DHARA MEHTA
NPI 1003505314
Nurse Practitioner - Family in Rockford, IL

Active since May 03, 2023PECOS EnrolledAccepts Medicare Assignment
6861 VILLAGREEN VW, ROCKFORD, IL 61107(779) 696-0250 Get Directions Write a Review

NPPES record last updated: July 12, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 12, 2025, Dec 30, 2024, Nov 17, 2024 and 1 more (4 updates tracked since 2023).

About Dhara Mehta NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DHARA MEHTA (NPI 1003505314) is an individual family provider in Rockford, Illinois, licensed in Illinois (209.029582) and active in the NPI registry since May 2023. She is enrolled in Medicare PECOS, is affiliated with Uw Health, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1003505314
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameDHARA MEHTA
Location Address6861 VILLAGREEN VWRockford, IL 61107-5639
Mailing Address6861 Villagreen VwRockford, IL 61107-5639
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateMay 3, 2023
Last NPPES UpdateJuly 12, 20254 updates tracked since enumeration
NPPES CertifiedJuly 12, 2025
NPI 1003505314 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in IL · 209.029582
Also ListedRegistered NurseTaxonomy 163W00000X · License 041.497979 (IL)
6861 VILLAGREEN VW, Rockford, IL 61107

Other Identifiers 1

Medicaid236DC

Accepted Insurance

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

Dhara Mehta 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 ID6002337847
PECOS Enrollment IDI20250310000673
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Uw Health

Acute Care Hospitals · Rockford, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140228
Location1401 East State StreetRockford, IL 61104 · Winnebago County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61107 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Specialist
6861 VILLAGREEN VW
ROCKFORD, IL 61107
Obstetrics & Gynecology
6861 VILLAGREEN VW
ROCKFORD, IL 61107
Obstetrics & Gynecology
6861 VILLAGREEN VW
ROCKFORD, IL 61107
Obstetrics & Gynecology
6861 VILLAGREEN VW
ROCKFORD, IL 61107
Obstetrics & Gynecology
6861 VILLAGREEN VW
ROCKFORD, IL 61107
Internal Medicine (Rheumatology)
6861 VILLAGREEN VW
ROCKFORD, IL 61107
Internal Medicine (Rheumatology)
6861 VILLAGREEN VW
ROCKFORD, IL 61107
Nurse Practitioner
6861 VILLAGREEN VW
ROCKFORD, IL 61107

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1003505314, enumerated as an "individual" on May 03, 2023.

The provider is located at 6861 VILLAGREEN VW ROCKFORD, IL 61107 and the phone number is (779) 696-0250.

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.

The provider might be accepting Accepts: Quartz, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.

Dhara Mehta is affiliated with: UW HEALTH.