Individual provider Active NPI

Daksha N Mehta, M.D.

  • Internal Medicine Physician
  • Whittier, CA
National Provider Identifier
1982622346
Registry record updated Aug 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036064973 Issued in IL
Practice address
12462 Putnam St Ste 208
Whittier, CA 90602-1049
Phone
(562) 789-5470
NPI assigned
Jul 17, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 30, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 036064973 IL
Pulmonary Disease Physician 207RP1001X 036064973 IL
Internal Medicine Physician 207R00000X 036064973 IL Primary

Addresses

Primary practice location

12462 Putnam St Ste 208
Whittier, CA 90602-1049

Mailing address

PO Box 1247
Elgin, IL 60121-1247

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20100706000090 IL Practitioner - Internal MedicinePractitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 0941331052 Reassigns benefits to 1 organization
I20190516000068 CA Practitioner - Pulmonary Disease 0941331052 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary Disease
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Whittier Pulmonary and Critical Care Medical Group, Inc.Group PAC ID 8022192376, 15 clinicians

Practice addresses (Care Compare)

12462 Putnam St
Suite 208
Whittier, CA 90602-1049
Phone (562) 789-5470

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health System Corporation CurrentSince Dec 11, 2012 Accepting new patients
Whittier Pulmonary and Critical Care Medical Group, Inc. Pulmonary Disease CurrentSince Mar 10, 2019 Accepting new patients
Mercy Health System Corporation CurrentSince Dec 11, 2012 Accepting new patients
Daksha N.Mehta M.D.S.C. Pulmonary Disease Past Accepting new patients
St Alexius Medical Center Past Accepting new patients
Advocate Health and Hospitals Corporation Past Accepting new patients
Mercy Harvard Hospital Inc Past Accepting new patients
St. Alexius Medical Center Past Accepting new patients
Northern Illinois Medical Center Past Accepting new patients
Presence Central and Suburban Hospitals Network Past Accepting new patients
Advocate Sherman Hospital Past Accepting new patients

Locations

6557 Greenleaf Ave
Whittier, CA 90601
Phone (562) 789-5401

12462 Putnam St
Ste 208
Whittier, CA 90602
Phone (562) 789-5470

12401 Washington Blvd
Whittier, CA 90602
Phone (562) 698-0611

29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652

1000 E Brighton Ln
Crystal Lake, IL 60012
Phone (815) 455-8400

77 N Airlite St
Elgin, IL 60123
Phone (847) 622-3407

348 S Division St
Harvard, IL 60033
Phone (815) 943-1122

1001 Grant St
Harvard, IL 60033
Phone (815) 943-8090

1555 N Barrington Rd
Hoffman Estates, IL 60169
Phone (847) 490-2923

2000 Lake Ave
Woodstock, IL 60098
Phone (815) 337-4116

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: dakshamehta@pihh.allscriptsdirect.net

Organizations & group practices 11

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 2

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": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567123200000",
    "number": "1982622346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1247",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601211247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12462 PUTNAM ST STE 208",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906021049",
            "telephone_number": "562-789-5470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEHTA",
        "first_name": "DAKSHA",
        "middle_name": "N",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-17",
        "last_updated": "2019-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "IL",
            "license": "036064973",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "IL",
            "license": "036064973",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036064973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Whittier, CA

Sources for this page

Verify at the official NPI Registry.