Active NPI
Kaushal J Mehta, FNP
- Family Nurse Practitioner
- Las Vegas, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 274868
- Practice address
- 8440 W Lake Mead Blvd Ste 111
Las Vegas, NV 89128-7648 - Phone
- (616) 606-3482
- NPI assigned
- Mar 16, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 274868 | NC | |
| Family Nurse Practitioner | 363LF0000X | APRN002569 | NV | |
| Family Nurse Practitioner | 363LF0000X | 274868 | NC | Primary |
Addresses
Primary practice location
8440 W Lake Mead Blvd Ste 111
Las Vegas, NV 89128-7648
Mailing address
8440 W Lake Mead Blvd Ste 111
Las Vegas, NV 89128-7648
Phone (616) 606-3482
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962895854 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, NV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2200 Paseo Verde Pkwy
Suite 190
Henderson, NV 89052-2703
Phone (702) 589-4871
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.16 of 100
- Quality
- 80.29
- Promoting interoperability
- 95
- Improvement activities
- 40
- Cost
- 61.08
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 274868 | NC | MD | Nurse Practitioner |
| APRN002569 | NV | MD | Family Nurse Practitioner |
| 95002313 | CA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Behavioral Health Solutions LLC | Current | Accepting new patients | |
| Reset Primary Care, LTD. | Current | Accepting new patients | |
| Next Level Psychiatry Arizona PLLC | Current | Accepting new patients | |
| Carolinas Medical Center | Past | Accepting new patients | |
| Carolinas Physicians Network, Inc | Past | Accepting new patients |
Locations
2200 Paseo Verde Pkwy
Ste 190
Henderson, NV 89052
Phone (702) 483-5061
840 S Rancho Dr
Ste 4921
Las Vegas, NV 89106
616 S 8th St
Las Vegas, NV 89101
Phone (702) 622-8555
Interoperability endpoints
- kaushal.mehta.1@24259.direct.athenahealth.com
Organizations & group practices 6
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.
-
- Community/Behavioral Health Agency
- Henderson, NV
- NPI 1548765258
-
- Primary Care Nurse Practitioner
- Las Vegas, NV
- NPI 1649739087
-
- Emergency Medicine Physician
- National City, CA
- NPI 1780066076
-
- Psychiatry Physician
- Tucson, AZ
- NPI 1932703626
-
- Psychiatric Hospital Unit
- Charlotte, NC
- NPI 1053358945
-
- Family Medicine Physician
- Charlotte, NC
- NPI 1578939914
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1426464000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679270400000",
"number": "1962895854",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8440 W LAKE MEAD BLVD STE 111",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891287648",
"telephone_number": "616-606-3482"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8440 W LAKE MEAD BLVD STE 111",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891287648",
"telephone_number": "616-606-3482"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEHTA",
"first_name": "KAUSHAL",
"middle_name": "J",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-03-16",
"last_updated": "2023-03-20",
"certification_date": "2023-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NC",
"license": "274868",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NV",
"license": "APRN002569",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NC",
"license": "274868",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1962895854",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.