BRINDA MUKESH MEHTA M.D.
NPI 1205195849
Pediatrics - Pediatric Hematology-Oncology in Peoria, IL

Q: What is Brinda Mehta's NPI number?

The NPI number for Brinda Mehta is 1205195849. It was assigned to this individual provider in the NPPES registry on May 15, 2012.

Q: What is Brinda Mehta's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Hematology-Oncology, with taxonomy code 2080P0207X.

Q: When was this NPI record last updated?

The NPPES record for Brinda Mehta was last updated on March 17, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 15, 2012PECOS Enrolled

87.08/100

CMS Quality Rating

530 NE GLEN OAK AVE, UICOMP/DEPT. OF PEDIATRICS OSF NORTH BLDG. ROOM 5642, PEORIA, IL 61637(309) 655-4746(309) 655-2565 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 17, 2018, Jan 19, 2018 (2 updates tracked since 2018).

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About Brinda Mukesh Mehta M.d. NPPES

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

BRINDA MUKESH MEHTA M.D. (NPI 1205195849) is an individual pediatric hematology-oncology provider in Peoria, Illinois, licensed in Illinois (036.142777) and active in the NPI registry since May 2012. She is enrolled in Medicare PECOS and maintains a secondary practice location in Valhalla.

NPPES Registry Identity

NPI1205195849

Entity TypeIndividualFemale

Primary Taxonomy2080P0207X

Provider Legal NameBRINDA MUKESH MEHTACredential: M.D.

Location Address530 NE GLEN OAK AVE, UICOMP/DEPT. OF PEDIATRICS OSF NORTH BLDG. ROOM 5642Peoria, IL 61637

Mailing Address530 Ne Glen Oak Avenue, Uicomp Dept Of Pediatrics, Osf North Bldg. Room 5642Peoria, IL 61637 · (309) 655-4746

Phone(309) 655-4746

Fax(309) 655-2565

Sole ProprietorNo

Enumeration DateMay 15, 2012

Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration

✔ NPI 1205195849 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Hematology-OncologyAllopathic & Osteopathic Physicians

Taxonomy Code2080P0207X

Licenses✔ Licensed in IL · 036.142777✔ Licensed in IN · 01074184A

Definition

A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License BP10039198 (TX)

530 NE GLEN OAK AVE, Peoria, IL 61637

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Secondary Practice Location 1

Location 140 Sunshine Cottage Rd, Skyline drive, room number 1N-J08Valhalla, NY 10595-1524 · Phone (361) 877-9383

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Brinda Mukesh 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.

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.

87.08/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

70.79

Promoting Interoperability

100

Improvement Activities

Cost

52.82

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.

MISS CARA L PHILLIPS PHARMD

Pharmacist