NPIMap

Individual provider Active NPI

Piyush J Mehta, MDPA

  • Internal Medicine Physician
  • Salisbury, MD
National Provider Identifier
1962401737
Registry record updated Mar 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D0057333 Issued in MD
Practice address
829 Eastern Shore Dr
Salisbury, MD 21804-5944
Phone
(410) 546-3223
Fax
(410) 543-1267
NPI assigned
Jul 14, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 12, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X D0057333 MD Primary

Addresses

Primary practice location

829 Eastern Shore Dr
Salisbury, MD 21804-5944

Mailing address

PO Box 2518
Salisbury, MD 21802-2518
Phone (443) 366-5023

Other identifiers 2

IdentifierTypeStateIssuer
1000037491OtherDEMA
722102900MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050408000822 MD Practitioner - Internal MedicinePractitioner - General PracticePractitioner - Geriatric Medicine 8325085608 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: General Practice, Geriatric Medicine
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

829 Eastern Shore Dr
Salisbury, MD 21804-5944
Phone (410) 546-3223

Hospital & facility affiliations

  • Adoration Home Health Home health agency, Salisbury, MD, CCN 217111
  • Homecall Home health agency, Easton, MD, CCN 217066
  • Enhabit Home Health Home health agency, Salisbury, MD, CCN 217157
  • Tidalhealth Home Care Home health agency, Salisbury, MD, CCN 217079
  • Tidalhealth Peninsula Regional, Inc Hospital, Salisbury, MD, CCN 210019
  • Tidalhealth Nanticoke, Inc. Hospital, Seaford, DE, CCN 080006
  • Atlantic General Hospital Hospital, Berlin, MD, CCN 210061

Merit-based Incentive Payment System (MIPS)

Final score
29.1 of 100Reported as individual
Quality
15
Improvement activities
0
Cost
77

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D0057333MDMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
P J Mehta MD PA Internal Medicine CurrentSince Jul 26, 2005 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Genesis Elder Care Physician Services LLC Past Accepting new patients

Locations

100 E Carroll St
Salisbury, MD 21801
Phone (410) 543-7100

829 Eastern Shore Dr
Salisbury, MD 21804
Phone (410) 546-3223

813 Eastern Shore Dr
#B
Salisbury, MD 21804
Phone (410) 546-3223

Organizations & group practices 3

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 7

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": "1121299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520812800000",
    "number": "1962401737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2518",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218022518",
            "telephone_number": "443-366-5023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "829 EASTERN SHORE DR",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218045944",
            "telephone_number": "410-546-3223",
            "fax_number": "410-543-1267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEHTA",
        "first_name": "PIYUSH",
        "middle_name": "J",
        "credential": "MDPA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-14",
        "last_updated": "2018-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0057333",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEMA",
            "identifier": "1000037491",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "722102900",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salisbury, MD

Sources for this page

Verify at the official NPI Registry.