Active NPI
Rajeev H Mehta, MD
- Otolaryngology Physician
- Joliet, IL
National Provider Identifier
1891778718
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- Practice address
- 2201 Glenwood Ave
Joliet, IL 60435-5574 - Phone
- (815) 725-1191
- Fax
- (815) 725-2048
- NPI assigned
- Nov 23, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | IL | Primary |
Addresses
Primary practice location
2201 Glenwood Ave
Joliet, IL 60435-5574
Mailing address
2201 Glenwood Ave
Joliet, IL 60435-5574
Phone (815) 725-1191
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CH4890 | Other | IL | RR MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100517000525 | IL | Practitioner - Otolaryngology | 5991703456 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- University of Missouri, Kansas City, School of Medicine, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- ENT Surgical Consultants LTD
Practice addresses (Care Compare)
2201 Gleenwood Ave
Joliet, IL 60435-5574
Phone (815) 725-1191
960 W Route 6
Morris, IL 60450-8858
Phone (815) 941-1972
Hospital & facility affiliations
- Silver Cross Hospital and Medical Centers
- Morris Hospital & Healthcare Centers
- Osf Saint Elizabeth MDL Ctr
- Riverside Medical Center
- Saint Joseph Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Melanoma (skin cancer) excision | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-094617 | IL | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| ENT Surgical Consultants, LTD | Otolaryngology | Current | Accepting new patients |
| Morris Audiology Inc. | Past | Accepting new patients |
Locations
2201 Glenwood Ave
Joliet, IL 60435
Phone (815) 725-1191
119 E Jefferson St
Morris, IL 60450
Phone (815) 941-0400
960 W US Route 6
Morris, IL 60450
1890 Silver Cross Blvd
Ste 435
New Lenox, IL 60451
Phone (815) 725-1191
Interoperability endpoints
- rajeevmehta@entsc.allscriptsdirect.net
Organizations & group practices 2
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.
-
- Audiologist
- Morris, IL
- NPI 1154595882
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Peru, IL
- NPI 1588713440
Hospital
-
- General Acute Care Hospital
- Joliet, IL
- NPI 1760220198
Hospital
-
- Rehabilitation Hospital Unit
- New Lenox, IL
- NPI 1003933797
Hospital
-
- General Acute Care Hospital
- New Lenox, IL
- NPI 1568553519
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132704000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1194393600000",
"number": "1891778718",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2201 GLENWOOD AVE",
"city": "JOLIET",
"state": "IL",
"postal_code": "604355574",
"telephone_number": "815-725-1191",
"fax_number": "815-725-2048"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2201 GLENWOOD AVE",
"city": "JOLIET",
"state": "IL",
"postal_code": "604355574",
"telephone_number": "815-725-1191",
"fax_number": "815-725-2048"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEHTA",
"first_name": "RAJEEV",
"middle_name": "H",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-23",
"last_updated": "2007-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "CH4890",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Joliet, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2007; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.