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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

NIHAAL BHAGWATI MEHTA MD
NPI 1205465697
Ophthalmology - Retina Specialist in Brentwood, MO

Active since April 07, 2020PECOS EnrolledAccepts Medicare Assignment
1600 S BRENTWOOD BLVD STE 700, BRENTWOOD, MO 63144(314) 367-1181 Get Directions Write a Review

NPPES record last updated: October 2, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 2, 2026, Jul 23, 2026, Jun 6, 2024 and 1 more (4 updates tracked since 2020).

About Nihaal Bhagwati Mehta Md NPPES

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

NIHAAL BHAGWATI MEHTA MD (NPI 1205465697) is an individual retina specialist in Brentwood, Missouri, licensed in Missouri (2026037104) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS, is affiliated with Emory University Hospital, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1205465697
Entity TypeIndividualMale
Primary Taxonomy207WX0107X
Provider Legal NameNIHAAL BHAGWATI MEHTACredential: MD
Location Address1600 S BRENTWOOD BLVD STE 700Brentwood, MO 63144-1304
Mailing Address8820 Ladue Rd Ste 203Saint Louis, MO 63124-2080 · (314) 367-1181 · Fax (314) 968-5117
Phone(314) 367-1181
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateApril 7, 2020
Last NPPES UpdateOctober 2, 20264 updates tracked since enumeration
NPPES CertifiedOctober 2, 2026
✔ NPI 1205465697 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmology · Retina SpecialistAllopathic & Osteopathic Physicians
Taxonomy Code207WX0107X
Licenses✔ Licensed in MO · 2026037104✔ Licensed in IL · 036182155
Definition
An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.
1600 S BRENTWOOD BLVD STE 700, Brentwood, MO 63144
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.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

Nihaal Bhagwati 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 ID7113349606
PECOS Enrollment IDI20240821002244
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 Nihaal Mehta reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Retina Consultants, LLC
Same address
Retina Specialist
1600 S BRENTWOOD BLVD STE 700
Brentwood, MO 63144
  • Reassigned Medicare billing, Missouri enrollment
  • 22 clinicians in this Medicare group
NPI 1700175395 (314) 367-1181
Emory Medical Care Foundation Inc
473 mi
Internal Medicine
80 JESSE HILL JR DRIVE, EMCF
Atlanta, GA 30303
  • Reassigned Medicare billing, Georgia enrollment
  • 2,681 clinicians in this Medicare group
NPI 1063452381 (404) 778-7717
The Emory Clinic Inc
474 mi
Internal Medicine
1365 CLIFTON RD NE
Atlanta, GA 30322
  • Reassigned Medicare billing, Georgia enrollment
  • 4,840 clinicians in this Medicare group
NPI 1396798229 (404) 778-2144

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

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 complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
14 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Emory University Hospital

Acute Care Hospitals · Atlanta, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110010
Location1364 Clifton Road, NEAtlanta, GA 30322 · De Kalb County
Emergency services

Grady Memorial Hospital

Acute Care Hospitals · Atlanta, GA
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110079
Location80 Jesse Hill, Jr Drive SEAtlanta, GA 30303 · Fulton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63144 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
$128.28 typical visit price
range $55.65 – $169.38
Typical copayment $32.07 (range $13.91 – $42.34)
Most-billed visit code 99204
Established Patient
$69.50 typical visit price
range $17.76 – $137.92
Typical copayment $17.37 (range $4.44 – $34.48)
Most-billed visit code 99213
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 18

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

LIBBY WEI MD
Ophthalmology (Retina Specialist)
1600 S BRENTWOOD BLVD STE 700
BRENTWOOD, MO 63144
St. Louis County (314) 367-1181
THOMAS K KRUMMENACHER MD
Ophthalmology (Retina Specialist)
1600 S BRENTWOOD BLVD STE 700
BRENTWOOD, MO 63144
St. Louis County (314) 367-1181
DR. OLLYA V. FROMAL MD
Ophthalmology (Retina Specialist)
1600 S BRENTWOOD BLVD STE 700
BRENTWOOD, MO 63144
St. Louis County (314) 367-1181
DILLAN PATEL MD, MBA
Ophthalmology (Retina Specialist)
1600 S BRENTWOOD BLVD STE 700
BRENTWOOD, MO 63144
St. Louis County (314) 367-1181
DR. BARTON BLACKORBY MD
Ophthalmology (Retina Specialist)
1600 S BRENTWOOD BLVD STE 700
BRENTWOOD, MO 63144
St. Louis County (314) 367-1181
RICHARD JOSEPH ROTHMAN MD
Ophthalmology (Retina Specialist)
1600 S BRENTWOOD BLVD STE 700
BRENTWOOD, MO 63144
St. Louis County (314) 367-1181
DR. BRADLEY THOMAS SMITH MD
Ophthalmology (Retina Specialist)
1600 S BRENTWOOD BLVD STE 700
BRENTWOOD, MO 63144
St. Louis County (314) 367-1181
DR. ATHANASIOS PAPAKOSTAS MD
Ophthalmology (Retina Specialist)
1600 S BRENTWOOD BLVD STE 700
BRENTWOOD, MO 63144
St. Louis County (314) 367-1181

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 Nihaal Mehta's NPI number?

The NPI number for Nihaal Mehta is 1205465697. It was assigned to this individual provider in the NPPES registry on April 7, 2020.

Where is Nihaal Mehta located?

Nihaal Mehta practices at 1600 S Brentwood Blvd Ste 700, Brentwood, MO 63144. The listed phone number is (314) 367-1181.

What is Nihaal Mehta's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Retina Specialist, with taxonomy code 207WX0107X.

Is Nihaal Mehta enrolled in Medicare?

Yes. Nihaal 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 Nihaal Mehta's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nihaal Mehta reassigns Medicare benefits to 3 organizations: Retina Consultants, LLC (Brentwood, MO), Emory Medical Care Foundation Inc (Atlanta, GA) and The Emory Clinic Inc (Atlanta, GA). 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 Nihaal Mehta's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nihaal Mehta accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 3 other insurers list Nihaal 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 Nihaal Mehta affiliated with any hospitals?

According to CMS data, Nihaal Mehta is affiliated with Emory University Hospital and Grady Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Nihaal Mehta was last updated on October 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 31 days 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.