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RAJ MEHTA MD
NPI 1306868633
Internal Medicine in Brockport, NY

Active since July 24, 2006PECOS Enrolled
170 WEST AVE, BROCKPORT, NY 14420(585) 368-4050(585) 723-6705 Get Directions Write a Review

NPPES record last updated: May 3, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Raj Mehta Md NPPES

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

RAJ MEHTA MD (NPI 1306868633) is an individual internal medicine provider in Brockport, New York, licensed in New York (137744) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1306868633
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameRAJ MEHTACredential: MD
Location Address170 WEST AVEBrockport, NY 14420-1227
Mailing Address105 Canal Landing Blvd, Suite 1Rochester, NY 14626-5107 · (585) 368-4050 · Fax (585) 723-6705
Phone(585) 368-4050
Fax(585) 723-6705
Sole ProprietorNo
Enumeration DateJuly 24, 2006
Last NPPES UpdateMay 3, 2017
✔ NPI 1306868633 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NY · 137744
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.
170 WEST AVE, Brockport, NY 14420
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Other Identifiers 3

Medicare PINJ400359032-GRPBA0017NY
Medicare PINJ400359033-GRP70008ANY
Medicaid00763671NY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Raj Mehta Md 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14420 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 $54.87 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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 5

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

KARYN FELICE NP
Nurse Practitioner (Adult Health)
170 WEST AVE
BROCKPORT, NY 14420
Monroe County (585) 395-6052
170 WEST AVENUE OPERATING COMPANY, LLC
Skilled Nursing Facility
170 WEST AVE
BROCKPORT, NY 14420
Monroe County (585) 395-6052
JOSIAH JAMES SURBATOVICH PHYSICIAN ASSISTANT
Physician Assistant (Medical)
170 WEST AVE
BROCKPORT, NY 14420
Monroe County (585) 395-6052
MR. WILLIAM MICHAEL COVELL PT
Physical Therapist
170 WEST AVE
BROCKPORT, NY 14420
Monroe County (585) 395-6095
LAKESIDE BEIKIRCH CARE CENTER, INC.
Skilled Nursing Facility
170 WEST AVE
BROCKPORT, NY 14420
Monroe County (585) 395-6052

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 Raj Mehta's NPI number?

The NPI number for Raj Mehta is 1306868633. It was assigned to this individual provider in the NPPES registry on July 24, 2006.

Where is Raj Mehta located?

Raj Mehta practices at 170 West Ave, Brockport, NY 14420. The listed phone number is (585) 368-4050.

What is Raj Mehta's specialty?

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

Is Raj Mehta enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Raj Mehta was last updated on May 3, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.