KETAN C MEHTA M.D.
NPI 1144298316
Pediatrics - Neonatal-Perinatal Medicine in Louisville, KY

Q: What is Ketan Mehta's NPI number?

The NPI number for Ketan Mehta is 1144298316. It was assigned to this individual provider in the NPPES registry on March 14, 2006.

Q: What is Ketan Mehta's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Q: When was this NPI record last updated?

The NPPES record for Ketan Mehta was last updated on October 30, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 14, 2006PECOS Enrolled

4123 DUTCHMANS LN STE 301, LOUISVILLE, KY 40207(502) 896-2500(502) 896-2527 Get Directions Write a Review

NPPES record last updated: October 30, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 30, 2019, Sep 1, 2016 (2 updates tracked since 2016).

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About Ketan C Mehta M.d. NPPES

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

KETAN C MEHTA M.D. (NPI 1144298316) is an individual neonatal-perinatal medicine provider in Louisville, Kentucky, licensed in Kentucky (35280) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1144298316

Entity TypeIndividualMale

Primary Taxonomy2080N0001X

Provider Legal NameKETAN C MEHTACredential: M.D.

Location Address4123 DUTCHMANS LN STE 301Louisville, KY 40207-4721

Mailing AddressPo Box 776351Chicago, IL 60677-6351 · (502) 588-9490 · Fax (502) 272-5116

Phone(502) 896-2500

Fax(502) 896-2527

Sole ProprietorNo

Enumeration DateMarch 14, 2006

Last NPPES UpdateOctober 30, 20192 updates tracked since enumeration

✔ NPI 1144298316 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080N0001X

License✔ Licensed in KY · 35280

Definition

A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.

4123 DUTCHMANS LN STE 301, Louisville, KY 40207

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Other Identifiers 4

Medicaid64957509KY

Other000000744506KY · Anthem- Kcns

Medicaid200308050IN

Other50035400KY · Passport- Kcns

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ketan C Mehta M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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Other Providers at the Same Location NPPES 12

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

MRS. EMILY STORMS SHUTT APRN

Nurse Practitioner (Acute Care)