MADHU MEHTA M.D.
NPI 1417964966
Internal Medicine - Rheumatology in Marion, OH

Active since August 01, 2006PECOS EnrolledAccepts Medicare Assignment
87.65/100
CMS Quality Rating
1050 DELAWARE AVE, MARION, OH 43302(740) 383-7820(740) 383-7023 Get Directions Write a Review

NPPES record last updated: December 15, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Madhu Mehta M.d. NPPES

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

MADHU MEHTA M.D. (NPI 1417964966) is an individual rheumatology provider in Marion, Ohio, licensed in Ohio (35080698) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, is affiliated with Riverside Methodist Hospital, and is a graduate of Other (1983).

NPPES Registry Identity

NPI1417964966
Entity TypeIndividualFemale
Primary Taxonomy207RR0500X
Provider Legal NameMADHU MEHTACredential: M.D.
Location Address1050 DELAWARE AVEMarion, OH 43302-6416
Mailing Address# L-3652Columbus, OH 43260-6453 · (740) 383-7927 · Fax (740) 383-7942
Fax(740) 383-7023
Sole ProprietorNo
Medical School CMSOtherGraduated 1983
Enumeration DateAugust 1, 2006
Last NPPES UpdateDecember 15, 2021
NPI 1417964966 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License Licensed in OH · 35080698
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
1050 DELAWARE AVE, Marion, OH 43302

Other Identifiers 1

Medicaid2372687OH

Accepted 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

Madhu 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 ID3375526692
PECOS Enrollment IDI20040609000241
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 7

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 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.
431 services215 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
200 services34 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.
178 services124 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.
58 services58 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.
38 services38 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
31 services24 patients

Hospital Affiliations CMS Care Compare 5

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

Riverside Methodist Hospital

Acute Care Hospitals · Columbus, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360006
Location3535 Olentangy River RdColumbus, OH 43214 · Franklin County
Emergency services Birthing friendly

Marion General Hospital

Acute Care Hospitals · Marion, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360011
Location1000 Mckinley Park DriveMarion, OH 43302 · Marion County
Emergency services Birthing friendly

Ohiohealth Mansfield Hospital

Acute Care Hospitals · Mansfield, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360118
Location335 Glessner AvenueMansfield, OH 44903 · Richland County
Emergency services Birthing friendly

Grady Memorial Hospital

Acute Care Hospitals · Delaware, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360210
Location561 West Central AvenueDelaware, OH 43015 · Delaware County
Emergency services Birthing friendly

Hardin Memorial Hospital

Critical Access Hospitals · Kenton, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number361315
Location921 East Franklin StreetKenton, OH 43326 · Hardin County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43302 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

87.65/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.45
Promoting Interoperability96.03
Improvement Activities40

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.

Nurse Practitioner
1050 DELAWARE AVE
MARION, OH 43302
Anesthesiology
1050 DELAWARE AVE
MARION, OH 43302
Internal Medicine (Medical Oncology)
1050 DELAWARE AVE
MARION, OH 43302
Orthotist
1050 DELAWARE AVE
MARION, OH 43302
Specialist
1050 DELAWARE AVE
MARION, OH 43302
Anesthesiology
1050 DELAWARE AVE
MARION, OH 43302
Nurse Anesthetist, Certified Registered
1050 DELAWARE AVE
MARION, OH 43302
Specialist
1050 DELAWARE AVE
MARION, OH 43302

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 Madhu Mehta's NPI number?

The NPI number for Madhu Mehta is 1417964966. It was assigned to this individual provider in the NPPES registry on August 1, 2006.

Where is Madhu Mehta located?

Madhu Mehta practices at 1050 Delaware Ave, Marion, OH 43302. The listed phone number is (740) 383-7820.

What is Madhu Mehta's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Madhu Mehta enrolled in Medicare?

Yes. Madhu 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 Madhu Mehta accept?

Health plans from CareSource, MedMutual and Molina Healthcare list Madhu 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 Madhu Mehta affiliated with any hospitals?

According to CMS data, Madhu Mehta is affiliated with Riverside Methodist Hospital, Marion General Hospital, Ohiohealth Mansfield Hospital, Grady Memorial Hospital and Hardin Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Madhu Mehta was last updated on December 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.