MAITRI MEHTA DO
NPI 1003490921
Family Medicine in San Rafael, CA
About Maitri Mehta Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MAITRI MEHTA DO (NPI 1003490921) is an individual family medicine provider in San Rafael, California, licensed in California (20A22966) and active in the NPI registry since May 2021. She is enrolled in Medicare PECOS, maintains a secondary practice location in Dixon, and is a graduate of Pacific Nw Un Of Hs, Col Of Osteopathic Medicine (2021).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Maitri Mehta Do is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Maitri Mehta reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Richmond, CA 94801
- Reassigned Medicare billing, California enrollment
- 20,078 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 94903 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Maitri Mehta's NPI number?
The NPI number for Maitri Mehta is 1003490921. It was assigned to this individual provider in the NPPES registry on May 6, 2021.
Where is Maitri Mehta located?
Maitri Mehta practices at 1650 Los Gamos Dr, San Rafael, CA 94903. The listed phone number is (415) 444-2000.
What is Maitri Mehta's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Maitri Mehta enrolled in Medicare?
Yes. Maitri Mehta is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Maitri Mehta's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Maitri Mehta reassigns Medicare benefits to Permanente Medical Group Inc (Richmond, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Maitri Mehta's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Maitri Mehta was last updated on February 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Maitri Mehta, DO · NPI 1003490921
Family Medicine physician in San Rafael, California. Individual provider, active in the CMS NPPES registry since May 6, 2021.
## Identity
- **NPI:** 1003490921 (Entity type: Individual)
- **Enumerated:** May 6, 2021
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 20A22966 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 1650 LOS GAMOS DR, San Rafael, CA 94903-1850
- **Phone:** (415) 444-2000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Permanente Medical Group Inc (NPI 1235226531, Richmond, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Pacific Nw Un Of Hs, Col Of Osteopathic Medicine, class of 2021
## Record status
- **NPPES last updated:** February 11, 2026
---
Source: [NPI Profile](https://npiprofile.com/npi/1003490921) · Data from the CMS NPPES public registry.