-9124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2211 LYELL AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146065743",
            "telephone_number": "585-429-6550",
            "fax_number": "585-429-7298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEHTA",
        "first_name": "JAGAT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "138824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.