DR. PRASHANT J MEHTA MD
NPI 1487818050
Internal Medicine in Spearfish, SD

Active since July 14, 2008PECOS EnrolledAccepts Medicare Assignment
1440 N MAIN ST, SPEARFISH, SD 57783(605) 644-4000(605) 755-7884 Get Directions Write a Review

NPPES record last updated: February 18, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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

NPI1487818050
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. PRASHANT J MEHTACredential: MD
Location Address1440 N MAIN STSpearfish, SD 57783-1505
Mailing AddressPo Box 860013Minneapolis, MN 55486-0013 · (605) 644-4000 · Fax (605) 755-7884
Fax(605) 755-7884
Sole ProprietorYes
Medical School CMSOtherGraduated 2006
Enumeration DateJuly 14, 2008
Last NPPES UpdateFebruary 18, 2015
NPI 1487818050 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in SD · 8432
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.

1440 N MAIN ST, Spearfish, SD 57783

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

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.

PECOS PAC ID5395932537
PECOS Enrollment IDI20120806000702, I20180711000050
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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
283 services275 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
87 services85 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
33 services33 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
13 services13 patients

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, NJ
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310010
LocationOne-Five Plainsboro RoadPlainsboro, NJ 08536 · Middlesex County
Emergency services Birthing friendly

Raritan Bay Medical Center

Acute Care Hospitals · Perth Amboy, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310039
Location530 New Brunswick AvePerth Amboy, NJ 08861 · Middlesex County
Emergency services Birthing friendly

Centrastate Medical Center

Acute Care Hospitals · Freehold, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310111
Location901 West Main StreetFreehold, NJ 07728 · Monmouth County
Emergency services Birthing friendly

Monument Health Spearfish Hospital

Acute Care Hospitals · Spearfish, SD
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number430048
Location1440 N Main StSpearfish, SD 57783 · Lawrence County
Emergency services

Monument Health Rapid City Hospital

Acute Care Hospitals · Rapid City, SD
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number430077
Location353 Fairmont BlvdRapid City, SD 57701 · Pennington County
Emergency services Birthing friendly

Physician 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.

New Patient
$126.78 typical visit price
range $55.52 – $167.23
Typical copayment $31.69 (range $13.88 – $41.80)
Most-billed visit code 99204
Established Patient
$97.88 typical visit price
range $18.08 – $137.08
Typical copayment $24.47 (range $4.52 – $34.27)
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 20

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

Physical Therapist
1440 N MAIN ST
SPEARFISH, SD 57783
General Acute Care Hospital
1440 N MAIN ST
SPEARFISH, SD 57783
Dietitian, Registered
1440 N MAIN ST
SPEARFISH, SD 57783
Nurse Anesthetist, Certified Registered
1440 N MAIN ST
SPEARFISH, SD 57783
Registered Nurse (Lactation Consultant)
1440 N MAIN ST
SPEARFISH, SD 57783
Physical Therapist
1440 N MAIN ST
SPEARFISH, SD 57783
Dietitian, Registered
1440 N MAIN ST
SPEARFISH, SD 57783
Physical Therapist
1440 N MAIN ST
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.

What insurance does Prashant Mehta accept?

Health plans from Avera Health Plans, Medica and Sanford Health Plan 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, Raritan Bay Medical Center, Centrastate Medical Center, Monument Health Spearfish Hospital and Monument Health Rapid City Hospital.

When was this NPI record last updated?

The NPPES record for Prashant Mehta was last updated on February 18, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.