SAUMIL A MEHTA MD
NPI 1194740381
Internal Medicine in Plano, TX

Active since July 12, 2006PECOS EnrolledAccepts Medicare Assignment
6404 INTERNATIONAL PKWY STE 1010, PLANO, TX 75093(972) 267-1988(972) 267-3434 Get Directions Write a Review

NPPES record last updated: February 12, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 12, 2021, Dec 4, 2020 (2 updates tracked since 2020).

About Saumil A Mehta Md NPPES

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

SAUMIL A MEHTA MD (NPI 1194740381) is an individual internal medicine provider in Plano, Texas, licensed in Texas (J3013) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Medical City Plano, and is a graduate of Other (1987).

NPPES Registry Identity

NPI1194740381
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameSAUMIL A MEHTACredential: MD
Location Address6404 INTERNATIONAL PKWY STE 1010Plano, TX 75093-8346
Mailing Address6404 International Pkwy Ste 1010Plano, TX 75093-8346 · (972) 267-1988 · Fax (972) 267-3434
Fax(972) 267-3434
Sole ProprietorNo
Medical School CMSOtherGraduated 1987
Enumeration DateJuly 12, 2006
Last NPPES UpdateFebruary 12, 20212 updates tracked since enumeration
NPPES CertifiedFebruary 12, 2021
NPI 1194740381 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in TX · J3013
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.

6404 INTERNATIONAL PKWY STE 1010, Plano, TX 75093

Other Identifiers 3

Medicaid098858604TX
Medicaid098858603TX
Medicaid098858605TX

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

Saumil A Mehta Md 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 ID5395634414
PECOS Enrollment IDI20040614000803
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 2

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.
99 services39 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.
17 services15 patients

Hospital Affiliations CMS Care Compare

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

Medical City Plano

Acute Care Hospitals · Plano, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number450651
Location3901 W 15th StPlano, TX 75075 · Collin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75093 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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 15

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

Clinic/Center (Multi-Specialty)
6404 INTERNATIONAL PKWY STE 1010
PLANO, TX 75093
Psychologist (Counseling)
6404 INTERNATIONAL PKWY STE 1010
PLANO, TX 75093
Psychologist (Counseling)
6404 INTERNATIONAL PKWY STE 1010
PLANO, TX 75093
Nurse Practitioner (Psychiatric/Mental Health)
6404 INTERNATIONAL PKWY STE 1010
PLANO, TX 75093
Psychiatry & Neurology (Psychiatry)
6404 INTERNATIONAL PKWY STE 1010
PLANO, TX 75093
Psychiatry & Neurology (Psychiatry)
6404 INTERNATIONAL PKWY STE 1010
PLANO, TX 75093
Nurse Practitioner (Psychiatric/Mental Health)
6404 INTERNATIONAL PKWY STE 1010
PLANO, TX 75093
Registered Nurse
6404 INTERNATIONAL PKWY STE 1010
PLANO, TX 75093

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 Saumil Mehta's NPI number?

The NPI number for Saumil Mehta is 1194740381. It was assigned to this individual provider in the NPPES registry on July 12, 2006.

Where is Saumil Mehta located?

Saumil Mehta practices at 6404 International Pkwy Ste 1010, Plano, TX 75093. The listed phone number is (972) 267-1988.

What is Saumil Mehta's specialty?

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

Is Saumil Mehta enrolled in Medicare?

Yes. Saumil 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.

What insurance does Saumil Mehta accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 6 other insurers list Saumil 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 Saumil Mehta affiliated with any hospitals?

According to CMS data, Saumil Mehta is affiliated with Medical City Plano.

When was this NPI record last updated?

The NPPES record for Saumil Mehta was last updated on February 12, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.