DR. RAHUL MEHTA M.D.
NPI 1225325095
Internal Medicine - Pulmonary Disease in Philadelphia, PA

Q: What is Rahul Mehta's NPI number?

The NPI number for Rahul Mehta is 1225325095. It was assigned to this individual provider in the NPPES registry on June 30, 2011.

Q: What is Rahul Mehta's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Q: When was this NPI record last updated?

The NPPES record for Rahul Mehta was last updated on February 12, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since June 30, 2011PECOS EnrolledAccepts Medicare Assignment

95.64/100

CMS Quality Rating

230 N BROAD ST, PHILADELPHIA, PA 19102(215) 762-7000 Get Directions Write a Review

NPPES record last updated: February 12, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 12, 2019, Jun 13, 2018, May 13, 2016 (3 updates tracked since 2016).

On this page

About Dr. Rahul Mehta M.d. NPPES

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

DR. RAHUL MEHTA M.D. (NPI 1225325095) is an individual pulmonary disease provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD452845) and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS, is affiliated with St Luke's Warren Hospital, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1225325095

Entity TypeIndividualMale

Primary Taxonomy207RP1001X

Provider Legal NameDR. RAHUL MEHTACredential: M.D.

Location Address230 N BROAD STPhiladelphia, PA 19102-1121

Mailing Address593 Cranbury Rd, Ste 1aEast Brunswick, NJ 08816-4093 · (732) 613-8880 · Fax (732) 613-8880

Phone(215) 762-7000

Sole ProprietorNo

Medical School CMSOtherGraduated 2011

Enumeration DateJune 30, 2011

Last NPPES UpdateFebruary 12, 20193 updates tracked since enumeration

✔ NPI 1225325095 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RP1001X

Licenses✔ Licensed in PA · MD452845✔ Licensed in NJ · 25MA10375900

Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

Also ListedInternal MedicineTaxonomy 207R00000X · License MD452845 (PA)

230 N BROAD ST, Philadelphia, PA 19102

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.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

Dr. Rahul Mehta M.d. 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 ID7315168291

PECOS Enrollment IDI20141017000330, I20180710000757

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

Medicare enrollment records show Rahul Mehta reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Drexel University

Same address

Sleep Medicine

219 N BROAD ST FL 9
Philadelphia, PA 19107

Reassigned Medicare billing, Pennsylvania enrollment
335 clinicians in this Medicare group

NPI 1740335603 (215) 762-2688

St Luke's Physician Group Inc

21 mi

Urogynecology and Reconstructive Pelvic Surgery

419 S BROAD ST UNIT 4
Lansdale, PA 19446

Reassigned Medicare billing, Pennsylvania enrollment
Medicare enrollment name: St Lukes Physician Group Inc
2,851 clinicians in this Medicare group

NPI 1295620607 (215) 536-3200

St. Luke's Warren Physician Group, PC

45 mi

Family Medicine

802 MILFORD WARREN GLEN RD
Milford, NJ 08848

Reassigned Medicare billing, New Jersey enrollment
Medicare enrollment name: St Lukes Warren Physician Group PC
528 clinicians in this Medicare group

NPI 1780109371 (908) 847-1200

Pulmonary And Intensive Care Specialists Of New Jersey

51 mi

Pulmonary Disease

593 CRANBURY ROAD, SUITE 1A
East Brunswick, NJ 08816

Reassigned Medicare billing, New Jersey enrollment
9 clinicians in this Medicare group

NPI 1366531634 (732) 613-8880

Gslpg, Inc

69 mi

Specialist

100 PARAMOUNT BLVD
Orwigsburg, PA 17961

Reassigned Medicare billing, Pennsylvania enrollment
953 clinicians in this Medicare group

NPI 1366006702 (272) 639-1000

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 13

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

304 services167 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

205 services94 patients

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.

143 services96 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

98 services97 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

70 services46 patients

Test to examine how well the lungs exchange gases 94729

This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.

61 services61 patients

Test to determine lung volumes using sensors 94726

This test, called spirometry, measures lung capacity using sensors. You breathe into a mouthpiece attached to a device that records the amount and rate of air you inhale and exhale. It helps diagnose and monitor lung conditions.

54 services54 patients

Test to measure expiratory airflow and volume changes before and after medication administration 94060

This procedure measures how air flows in and out of your lungs. It's done before and after medication to see if the treatment improves your breathing. It's a simple, non-invasive test that involves breathing into a device called a spirometer.

43 services43 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

40 services40 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.

22 services22 patients

Test to measure expiratory airflow and volume 94010

This test, known as spirometry, assesses how well your lungs work. It measures how much air you can inhale, how much you can exhale and how quickly you can exhale. It's non-invasive and helps diagnose conditions like asthma or COPD.

18 services18 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.

