Active NPI
Ketan Mehta
- Podiatrist
- Lutz, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- PO4149
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | PO4149 | FL | Primary |
| Foot & Ankle Surgery Podiatrist | 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
Enrollment records 1
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
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
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
| Removal of nail tissue | 205 |
| Removal or shaving of skin growth | 71 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PO4149 | FL | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| All Podiatry Group Inc | Multi-Specialty | Current | Accepting new patients |
| Pascarella Hoover Finkelstein & Wagner DPM PA | Multi-Specialty | Current | Accepting new patients |
| Pascarella, Hoover, Finkelstein, Wagner, DPM, PA | Current | Accepting new patients | |
| Anne McNamara DPM PL | Multi-Specialty | Past | 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.
-
- Foot & Ankle Surgery Podiatrist
- Altamonte Springs, FL
- NPI 1740275635
Multi-Specialty
-
- Podiatrist
- Tampa, FL
- NPI 1265419964
-
- Foot Surgery Podiatrist
- Orlando, FL
- NPI 1649585571
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2026; 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.