Organization Active NPI

Rajendra Mehta MD Inc

  • Internal Medicine Physician
  • Independence, OH
National Provider Identifier
1902018492
Registry record updated Sep 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
RAJENDRA MEHTA MD INC
Practice address
6701 Rockside Rd
#370
Independence, OH 44131-2358
Phone
(216) 520-3022
Fax
(216) 520-3023
NPI assigned
May 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2014

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

Authorized official

Name
Dr. Anil R Pai, MD
Title
Physician
Phone
(216) 520-3022

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

6701 Rockside Rd
#370
Independence, OH 44131-2358

Mailing address

PO Box 39473
Solon, OH 44139
Phone (216) 520-3022

Other identifiers 4

IdentifierTypeStateIssuer
0702421MedicaidOH
00130605OtherOHRAILROAD MEDICARE ID
110240022OtherOHRAILROAD MEDICARE ID
2141542MedicaidOH

National Provider Directory

National Provider Directory

Locations

13221 Ravenna Rd
Ste 11
Chardon, OH 44024
Phone (440) 286-8870

12575 Rockside Rd
Ste 102
Garfield Hts, OH 44125
Phone (216) 662-5252

6701 Rockside Rd
Ste 370
Independence, OH 44131
Phone (216) 520-3022

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409702400000",
    "number": "1902018492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 39473",
            "city": "SOLON",
            "state": "OH",
            "postal_code": "44139",
            "telephone_number": "216-520-3022",
            "fax_number": "216-520-3023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6701 ROCKSIDE RD",
            "address_2": "#370",
            "city": "INDEPENDENCE",
            "state": "OH",
            "postal_code": "441312358",
            "telephone_number": "216-520-3022",
            "fax_number": "216-520-3023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAJENDRA MEHTA MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-04",
        "last_updated": "2014-09-03",
        "status": "A",
        "authorized_official_last_name": "PAI",
        "authorized_official_first_name": "ANIL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "216-520-3022",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0702421",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE ID",
            "identifier": "00130605",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE ID",
            "identifier": "110240022",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2141542",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Independence, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.