Resham Datta, MD

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

ME142272 Issued in FL

Practice address

110 Beech Hill Cres
Pittsford, NY 14534-4213

Phone

(516) 749-2121

NPI assigned

May 22, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Resham Mehortra Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1369180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667088000000",
    "number": "1902242597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 BEECH HILL CRES",
            "city": "PITTSFORD",
            "state": "NY",
            "postal_code": "145344213",
            "telephone_number": "516-749-2121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 BEECH HILL CRES",
            "city": "PITTSFORD",
            "state": "NY",
            "postal_code": "145344213",
            "telephone_number": "516-749-2121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DATTA",
        "first_name": "RESHAM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-22",
        "last_updated": "2022-10-30",
        "certification_date": "2022-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MN",
            "license": "58003",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "FL",
            "license": "ME142272",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "FL",
            "license": "ME142272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RESHAM",
            "last_name": "MEHORTRA",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Ellen Crowley, MS
• Xingjia Cui, M.D., M.P.H. MS
• Lauren Leigh D'Hont
• Holly Daniels
• Susan Elise Dantoni, M.D.
• Glenn Alan Davies, O.D.
• Joshua Dawson
• DD Pitcher LLC
• Amy B Debiase, MS, SLP/CCC
• Marc Deeley, OD

• Interventional Pain Medicine Physician in Pittsford, NY
• Providers in Pittsford, NY by specialty
• Interventional Pain Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2022; 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.