DR. RADHIKA B MEHTA DO
NPI 1396088191
Internal Medicine in Baltimore, MD

Active since March 29, 2013PECOS Enrolled
1501 S CLINTON ST, BALTIMORE, MD 21224(917) 261-4414 Get Directions Write a Review

NPPES record last updated: July 13, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 13, 2023, Dec 8, 2022, Aug 14, 2019 and 1 more (4 updates tracked since 2019).

About Dr. Radhika B Mehta Do NPPES

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

DR. RADHIKA B MEHTA DO (NPI 1396088191) is an individual internal medicine provider in Baltimore, Maryland, licensed in Pennsylvania (OS018033) and active in the NPI registry since March 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2008).

NPPES Registry Identity

NPI1396088191
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. RADHIKA B MEHTACredential: DO
Location Address1501 S CLINTON STBaltimore, MD 21224-5730
Mailing Address1 Liberty Plz Ste 301New York, NY 10006-1404 · (917) 261-4414
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateMarch 29, 2013
Last NPPES UpdateJuly 13, 20234 updates tracked since enumeration
NPPES CertifiedJuly 13, 2023
✔ NPI 1396088191 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in PA · OS018033✔ Licensed in VA · 0102205651
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.
1501 S CLINTON ST, Baltimore, MD 21224

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Radhika B Mehta Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4486952884
PECOS Enrollment IDI20260516000149, I20260518003793, I20260519002027, I20260521002041, I20260521003211
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

11

Medicare enrollment records show Radhika Mehta reassigns Medicare billing to 11 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Wound Care
6095 MARSHALEE DR STE 130
Elkridge, MD 21075
  • Reassigned Medicare billing, Maryland enrollment
  • 13 clinicians in this Medicare group
Wound Care
8000 TOWERS CRESCENT DR STE 1352
Vienna, VA 22182
  • Reassigned Medicare billing, District of Columbia enrollment
  • 10 clinicians in this Medicare group
Internal Medicine
8302 OLD COURTHOUSE RD STE C
Vienna, VA 22182
  • Reassigned Medicare billing, District of Columbia enrollment
  • 19 clinicians in this Medicare group
Wound Care
905 W SPROUL RD STE 106
Springfield, PA 19064
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 10 clinicians in this Medicare group
Adult Medicine
139 N OCEAN AVE STE 203
Patchogue, NY 11772
  • Reassigned Medicare billing, New York enrollment
  • 10 clinicians in this Medicare group
Wound Care
3499 BLAZER PKWY STE 330
Lexington, KY 40509
  • Reassigned Medicare billing, Kentucky enrollment
  • 12 clinicians in this Medicare group
Wound Care
2 MARYLAND FARMS STE 210
Brentwood, TN 37027
  • Reassigned Medicare billing, Georgia and Tennessee enrollments
  • 6 clinicians in this Medicare group
Surgery
433 W VAN BUREN ST UNIT 555N
Chicago, IL 60607
  • Reassigned Medicare billing, Illinois enrollment
  • 10 clinicians in this Medicare group
Wound Care
342 N WATER ST STE 600
Milwaukee, WI 53202
  • Reassigned Medicare billing, Wisconsin enrollment
  • 6 clinicians in this Medicare group
Wound Care
324 COMMONS DR STE 37
Birmingham, AL 35209
  • Reassigned Medicare billing, Alabama enrollment
  • 12 clinicians in this Medicare group

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21224 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
$139.05 typical visit price
range $60.73 – $183.44
Typical copayment $34.76 (range $15.18 – $45.86)
Most-billed visit code 99204
Established Patient
$106.59 typical visit price
range $19.60 – $149.17
Typical copayment $26.64 (range $4.90 – $37.29)
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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
98%140 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 2

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
2 suppliers19 claims19 services$13.33 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
2 suppliers19 claims19 services$63.55 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.

Family Medicine
1501 S CLINTON ST
BALTIMORE, MD 21224
Nurse Practitioner (Gerontology)
1501 S CLINTON ST
BALTIMORE, MD 21224
Case Manager/Care Coordinator
1501 S CLINTON ST
BALTIMORE, MD 21224
Registered Nurse (Case Management)
1501 S CLINTON ST
BALTIMORE, MD 21224
Case Manager/Care Coordinator
1501 S CLINTON ST
BALTIMORE, MD 21224
Registered Nurse
1501 S CLINTON ST
BALTIMORE, MD 21224
Registered Nurse (Case Management)
1501 S CLINTON ST
BALTIMORE, MD 21224
Registered Nurse (Case Management)
1501 S CLINTON ST
BALTIMORE, MD 21224

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 Radhika Mehta's NPI number?

The NPI number for Radhika Mehta is 1396088191. It was assigned to this individual provider in the NPPES registry on March 29, 2013.

Where is Radhika Mehta located?

Radhika Mehta practices at 1501 S Clinton St, Baltimore, MD 21224. The listed phone number is (917) 261-4414.

What is Radhika Mehta's specialty?

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

Is Radhika Mehta enrolled in Medicare?

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

Which organizations bill Medicare for Radhika Mehta's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Radhika Mehta reassigns Medicare benefits to 11 organizations: Personic Virtual Clinic LLC (Elkridge, MD), Premium Healthcare LLC (Vienna, VA), Fairfax Internal Medicine Associates, PC (Vienna, VA), Personic Health Care LLC (Springfield, PA), American Wound Care Medicine PLLC (Patchogue, NY) and 6 more organizations, listed in the Medicare section above. 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 Radhika Mehta's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Radhika Mehta accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter of Alabama, Ambetter of Tennessee and Anthem Blue Cross and Blue Shield and 1 other insurer list Radhika 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.

When was this NPI record last updated?

The NPPES record for Radhika Mehta was last updated on July 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.