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SHILPA MEHTA
NPI 1174616411
Family Medicine in Bloomington, IL

Active since October 01, 2006PECOS EnrolledAccepts Medicare Assignment
1505 EASTLAND DR, BLOOMINGTON, IL 61701(309) 663-2100(309) 663-8322 Get Directions Write a Review

NPPES record last updated: March 6, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Shilpa Mehta NPPES

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

SHILPA MEHTA (NPI 1174616411) is an individual family medicine provider in Bloomington, Illinois, licensed in Illinois (036-110523) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS, is affiliated with Carle Bromenn Medical Center, and is a graduate of Other (1999).

NPPES Registry Identity

NPI1174616411
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameSHILPA MEHTA
Location Address1505 EASTLAND DRBloomington, IL 61701-3534
Mailing Address1505 Eastland DrBloomington, IL 61701-3534 · (309) 663-2100 · Fax (309) 663-8322
Phone(309) 663-2100
Fax(309) 663-8322
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateOctober 1, 2006
Last NPPES UpdateMarch 6, 2014
✔ NPI 1174616411 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IL · 036-110523
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.
1505 EASTLAND DR, Bloomington, IL 61701
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Other Identifiers 6

Medicaid833120IL
Medicare ID-Type UnspecifiedCA2264IL · Rr Group #
Medicaid036110523IL
Medicare UPINI14811IL
Medicare ID-Type UnspecifiedK09242IL · Individual #
Medicare ID-Type UnspecifiedP00155488IL · Rr Individual #

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, MercyCare, MercyCare Health Plans.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Shilpa 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 ID4385611284
PECOS Enrollment IDI20040910001061
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

4

Medicare enrollment records show Shilpa Mehta reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Carle Bromenn Medical Center
2.1 mi
Clinic/Center
1300 FRANKLIN AVE STE 100
Normal, IL 61761
  • Reassigned Medicare billing, Illinois enrollment
  • 71 clinicians in this Medicare group
NPI 1104442615 (309) 454-1400
Carle West Physician Group Inc
2.2 mi
Family Medicine
1302 FRANKLIN AVE STE 3400
Normal, IL 61761
  • Reassigned Medicare billing, Illinois enrollment
  • 698 clinicians in this Medicare group
NPI 1467074138 (309) 556-8295
Carle Health Medical Group
47 mi
Internal Medicine
611 W PARK ST
Urbana, IL 61801
  • Reassigned Medicare billing, Illinois enrollment
  • Medicare enrollment name: Carle Health Care Incorporated
  • 2,516 clinicians in this Medicare group
NPI 1154653947 (217) 383-8300
Rockford Health Physicians
125 mi
Anesthesiology
2400 N ROCKTON AVE
Rockford, IL 61103
  • Reassigned Medicare billing, Illinois enrollment
  • 1,375 clinicians in this Medicare group
NPI 1023275278 (815) 971-5000

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
55 services31 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
28 services23 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
21 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Carle Bromenn Medical Center

Acute Care Hospitals · Normal, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140127
Location1304 Franklin AvenueNormal, IL 61761 · Mc Lean County
Emergency services Birthing friendly

Javon Bea Hospital

Acute Care Hospitals · Rockford, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140239
Location8201 E Riverside BlvdRockford, IL 61114 · Winnebago County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61701 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 20

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

DR. VENKATA RANGANADH DODDA MD
Internal Medicine (Critical Care Medicine)
1505 EASTLAND DR, SUITE 320
BLOOMINGTON, IL 61701
McLean County (309) 661-2368
DR. EDWARD LESLIE COLLOTON MD
Ophthalmology
1505 EASTLAND DR, STE 2200
BLOOMINGTON, IL 61701
McLean County (309) 662-7700
MS. MELANIE SCHALL
Pharmacist
1505 EASTLAND DR
BLOOMINGTON, IL 61701
McLean County (309) 664-0505
NORD OBSTETRICS AND GYNECOLOGY, SC
Obstetrics & Gynecology
1505 EASTLAND DR, #230
BLOOMINGTON, IL 61701
McLean County (309) 663-8888
KENNETH H. INOUE
Internal Medicine
1505 EASTLAND DR
BLOOMINGTON, IL 61701
McLean County (309) 661-2368
MCLEAN COUNTY ANESTHESIOLOGY, LTD.
Anesthesiology (Pain Medicine)
1505 EASTLAND DR, SUITE LL 1400
BLOOMINGTON, IL 61701
McLean County (309) 663-4700
CAROLINE J TURNER APN
Nurse Practitioner
1505 EASTLAND DR
BLOOMINGTON, IL 61701
McLean County (309) 665-4040
DANIELLE BEER
Physician Assistant
1505 EASTLAND DR
BLOOMINGTON, IL 61701
McLean County (309) 663-2100

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 Shilpa Mehta's NPI number?

The NPI number for Shilpa Mehta is 1174616411. It was assigned to this individual provider in the NPPES registry on October 1, 2006.

Where is Shilpa Mehta located?

Shilpa Mehta practices at 1505 Eastland Dr, Bloomington, IL 61701. The listed phone number is (309) 663-2100.

What is Shilpa Mehta's specialty?

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

Is Shilpa Mehta enrolled in Medicare?

Yes. Shilpa 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.

Which organizations bill Medicare for Shilpa Mehta's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shilpa Mehta reassigns Medicare benefits to 4 organizations: Carle Bromenn Medical Center (Normal, IL), Carle West Physician Group Inc (Normal, IL), Carle Health Medical Group (Urbana, IL) and Rockford Health Physicians (Rockford, IL). 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 Shilpa Mehta's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shilpa Mehta accept?

Health plans from Anthem Blue Cross and Blue Shield, MercyCare and MercyCare Health Plans list Shilpa 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.

Is Shilpa Mehta affiliated with any hospitals?

According to CMS data, Shilpa Mehta is affiliated with Carle Bromenn Medical Center and Javon Bea Hospital.

When was this NPI record last updated?

The NPPES record for Shilpa Mehta was last updated on March 6, 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.