DR. RUPAL C MEHTA M.D
NPI 1093963738
Internal Medicine - Nephrology in Chicago, IL

Active since September 06, 2008PECOS EnrolledAccepts Medicare Assignment
94.1/100
CMS Quality Rating
633 N SAINT CLAIR ST, 18TH FLOOR, CHICAGO, IL 60611(312) 503-1536(312) 503-5656 Get Directions Write a Review

NPPES record last updated: August 11, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Rupal C Mehta M.d NPPES

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

DR. RUPAL C MEHTA M.D (NPI 1093963738) is an individual nephrology provider in Chicago, Illinois, licensed in Illinois (036.129948) and active in the NPI registry since September 2008. She is enrolled in Medicare PECOS, is affiliated with Northwestern Memorial Hospital, and is a graduate of University Of Chicago, Pritzker School Of Medicine (2008).

NPPES Registry Identity

NPI1093963738
Entity TypeIndividualFemale
Primary Taxonomy207RN0300X
Provider Legal NameDR. RUPAL C MEHTACredential: M.D
Location Address633 N SAINT CLAIR ST, 18TH FLOORChicago, IL 60611-3234
Mailing Address633 N Saint Clair St, 18th FloorChicago, IL 60611-3234 · (312) 503-1536 · Fax (312) 503-5656
Fax(312) 503-5656
Sole ProprietorNo
Medical School CMSUniversity Of Chicago, Pritzker School Of MedicineGraduated 2008
Enumeration DateSeptember 6, 2008
Last NPPES UpdateAugust 11, 2014
NPI 1093963738 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License Licensed in IL · 036.129948
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
Also ListedInternal MedicineTaxonomy 207R00000X · License UNKNOWN (OH), 036.129948 (IL)
633 N SAINT CLAIR ST, Chicago, IL 60611

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

Dr. Rupal C Mehta M.d 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 ID5890914261
PECOS Enrollment IDI20140917000511
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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
118 services55 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
24 services23 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
17 services17 patients
Hemodialysis procedure with physician evaluation 90935
Hemodialysis is a treatment that uses a machine to filter waste and excess fluid from your blood when your kidneys can't. A physician checks your health before, during, and after the procedure to ensure it's working effectively for you.
16 services12 patients

Hospital Affiliations CMS Care Compare

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

Northwestern Memorial Hospital

Acute Care Hospitals · Chicago, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140281
Location251 E Huron StChicago, IL 60611 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60611 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
$138.86 typical visit price
range $60.08 – $183.39
Typical copayment $34.71 (range $15.02 – $45.84)
Most-billed visit code 99204
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

94.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality82.59
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 2

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

Internal Medicine (Nephrology)
633 N SAINT CLAIR ST, 18TH FLOOR ROOM 18-083
CHICAGO, IL 60611
Psychiatry & Neurology (Sleep Medicine)
633 N SAINT CLAIR ST
CHICAGO, IL 60611

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 Rupal Mehta's NPI number?

The NPI number for Rupal Mehta is 1093963738. It was assigned to this individual provider in the NPPES registry on September 6, 2008.

Where is Rupal Mehta located?

Rupal Mehta practices at 633 N Saint Clair St 18th Floor, Chicago, IL 60611. The listed phone number is (312) 503-1536.

What is Rupal Mehta's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Rupal Mehta enrolled in Medicare?

Yes. Rupal 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.

Is Rupal Mehta affiliated with any hospitals?

According to CMS data, Rupal Mehta is affiliated with Northwestern Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Rupal Mehta was last updated on August 11, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years 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.