DR. PRASHANT J MEHTA MD
NPI 1487818050
Internal Medicine in Spearfish, SD
About Dr. Prashant J Mehta Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. PRASHANT J MEHTA MD (NPI 1487818050) is an individual internal medicine provider in Spearfish, South Dakota, licensed in South Dakota (8432) and active in the NPI registry since July 2008. He is enrolled in Medicare PECOS, is affiliated with University Medical Center Of Princeton At Plainsboro, and is a graduate of Other (2006).
NPPES Registry Identity
Specialties & Licenses
Accepted 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. Prashant J Mehta Md 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.
Medicare Billing Reassignments
5Medicare enrollment records show Prashant Mehta reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Spearfish, SD 57783
- Reassigned Medicare billing, South Dakota enrollment
- 831 clinicians in this Medicare group
Pierre, SD 57501
- Reassigned Medicare billing, South Dakota enrollment
- 1,277 clinicians in this Medicare group
Langhorne, PA 19047
- Reassigned Medicare billing, New Jersey enrollment
- 793 clinicians in this Medicare group
Edison, NJ 08820
- Reassigned Medicare billing, New Jersey enrollment
- 351 clinicians in this Medicare group
East Orange, NJ 07018
- Reassigned Medicare billing, New Jersey enrollment
- 125 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.
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.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
University Medical Center Of Princeton At Plainsboro
Acute Care Hospitals · Plainsboro, NJCentrastate Medical Center
Acute Care Hospitals · Freehold, NJMonument Health Spearfish Hospital
Acute Care Hospitals · Spearfish, SDMonument Health Rapid City Hospital
Acute Care Hospitals · Rapid City, SDMonument Health Custer Hospital
Critical Access Hospitals · Custer, SDPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 57783 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
SPEARFISH, SD 57783
SPEARFISH, SD 57783
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 Prashant Mehta's NPI number?
The NPI number for Prashant Mehta is 1487818050. It was assigned to this individual provider in the NPPES registry on July 14, 2008.
Where is Prashant Mehta located?
Prashant Mehta practices at 1440 N Main St, Spearfish, SD 57783. The listed phone number is (605) 644-4000.
What is Prashant Mehta's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Prashant Mehta enrolled in Medicare?
Yes. Prashant 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 Prashant Mehta's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Prashant Mehta reassigns Medicare benefits to 5 organizations: Monument Health Rapid City Hospital, Inc. (Spearfish, SD), Avera Mckennan (Pierre, SD), Clinical Health Care Associates Of New Jersey, PC (Langhorne, PA), Hospitalist Physicians Of New Jersey PA (Edison, NJ) and Nj Acute Care Specialists Professional Corporation (East Orange, NJ). 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 Prashant Mehta's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Prashant Mehta accept?
Health plans from Avera Health Plans, Sanford Health Plan and Wellmark of South Dakota, Inc. list Prashant 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 Prashant Mehta affiliated with any hospitals?
According to CMS data, Prashant Mehta is affiliated with University Medical Center Of Princeton At Plainsboro, Centrastate Medical Center, Monument Health Spearfish Hospital, Monument Health Rapid City Hospital and Monument Health Custer Hospital.
When was this NPI record last updated?
The NPPES record for Prashant Mehta was last updated on February 18, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Dr. Prashant J Mehta, MD · NPI 1487818050
Internal Medicine physician in Spearfish, South Dakota. Individual provider, active in the CMS NPPES registry since July 14, 2008.
## Identity
- **NPI:** 1487818050 (Entity type: Individual)
- **Enumerated:** July 14, 2008
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** 8432 (South Dakota)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1440 N MAIN ST, Spearfish, SD 57783-1505
- **Phone:** (605) 644-4000 · **Fax:** (605) 755-7884
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): Monument Health Rapid City Hospital, Inc. (NPI 1255415246, Spearfish, SD); Avera Mckennan (NPI 1780829283, Pierre, SD); Clinical Health Care Associates Of New Jersey, PC (NPI 1538728357, Langhorne, PA); Hospitalist Physicians Of New Jersey PA (NPI 1588021851, Edison, NJ); Nj Acute Care Specialists Professional Corporation (NPI 1073805917, East Orange, NJ) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2006
## Record status
- **NPPES last updated:** February 18, 2015
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Source: [NPI Profile](https://npiprofile.com/npi/1487818050) · Data from the CMS NPPES public registry.