MAITRI MEHTA DO
NPI 1003490921
Family Medicine in San Rafael, CA

Q: 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.

Q: What is Maitri Mehta's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Maitri Mehta was last updated on February 11, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 06, 2021PECOS EnrolledAccepts Medicare Assignment

1650 LOS GAMOS DR, SAN RAFAEL, CA 94903(415) 444-2000 Get Directions Write a Review

NPPES record last updated: February 11, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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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

NPI1003490921

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameMAITRI MEHTACredential: DO

Location Address1650 LOS GAMOS DRSan Rafael, CA 94903-1850

Mailing Address1650 Los Gamos DrSan Rafael, CA 94903-1850 · (415) 444-2000

Phone(415) 444-2000

Sole ProprietorNo

Medical School CMSPacific Nw Un Of Hs, Col Of Osteopathic MedicineGraduated 2021

Enumeration DateMay 6, 2021

Last NPPES UpdateFebruary 11, 2026

NPPES CertifiedFebruary 11, 2026

✔ NPI 1003490921 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in CA · 20A22966✔ Licensed in IL · 125-078487

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1650 LOS GAMOS DR, San Rafael, CA 94903

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Secondary Practice Location 1

Location 1102 S Hennepin AveDixon, IL 61021-3013 · Phone (815) 285-8520 · Fax (815) 285-8903

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

PECOS PAC ID3971900226

PECOS Enrollment IDI20240913002446

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

New Patient

$104.67 typical visit price

range $69.07 – $202.63

Typical copayment $26.16 (range $17.26 – $50.65)

Most-billed visit code 99203

Established Patient

$119.61 typical visit price

range $23.44 – $166.64

Typical copayment $29.90 (range $5.86 – $41.66)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

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