Individual provider Active NPI

Ketan Mehta

  • Podiatrist
  • Lutz, FL
National Provider Identifier
1992293849
Registry record updated Jan 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
PO4149 Issued in FL
Practice address
1005 Dale Mabry Hwy
Lutz, FL 33548-3021
Phone
(813) 549-5678
Fax
(407) 671-4155
NPI assigned
Apr 26, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 2, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213E00000X PO4149 FL Primary
Foot & Ankle Surgery PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213ES0103X PO4149 FL

Addresses

Primary practice location

1005 Dale Mabry Hwy
Lutz, FL 33548-3021

Mailing address

1005 Dale Mabry Hwy FL 33548
Lutz, FL 33548-3021
Phone (813) 549-5678

Other practice location 1

5841 Argerian Dr Ste 102
Wesley Chapel, FL 33545-4505
Phone (813) 680-3614

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210929000787 FL Practitioner - Podiatry 9133526478 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Barry University School of Podiatric Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
All Podiatry Group Inc.Group PAC ID 0042252140, 42 clinicians
Upperline Healthcare PCGroup PAC ID 4385900653, 194 clinicians
Pascarella Hoover Finkelstein and Wagner DPM PAGroup PAC ID 9436235645, 102 clinicians

Practice addresses (Care Compare)

1005 Dale Mabry Hwy
Lutz, FL 33548-3021
Phone (813) 549-5678

1700 N McMullen Booth Rd
Clearwater, FL 33759-2130
Phone (727) 725-2719

3491 Gandy Blvd N
Suite 107
Pinellas Park, FL 33781-2652
Phone (727) 273-7694

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of nail tissue205
Removal or shaving of skin growth71

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PO4149FLMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
All Podiatry Group Inc Multi-Specialty CurrentSince Jan 1, 2026 Accepting new patients
Pascarella Hoover Finkelstein & Wagner DPM PA Multi-Specialty CurrentSince Jan 15, 2025 Accepting new patients
Pascarella, Hoover, Finkelstein, Wagner, DPM, PA CurrentSince Jan 15, 2025 Accepting new patients
Anne McNamara DPM PL Multi-Specialty PastSince Jan 1, 2026 Accepting new patients

Locations

661 E Altamonte Dr
Ste 210
Altamonte Springs, FL 32701
Phone (407) 339-7759

540 Medical Oaks Ave
Ste 101
Brandon, FL 33511
Phone (813) 681-3558

1700 N McMullen Booth Rd
Ste A2-2
Clearwater, FL 33759
Phone (727) 725-2719

819 E Oak St
Ste B
Kissimmee, FL 34744
Phone (407) 846-1234

1005 Dale Mabry Hwy
Lutz, FL 33548
Phone (813) 549-5678

7350 Sandlake Commons Blvd
Ste 3329
Orlando, FL 32819
Phone (407) 345-5211

3491 Gandy Blvd N
Ste 107
Pinellas Park, FL 33781
Phone (727) 273-7694

13049 Summerfield Square Dr
Ste B
Riverview, FL 33578
Phone (813) 671-3100

5841 Argerian Dr
Ste 102
Wesley Chapel, FL 33545
Phone (813) 680-3614

15815 Shaddock Dr
Ste 130
Winter Garden, FL 34787
Phone (407) 605-2321

38105 13th Ave
Zephyrhills, FL 33542
Phone (813) 715-4747

4101 Charlotte Ave
Ste F185
Nashville, TN 37209
Phone (678) 426-2171

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.

NPI Registry JSON

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

{
    "created_epoch": "1524700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767312000000",
    "number": "1992293849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 DALE MABRY HWY FL 33548",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335483021",
            "telephone_number": "813-549-5678",
            "fax_number": "407-671-4155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 DALE MABRY HWY",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335483021",
            "telephone_number": "813-549-5678",
            "fax_number": "407-671-4155"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5841 Argerian Dr Ste 102",
            "address_purpose": "LOCATION",
            "city": "Wesley Chapel",
            "state": "FL",
            "postal_code": "335454505",
            "country_code": "US",
            "telephone_number": "813-680-3614",
            "fax_number": "407-671-4155",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEHTA",
        "first_name": "KETAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-04-26",
        "last_updated": "2026-01-02",
        "certification_date": "2026-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO4149",
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO4149",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lutz, FL

Sources for this page

Verify at the official NPI Registry.