Sharad P Mehta, M.D.

Primary specialty

Nuclear Medicine PhysicianTaxonomy code 207U00000X

License

036053461 Issued in IL

Practice address

3800 W 203Rd St
Suite 202
Olympia Fields, IL 60461-1184

Phone

(708) 679-2660

Fax

(708) 503-3861

NPI assigned

May 12, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378425600000",
    "number": "1932159449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 SIERRA DR",
            "address_2": "SUITE 400",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461437240",
            "telephone_number": "317-528-4800",
            "fax_number": "317-865-8319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 W 203RD ST",
            "address_2": "SUITE 202",
            "city": "OLYMPIA FIELDS",
            "state": "IL",
            "postal_code": "604611184",
            "telephone_number": "708-679-2660",
            "fax_number": "708-503-3861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEHTA",
        "first_name": "SHARAD",
        "middle_name": "P",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-12",
        "last_updated": "2013-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207U00000X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine",
            "state": "IL",
            "license": "036053461",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036053461",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ciara Dominique McNutt, PTA
• MD Orthotic and Prosthetic Laboratory, Inc.
• Me in the Making Wellness
• David Mehl, M.D.
• Ankeeta Mehta, D.O.
• Grace Meier
• Brandon Nicholas Merryman, DO
• Metropolitan Eyecare
• Metropolitan Eyecare Center of Park Forest
• MGG Transportation, Inc

• Nuclear Medicine Physician in Olympia Fields, IL
• Providers in Olympia Fields, IL by specialty
• Nuclear Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2013; 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.