NPIMap

Nikhil K. Mehta, MD FACS

Individual provider Active NPI Emergency Medicine Physician · Hagerstown, MD

NPI 1992708515 · NPPES record last updated Jan 12, 2017

Key facts

NPI
1992708515
Entity type
Individual (NPI type 1)
Primary specialty
Emergency Medicine Physician 207P00000X
License
2002-0074 (NM)
Practice address
251 E Antietam St
Hagerstown, MD 21740-5724
Phone
(301) 790-8000
NPI assigned
May 27, 2005
Sex
Male
Sole proprietor
Yes

Organizations & group practices 18

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 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Medicare Care Compare profile

Specialty
General Surgery
Also: Family Practice
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fedko Emergency Physicians New Mexico, LLC (53 clinicians)
Ess Hospitalist LLC (19 clinicians)
Curry Emergency Group LLC (12 clinicians)
Otero County Hospital Association (245 clinicians)

Practice addresses (Care Compare)

1016 E Rooselvelt Ave
Grants, NM 87020-2118
Phone (505) 287-4446

1313 E 32ND St
Silver City, NM 88061-7251
Phone (575) 538-4000

2100 N Dr M L King Jr Blvd
Clovis, NM 88101-9412
Phone (575) 769-7335

2669 Scenic Dr
Alamogordo, NM 88310-8700
Phone (505) 439-6100

800 E 9TH Ave
Sierra Vista Hospital
Truth Or Consequences, NM 87901-1954
Phone (575) 894-2111

Hospital & facility affiliations

  • Christus Southern New Mexico Hospital · Alamogordo, NM · CCN 320004
  • Dr Dan C Trigg Memorial Hospital Hospital · Tucumcari, NM · CCN 321302
  • Sierra Vista Hospital Hospital · T Or C, NM · CCN 321300

Merit-based Incentive Payment System (MIPS)

Final score
90.35 of 100 (group)
Quality
80.04
Improvement activities
40

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in NM, TX
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20050222000293 NM Practitioner - General Surgery
Practitioner - Family Practice
Practitioner - Emergency Medicine		 6800845561 Reassigns benefits to 9 organizations
I20160209000601 TX Practitioner - Emergency Medicine 6800845561 Reassigns benefits to 2 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2002-0074NMMDSurgery Physician
D0062526MDMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Curry Emergency Group LLC Emergency Medicine Current
since Nov 5, 2016		 Accepting new patients
Alteon Health New Mexico LLC Emergency Medicine Current
since Nov 29, 2011		 Accepting new patients
Four Corners Emergency Physicians PLLC Emergency Medicine Current
since Jul 16, 2022		 Accepting new patients
Fedko Emergency Physicians New Mexico LLC Emergency Medicine Current
since Feb 1, 2024		 Accepting new patients
Southwest Emergency Medical Associates of NM PC Emergency Medicine Current
since Nov 1, 2024		 Accepting new patients
Emergency Staffing Solutions Inc Emergency Medicine Current
since Sep 1, 2015		 Accepting new patients
Acs Primary Care Physicians Southwest, PA Emergency Medicine Current
since Jun 1, 2024		 Accepting new patients
Sierra Vista Hospital Current
since Jun 12, 2024		 Accepting new patients
Laredo Emergency Medicine Associates PA Emergency Medicine Current
since Dec 22, 2015		 Accepting new patients
Otero County Hospital Association Current
since Dec 1, 2024		 Accepting new patients
Otero County Hospital Association Current
since Dec 1, 2024		 Accepting new patients
Ess Hospitalist LLC Current
since Aug 15, 2024		 Accepting new patients
Sierra Vista Hospital Past Accepting new patients
Lea Emergency Group LLC Emergency Medicine Past Accepting new patients
Deming Hospital Corporation Past Accepting new patients
Deming Hospital Corporation Past Accepting new patients
Michael a Rowley MD PA Past Accepting new patients
Deming Clinic Corporation Family Medicine Past Accepting new patients

Locations

2669 Scenic Dr
Alamogordo, NM 88310
Phone (505) 439-6100

2430 W Pierce St
Carlsbad, NM 88220
Phone (505) 887-4100

2100 N Mlk Blvd
Clovis, NM 88101
Phone (505) 769-2141

900 W Ash St
Deming, NM 88030
Phone (505) 546-2761

1016 E Roosevelt Ave
Grants, NM 87020
Phone (505) 287-4446

5419 N Lovington Hwy
Hobbs, NM 88240
Phone (505) 492-5000

2450 S Telshor Blvd
Las Cruces, NM 88011
Phone (505) 522-8641

42121 US Highway 70
Portales, NM 88130
Phone (505) 226-3627

117 E 19th St
Roswell, NM 88201
Phone (505) 727-2000

1313 E 32nd St
Silver City, NM 88061
Phone (505) 537-4953

800 E 9th Ave
Truth Or Consequences, NM 87901
Phone (505) 743-1270

1700 E Saunders St
Laredo, TX 78041
Phone (956) 206-6971

2901 4th St
Longview, TX 75605
Phone (281) 371-1800

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/1596/brand/1/csg/43/fhir/r4

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X 2002-0074 NM
Surgery Physician 208600000X D0062526 MD
Surgery Physician 208600000X 0101241098 VA
Surgery Physician 208600000X 2002-0074 NM
Vascular Surgery Physician 2086S0129X D0062526 MD
Vascular Surgery Physician 2086S0129X 0101241098 VA
Emergency Medicine Physician 207P00000X 2002-0074 NM Yes
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X D0062526 MD
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 2002-0074 NM
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 0101241098 VA

Addresses

Primary practice location

251 E Antietam St
Hagerstown, MD 21740-5724

Mailing address

10016 Chartwell Manor CT
Potomac, MD 20854-5441
Phone (301) 469-0284

Other identifiers

IdentifierTypeStateIssuer
28325371MedicaidNM
NM019828OtherNMBCBS

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jan 12, 2017.

{
    "created_epoch": "1117152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484179200000",
    "number": "1992708515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10016 CHARTWELL MANOR CT",
            "city": "POTOMAC",
            "state": "MD",
            "postal_code": "208545441",
            "telephone_number": "301-469-0284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "251 E ANTIETAM ST",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217405724",
            "telephone_number": "301-790-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEHTA",
        "first_name": "NIKHIL",
        "middle_name": "K.",
        "name_prefix": "Dr.",
        "credential": "MD FACS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-05-27",
        "last_updated": "2017-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "NM",
            "license": "2002-0074",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MD",
            "license": "D0062526",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "VA",
            "license": "0101241098",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NM",
            "license": "2002-0074",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "MD",
            "license": "D0062526",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "VA",
            "license": "0101241098",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NM",
            "license": "2002-0074",
            "primary": true
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "MD",
            "license": "D0062526",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "NM",
            "license": "2002-0074",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "VA",
            "license": "0101241098",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "28325371",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "NM019828",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hagerstown, MD

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Sources for this page

Verify at the official NPI Registry.