Active NPI
Ashima D Mehta, MD
- Gynecology Physician
- Melrose Park, IL
National Provider Identifier
1932180130
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- Practice address
- 675 W North Ave
Suite105
Melrose Park, IL 60160-1634 - Phone
- (708) 450-4540
- Fax
- (708) 450-5760
- NPI assigned
- Nov 7, 2005
- Last updated
- Jan 9, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | IL | Primary |
Addresses
Primary practice location
675 W North Ave
Suite105
Melrose Park, IL 60160-1634
Mailing address
PO Box 82428
Austin, TX 78708-2428
Phone (512) 583-0205
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 211479 | Other | IL | MEDICARE PIN - COOK CO. |
| 211482 | Other | IL | MEDICARE PIN - LAKE CO. |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036043148 | IL | MD | Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rotating Gamma System Institute LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Gynecology Physician
- Melrose Park, IL
- NPI 1538150941
-
- Radiation Oncology Physician
- Gurnee, IL
- NPI 1902897358
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131321600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1199836800000",
"number": "1932180130",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 82428",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787082428",
"telephone_number": "512-583-0205",
"fax_number": "512-583-2001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "675 W NORTH AVE",
"address_2": "SUITE105",
"city": "MELROSE PARK",
"state": "IL",
"postal_code": "601601634",
"telephone_number": "708-450-4540",
"fax_number": "708-450-5760"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEHTA",
"first_name": "ASHIMA",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-07",
"last_updated": "2008-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PIN - COOK CO.",
"identifier": "211479",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PIN - LAKE CO.",
"identifier": "211482",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Melrose Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.