Smita Patil Mehta, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

44077 Issued in AZ

Practice address

2510 W Dunlap Ave
Suite 290
Phoenix, AZ 85021-2737

Phone

(602) 789-0344

Fax

(602) 789-8279

NPI assigned

Jul 13, 2007

Last updated

Jun 13, 2017By the provider in NPPES

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 identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Cactus Heights Healthcare LLC

  dba Emblem Hospice Central

  • Community Based Hospice Care Agency
  • Phoenix, AZ
  • NPI 1871125849

  Contracted Managing Employee

  CMS ownership
• Emblem Healthcare, Inc.

  dba Emblem Hospice

  • Community Based Hospice Care Agency
  • Tempe, AZ
  • NPI 1487999405

  Contracted Managing Employee

  CMS ownership
• Estrella of Cascadia LLC

  • Skilled Nursing Facility
  • Phoenix, AZ
  • NPI 1710598420

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

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.

• Zion Medical Group PLLC

  • Hospitalist Physician
  • Chandler, AZ
  • NPI 1184049322

  Internal Medicine

  Medicare reassignment NPD
• Estrella of Cascadia LLC

  • Skilled Nursing Facility
  • Phoenix, AZ
  • NPI 1710598420
  NPD (past)
• Yadwinder S Dhillon MD PC

  dba AZ Wound

  • Family Medicine Physician
  • Mesa, AZ
  • NPI 1295964781
  NPD (past)
• NM Pacs 2 LLC

  • Hospitalist Physician
  • Albuquerque, NM
  • NPI 1366928749
  NPD (past)

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

{
    "created_epoch": "1184284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1497312000000",
    "number": "1942409453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2510 W DUNLAP AVE",
            "address_2": "SUITE 290",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850212737",
            "telephone_number": "602-789-0344",
            "fax_number": "602-789-8279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2510 W DUNLAP AVE",
            "address_2": "SUITE 290",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850212737",
            "telephone_number": "602-789-0344",
            "fax_number": "602-789-8279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATIL MEHTA",
        "first_name": "SMITA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-13",
        "last_updated": "2017-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "IL",
            "license": "36118593",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "44077",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "36118593",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "606665",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sushmitha Patibandla, M.D.
• Trevor Patience, PA-C
• Patient Flight LLC
• Patient Hands Senior Living, LLC
• Patientcare, Inc.
• Avinash Shivaputrappa Patil, MD
• Chetan Shyam Patil, DDS
• Saurabh Patil
• John Patinella, PHARMD
• Breanna Patino

• Internal Medicine Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Internal Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.