Organization Active NPI

Rajesh M Mehta MD Inc

Doing business as Central Texas Gastroenterology

  • Gastroenterology Physician
  • West Lake Hills, TX
National Provider Identifier
1932228277
Registry record updated May 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
RAJESH M MEHTA MD INC
Doing business as
Central Texas Gastroenterology
Practice address
5656 Bee Cave Rd
Suite D205
West Lake Hills, TX 78746-5280
Phone
(512) 732-8992
Fax
(304) 242-7108
NPI assigned
Mar 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2012

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

Authorized official

Name
Rajesh M Mehta, MDNPI 1255414157
Title
Owner
Phone
(512) 732-8992

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X Primary

Addresses

Primary practice location

5656 Bee Cave Rd
Suite D205
West Lake Hills, TX 78746-5280

Mailing address

5656 Bee Cave Rd
Suite D205
West Lake Hills, TX 78746-5280
Phone (512) 732-8992

Other identifiers 3

IdentifierTypeStateIssuer
0854384MedicaidOH
DF8863OtherRR MEDCR
1434905OtherUMWA

Other names 1

  • Central Texas Gastroenterology Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120806000096 TX Part B Supplier - Clinic/Group Practice 9133181787 Receives reassigned benefits from 1 practitioner
Practice locations: Austin, TX

National Provider Directory

National Provider Directory

Locations

90 N 4th St
#300N
Martins Ferry, OH 43935

68377 Stewart Dr
Ste 201
St Clairsvle, OH 43950

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337040000000",
    "number": "1932228277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5656 BEE CAVE RD",
            "address_2": "SUITE D205",
            "city": "WEST LAKE HILLS",
            "state": "TX",
            "postal_code": "787465280",
            "telephone_number": "512-732-8992",
            "fax_number": "304-242-7108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5656 BEE CAVE RD",
            "address_2": "SUITE D205",
            "city": "WEST LAKE HILLS",
            "state": "TX",
            "postal_code": "787465280",
            "telephone_number": "512-732-8992",
            "fax_number": "304-242-7108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAJESH M MEHTA MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-28",
        "last_updated": "2012-05-15",
        "status": "A",
        "authorized_official_last_name": "MEHTA",
        "authorized_official_first_name": "RAJESH",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-732-8992",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0854384",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDCR",
            "identifier": "DF8863",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UMWA",
            "identifier": "1434905",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Central Texas Gastroenterology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Lake Hills, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.