17 services17 patients

Irrigation and suction of lung airways to obtain cells using an endoscope 31624

This is a procedure where a thin, flexible tube called an endoscope is inserted through your mouth into the lungs. A small amount of saline is then introduced to wash the airways. The fluid, along with cells from the lung, is suctioned back for analysis.

14 services14 patients

Hospital Affiliations CMS Care Compare 5

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

St Luke's Warren Hospital

Acute Care Hospitals · Phillipsburg, NJ

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310060

Location185 Roseberry StPhillipsburg, NJ 08865 · Warren County

Emergency services

St Lukes Quakertown Hospital

Acute Care Hospitals · Quakertown, PA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390035

Location3000 St. Luke's DriveQuakertown, PA 18951 · Bucks County

Emergency services Birthing friendly

St Luke's Hospital Bethlehem

Acute Care Hospitals · Bethlehem, PA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390049

Location801 Ostrum StreetBethlehem, PA 18015 · Northampton County

Emergency services Birthing friendly

Grand View Health

Acute Care Hospitals · Sellersville, PA

5/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number390057

Location700 Lawn AvenueSellersville, PA 18960 · Bucks County

Emergency services

St Luke's Hospital - Monroe Campus

Acute Care Hospitals · Stroudsburg, PA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390330

Location100 St Luke's LaneStroudsburg, PA 18360 · Monroe County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19102 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

$137.17 typical visit price

range $59.88 – $180.99

Typical copayment $34.29 (range $14.97 – $45.24)

Most-billed visit code 99204

Established Patient

$105.21 typical visit price

range $19.30 – $147.29

Typical copayment $26.30 (range $4.82 – $36.82)

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.

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.

95.64/100

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

Scored through an Alternative Payment Model

Quality

80.57

Promoting Interoperability

100

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

1 supplier22 claims22 services$14.76 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

2 suppliers19 claims19 services$3.45 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

1 supplier36 claims36 services$69.29 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

1 supplier15 claims15 services$31.48 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

5 suppliers11 claims11 services$23.57 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

RIAN JOHN PILLITTERI M.D.

Emergency Medicine

230 N BROAD ST
PHILADELPHIA, PA 19102

Philadelphia County (215) 762-7963

BRITNY ROGALA PHARMD

Pharmacist

230 N BROAD ST, B40
PHILADELPHIA, PA 19102

Philadelphia County (215) 762-1101

MELISSA BRODSKY MD

Anesthesiology

230 N BROAD ST
PHILADELPHIA, PA 19102

Philadelphia County (215) 762-7922

COLLEEN PATRICIA NOFI DO

Surgery

230 N BROAD ST
PHILADELPHIA, PA 19102

Philadelphia County (215) 762-7000

ANDREW S WECHSLER MD

Thoracic Surgery (Cardiothoracic Vascular Surgery)

230 N BROAD ST, 744 N TOWER
PHILADELPHIA, PA 19102

Philadelphia County (215) 762-7802

DR. JOHN RODNEY CLARKE M.D.

Surgery

230 N BROAD ST, HAHNEMANN UNIVERSITY HOSPITAL, MAIL STOP 993
PHILADELPHIA, PA 19102

Philadelphia County (215) 762-2010

LINDSEY CARLISLE WILLIAMS D.O.

Radiology (Diagnostic Radiology)

230 N BROAD ST
PHILADELPHIA, PA 19102

Philadelphia County (215) 762-7000

ELIZABETH MARY VARUGHESE MD

Internal Medicine

230 N BROAD ST
PHILADELPHIA, PA 19102

Philadelphia County (215) 762-6900

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 Rahul Mehta's NPI number?

The NPI number for Rahul Mehta is 1225325095. It was assigned to this individual provider in the NPPES registry on June 30, 2011.

Where is Rahul Mehta located?

Rahul Mehta practices at 230 N Broad St, Philadelphia, PA 19102. The listed phone number is (215) 762-7000.

What is Rahul Mehta's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Rahul Mehta enrolled in Medicare?

Yes. Rahul 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 Rahul Mehta's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rahul Mehta reassigns Medicare benefits to 5 organizations: Drexel University (Philadelphia, PA), St Luke's Physician Group Inc (Lansdale, PA), St. Luke's Warren Physician Group, PC (Milford, NJ), Pulmonary And Intensive Care Specialists Of New Jersey (East Brunswick, NJ) and Gslpg, Inc (Orwigsburg, PA). 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 Rahul Mehta's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Rahul Mehta accept?

Health plans from Oscar Health list Rahul 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 Rahul Mehta affiliated with any hospitals?

According to CMS data, Rahul Mehta is affiliated with St Luke's Warren Hospital, St Lukes Quakertown Hospital, St Luke's Hospital Bethlehem, Grand View Health and St Luke's Hospital - Monroe Campus.

When was this NPI record last updated?

The NPPES record for Rahul Mehta was last updated on February 12, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.