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SHILPA MEHTA M.D.
NPI 1407162530
Dermatology in Chicago, IL

Active since August 26, 2010PECOS EnrolledAccepts Medicare Assignment
84.57/100
CMS Quality Rating
1900 W POLK ST, CHICAGO, IL 60612(312) 864-6000 Get Directions Write a Review

NPPES record last updated: April 27, 2021. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Apr 27, 2021, Aug 13, 2020 (2 updates tracked since 2020).

About Shilpa Mehta M.d. NPPES

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

SHILPA MEHTA M.D. (NPI 1407162530) is an individual dermatology provider in Chicago, Illinois, licensed in Illinois (036-128502) and active in the NPI registry since August 2010. She is enrolled in Medicare PECOS, is affiliated with John H Stroger Jr Hospital, and is a graduate of Other (2000).

NPPES Registry Identity

NPI1407162530
Entity TypeIndividualFemale
Primary Taxonomy207N00000X
Provider Legal NameSHILPA MEHTACredential: M.D.
Location Address1900 W POLK STChicago, IL 60612-3723
Mailing Address100 E 14th St, Apt 1001Chicago, IL 60605-3666 · (847) 596-0356
Phone(312) 864-6000
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateAugust 26, 2010
Last NPPES UpdateApril 27, 20212 updates tracked since enumeration
NPPES CertifiedApril 27, 2021
✔ NPI 1407162530 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in IL · 036-128502
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
Also ListedInternal MedicineTaxonomy 207R00000X · License 125053959 (IL)
1900 W POLK ST, Chicago, IL 60612
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Shilpa 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 ID3971776204
PECOS Enrollment IDI20111102000626
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.

Areas of Expertise CMS Part B claims 4

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 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.
111 services72 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.
25 services22 patients
Biopsy of related skin growth, first growth 11102
A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.
17 services16 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
15 services15 patients

Hospital Affiliations CMS Care Compare

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

John H Stroger Jr Hospital

Acute Care Hospitals · Chicago, IL
2/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number140124
Location1901 W Harrison StChicago, IL 60612 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60612 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
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
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.

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.

84.57/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality60.25
Promoting Interoperability100
Improvement Activities40
Cost67

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. CARMENCITA GARCIA SENSENG MD
Pathology (Anatomic Pathology & Clinical Pathology)
1900 W POLK ST
CHICAGO, IL 60612
Cook County (312) 864-7561
DR. REBECCA BOWER-LEWIS M.D.
Emergency Medicine
1900 W POLK ST, SUITE 1053
CHICAGO, IL 60612
Cook County (312) 864-0060
JOHN STROGER JR. HOSPITAL OF THE COOK COUNTY
General Acute Care Hospital
1900 W POLK ST, DEPT OF EM 10TH FLOOR
CHICAGO, IL 60612
Cook County (312) 864-0060
SARAH AHMED CRNA
Nurse Anesthetist, Certified Registered
1900 W POLK ST
CHICAGO, IL 60612
Cook County (312) 864-0452
MS. JENNIFER MARY DUFF APN
Nurse Practitioner (Pediatrics)
1900 W POLK ST, 1143
CHICAGO, IL 60612
Cook County (312) 864-4150
DR. MATTHEW Y RHEE M.D.
Emergency Medicine
1900 W POLK ST, DEPARTMENT OF EMERGENCY MEDICINE
CHICAGO, IL 60612
Cook County (312) 864-0062
IRENE STEPHANIE ALEXANDRA ALUEN METZNER M.D.
Internal Medicine
1900 W POLK ST
CHICAGO, IL 60612
Cook County (312) 864-4462
DR. NIVA SHAKYA M.D.
Pediatrics
1900 W POLK ST
CHICAGO, IL 60612
Cook County (312) 864-4505

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 Shilpa Mehta's NPI number?

The NPI number for Shilpa Mehta is 1407162530. It was assigned to this individual provider in the NPPES registry on August 26, 2010.

Where is Shilpa Mehta located?

Shilpa Mehta practices at 1900 W Polk St, Chicago, IL 60612. The listed phone number is (312) 864-6000.

What is Shilpa Mehta's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Shilpa Mehta enrolled in Medicare?

Yes. Shilpa 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.

What insurance does Shilpa Mehta accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Shilpa 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 Shilpa Mehta affiliated with any hospitals?

According to CMS data, Shilpa Mehta is affiliated with John H Stroger Jr Hospital.

When was this NPI record last updated?

The NPPES record for Shilpa Mehta was last updated on April 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.