DR. MONAL A MEHTA MD
NPI 1154307247
Internal Medicine in Cincinnati, OH

Active since December 20, 2005PECOS Enrolled
1525 ELM ST, ELM STREET HEALTH CENTER, CINCINNATI, OH 45202(513) 352-3092(513) 352-1429 Get Directions Write a Review

NPPES record last updated: August 14, 2014. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Monal A Mehta Md NPPES

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

DR. MONAL A MEHTA MD (NPI 1154307247) is an individual internal medicine provider in Cincinnati, Ohio, licensed in Ohio (35065500) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154307247
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. MONAL A MEHTACredential: MD
Location Address1525 ELM ST, ELM STREET HEALTH CENTERCincinnati, OH 45202-6957
Mailing Address3101 Burnet AveCincinnati, OH 45229-3014 · (513) 357-7289 · Fax (513) 352-1429
Fax(513) 352-1429
Sole ProprietorNo
Enumeration DateDecember 20, 2005
Last NPPES UpdateAugust 14, 2014
✔ NPI 1154307247 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in OH · 35065500
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1525 ELM ST, Cincinnati, OH 45202

Other Identifiers 7

Medicare ID-Type UnspecifiedME2016541
Medicaid940218OH
Medicaid64048101KY
Medicare PIN4188722OH
Medicare PINH044630OH
Other1548457765Group Npi
Medicare UPINF68929

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Monal A Mehta Md 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.

Medicare Billing Reassignments

3

Medicare enrollment records show Monal Mehta reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Same address
Primary Care
1525 ELM ST, ELM STREET HEALTH CENTER
Cincinnati, OH 45202
  • Reassigned Medicare billing, Ohio enrollment
  • Also billed through NPI 1043594260 (Ohio)
  • 19 clinicians in this Medicare group
Internal Medicine
10999 REED HARTMAN HWY, SUITE 215
Cincinnati, OH 45242
  • Reassigned Medicare billing, Ohio enrollment
  • 41 clinicians in this Medicare group
Hospitalist
10999 REED HARTMAN HWY STE 215
Blue Ash, OH 45242
  • Reassigned Medicare billing, Ohio enrollment
  • 18 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.

Areas of Expertise CMS Part B claims 3

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.
178 services69 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.
94 services27 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
33 services31 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45202 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
65%94 patients3/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
3 suppliers27 claims30 services$4.84 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
3 suppliers12 claims12 services$0.75 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Pharmacist
1525 ELM ST
CINCINNATI, OH 45202
Pharmacist
1525 ELM ST
CINCINNATI, OH 45202
Counselor (Mental Health)
1525 ELM ST
CINCINNATI, OH 45202
Dental Hygienist
1525 ELM ST
CINCINNATI, OH 45202
Dental Assistant
1525 ELM ST
CINCINNATI, OH 45202
Dental Assistant
1525 ELM ST
CINCINNATI, OH 45202
Home Health
1525 ELM ST, 3RD FLOOR HOME HEALTH PROGRAM
CINCINNATI, OH 45202
Registered Nurse
1525 ELM ST
CINCINNATI, OH 45202

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 Monal Mehta's NPI number?

The NPI number for Monal Mehta is 1154307247. It was assigned to this individual provider in the NPPES registry on December 20, 2005.

Where is Monal Mehta located?

Monal Mehta practices at 1525 Elm St Elm Street Health Center, Cincinnati, OH 45202. The listed phone number is (513) 352-3092.

What is Monal Mehta's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Monal Mehta enrolled in Medicare?

Yes. Monal Mehta is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Monal Mehta's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Monal Mehta reassigns Medicare benefits to 3 organizations: City Of Cincinnati (Cincinnati, OH), Geriatric Providers And Hospitalists Inc (Cincinnati, OH) and Midwest Hospitalists, Inc (Blue Ash, OH). Each 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 Monal Mehta's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Monal Mehta accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 1 other insurer list Monal Mehta as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Monal Mehta was last updated on August 14, 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.