Individual provider Active NPI

Sanjeev Anand Mehra, RN

  • Nurse Practitioner
  • Indianapolis, IN
National Provider Identifier
1912245804
Registry record updated May 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
71008929A Issued in IN
Practice address
1011 Main St Ste 140
Indianapolis, IN 46224-6980
Phone
(317) 957-9000
NPI assigned
Jan 28, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 71008929A IN Primary

Addresses

Primary practice location

1011 Main St Ste 140
Indianapolis, IN 46224-6980

Mailing address

6626 E 75TH St Ste 500
Indianapolis, IN 46250-2890

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190507002477 IN Practitioner - Nurse Practitioner 9234366964 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Texas Medical School at San Antonio, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Physicians of Indiana IncGroup PAC ID 1759416662, 1,569 clinicians
Community Physician Network Urgent Care LLCGroup PAC ID 1052819869, 80 clinicians

Practice addresses (Care Compare)

1011 Main St
Suite 140
Indianapolis, IN 46224-6980
Phone (317) 957-9000

8177 Clearvista Pkwy
Suite 100
Indianapolis, IN 46256-1662
Phone (317) 621-7800

Hospital & facility affiliations

  • Community Hospital North Hospital, Indianapolis, IN, CCN 150169

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
71008929AINMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pic Indiana PC CurrentSince Nov 12, 2022 Accepting new patients
Cep America LLC CurrentSince Jun 1, 2022 Accepting new patients
Cep America LLC Current Accepting new patients
Community Physician Network Urgent Care LLC CurrentSince Aug 3, 2025 Accepting new patients
Community Physicians of Indiana Inc CurrentSince Jun 1, 2023 Accepting new patients
Community Physicians of Indiana Inc CurrentSince Jun 1, 2023 Accepting new patients
Cep America LLC Nurse Practitioner CurrentSince Jun 1, 2022 Accepting new patients
St. David'S Carenow Urgent Care PLLC Past Accepting new patients

Locations

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

5819 Reliable Pkwy
Chicago, IL 60686

924 W Pike St
Goshen, IN 46526
Phone (574) 312-7056

7120 Clearvista Dr
Ste 4000
Indianapolis, IN 46256
Phone (317) 621-7444

8177 Clearvista Pkwy
#100
Indianapolis, IN 46256
Phone (317) 621-7800

6626 E 75th St
Ste 500
Indianapolis, IN 46250
Phone (317) 621-7547

1313 W McGalliard Rd
Muncie, IN 47303
Phone (765) 216-3115

1011 Main St
Ste 140
Speedway, IN 46224
Phone (317) 328-0901

1606 N 7th St
Terre Haute, IN 47804
Phone (812) 238-7523

Interoperability endpoints

  • Direct secure messaging: smehra557947@ecommunitydirect.com

Organizations & group practices 8

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.

Hospital & facility affiliations 1

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": "1359331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684713600000",
    "number": "1912245804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6626 E 75TH ST STE 500",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462502890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 MAIN ST STE 140",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462246980",
            "telephone_number": "317-957-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEHRA",
        "first_name": "SANJEEV",
        "middle_name": "ANAND",
        "name_prefix": "Mr.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-01-28",
        "last_updated": "2023-05-22",
        "certification_date": "2023-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71008929A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.