NPIMap

Individual provider Active NPI

Reshma L Mahtani, D.O.

  • Medical Oncology Physician
  • Plantation, FL
National Provider Identifier
1902091218
Registry record updated Nov 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
License
OS10191 Issued in FL
Practice address
1228 S Pine Island Rd Ste 410
Plantation, FL 33324-4583
Phone
(954) 837-1490
Fax
(954) 837-1188
NPI assigned
Sep 10, 2007
Last updated
Nov 24, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X OS10191 FL
Medical Oncology Physician 207RX0202X OS10191 FL Primary

Addresses

Primary practice location

1228 S Pine Island Rd Ste 410
Plantation, FL 33324-4583

Mailing address

PO Box 743144
Atlanta, GA 30374-3144
Phone (954) 837-1490

Other identifiers 1

IdentifierTypeStateIssuer
280835800MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080930000516 FL Practitioner - Hematology/OncologyPractitioner - Internal Medicine 0042387219 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/OncologyAlso: Internal Medicine
Education
University of New England, College of Osteo Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

8900 N Kendall Dr
Miami, FL 33176-2118
Phone (786) 596-2000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.59 of 100Reported as group
Quality
72.23
Promoting interoperability
99
Improvement activities
40
Cost
77.61

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS10191FLMDMedical Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Oncology Hematology Radiation Care LLC Hematology & Oncology Current Accepting new patients
Baptist Health Medical Group Oncology LLC Hematology & Oncology CurrentSince Jan 1, 2022 Accepting new patients
Baptist Health Medical Group Oncology LLC Hematology & Oncology CurrentSince Jan 1, 2022 Accepting new patients

Locations

1611 NW 12th Ave
Miami, FL 33136
Phone (305) 585-6226

8900 SW 88th St
Miami, FL 33176
Phone (305) 596-1960

1228 S Pine Island Rd
Ste 410
Plantation, FL 33324
Phone (954) 837-1490

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: res01588@cerner.directbaptisthealth.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1189382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637712000000",
    "number": "1902091218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 743144",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303743144",
            "telephone_number": "954-837-1490",
            "fax_number": "954-837-1188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1228 S PINE ISLAND RD STE 410",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333244583",
            "telephone_number": "954-837-1490",
            "fax_number": "954-837-1188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHTANI",
        "first_name": "RESHMA",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-10",
        "last_updated": "2021-11-24",
        "certification_date": "2021-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "FL",
            "license": "OS10191",
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "FL",
            "license": "OS10191",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "280835800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

Verify at the official NPI Registry.