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

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: November 01, 2026.

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

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
Open in Google Maps ↗

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, billing reassignment, and ordering and referring status from CMS.

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 Billing Reassignment

Medicare enrollment records show Brinda Mehta reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Board Of Trustees Of The University Of Illinois
0.6 mi
Pediatrics
1 ILLINI DR
Peoria, IL 61605
  • Reassigned Medicare billing, Illinois enrollment
  • 2,127 clinicians in this Medicare group
NPI 1467425322 (309) 680-8649

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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
Quality70.79
Promoting Interoperability100
Improvement Activities40
Cost52.82

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.

DR. HAMID MAHMOOD ZIA M.D
Pathology (Anatomic Pathology & Clinical Pathology)
530 NE GLEN OAK AVE, CENTRAL ILLINOIS PATHOLOGY SC
PEORIA, IL 61637
Peoria County (309) 624-9011
THOMAS JAMES MCMORROW MD
Pediatrics
530 NE GLEN OAK AVE
PEORIA, IL 61637
Peoria County (309) 655-2553
ALEXANDRA ROPER MD
Surgery
530 NE GLEN OAK AVE
PEORIA, IL 61637
Peoria County (309) 655-2000
JAPMEHR KAUR SANDHU M.B.B.S.
Student in an Organized Health Care Education/Training Program
530 NE GLEN OAK AVE
PEORIA, IL 61637
Peoria County (309) 624-9351
THOMAS BLACKWELL JR. MD
Student in an Organized Health Care Education/Training Program
530 NE GLEN OAK AVE
PEORIA, IL 61637
Peoria County (309) 655-2000
LUKE KLOFT
Student in an Organized Health Care Education/Training Program
530 NE GLEN OAK AVE
PEORIA, IL 61637
Peoria County (309) 655-2109
ABIGAIL V. WELU DO
Student in an Organized Health Care Education/Training Program
530 NE GLEN OAK AVE
PEORIA, IL 61637
Peoria County (309) 655-6710
DR. JAMES DANIEL DEWAR D.O.
Internal Medicine (Interventional Cardiology)
530 NE GLEN OAK AVE
PEORIA, IL 61637
Peoria County (309) 655-7257

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 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.

Where is Brinda Mehta located?

Brinda Mehta practices at 530 NE Glen Oak Ave Uicomp/Dept. Of Pediatrics Osf North Bldg. Room 5642, Peoria, IL 61637. The listed phone number is (309) 655-4746.

What is Brinda Mehta's specialty?

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

Is Brinda Mehta enrolled in Medicare?

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

Which organization bills Medicare for Brinda Mehta's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brinda Mehta reassigns Medicare benefits to Board Of Trustees Of The University Of Illinois (Peoria, IL). The 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 Brinda Mehta's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Brinda Mehta was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.