SUMITA R MEHTA MD
NPI 1568768828
Internal Medicine - Gastroenterology in Dallas, TX

Active since February 04, 2011PECOS EnrolledAccepts Medicare Assignment
5151 MAPLE AVE FL 4, DALLAS, TX 75235(214) 266-1256 Get Directions Write a Review

NPPES record last updated: April 30, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Sumita R Mehta Md NPPES

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

SUMITA R MEHTA MD (NPI 1568768828) is an individual gastroenterology provider in Dallas, Texas, licensed in Texas (R8425) and active in the NPI registry since February 2011. She is enrolled in Medicare PECOS, is affiliated with Parkland Health & Hospital System, and is a graduate of Other (2002).

NPPES Registry Identity

NPI1568768828
Entity TypeIndividualFemale
Primary Taxonomy207RG0100X
Provider Legal NameSUMITA R MEHTACredential: MD
Location Address5151 MAPLE AVE FL 4Dallas, TX 75235-8136
Mailing AddressPo Box 660599Dallas, TX 75266-0599
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateFebruary 4, 2011
Last NPPES UpdateApril 30, 2026
NPPES CertifiedApril 30, 2026
✔ NPI 1568768828 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in TX · R8425
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
Also ListedInternal MedicineTaxonomy 207R00000X · License R8425 (TX)
5151 MAPLE AVE FL 4, Dallas, TX 75235

Other Names 1

Former Name (1)Sumita Rawal

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

Sumita R 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 ID8426234493
PECOS Enrollment IDI20201222000313
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

5

Medicare enrollment records show Sumita Mehta reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
5151 MAPLE AVE # 2E
Dallas, TX 75235
  • Reassigned Medicare billing, Texas enrollment
  • 808 clinicians in this Medicare group
Clinic/Center
225 SOUTH BLUFF STREET
Winnebago, NE 68071
  • Reassigned Medicare billing, Texas enrollment
  • 90 clinicians in this Medicare group
General Acute Care Hospital
400 SOLDIER CREEK ROAD
Rosebud, SD 57570
  • Reassigned Medicare billing, Texas enrollment
  • 386 clinicians in this Medicare group
Public Health, Federal
14 GREAT PLAINS ROAD
Arapahoe, WY 82501
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: U S Health Dept Of Health & Human Services
  • 306 clinicians in this Medicare group
Physical Medicine & Rehabilitation
485 BALTIMORE PIKE, SUITE 202
Glen Mills, PA 19342
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 654 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.

Hospital Affiliations CMS Care Compare

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

Parkland Health & Hospital System

Acute Care Hospitals · Dallas, TX
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450015
Location5200 Harry Hines BlvdDallas, TX 75235 · Dallas County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75235 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
$131.01 typical visit price
range $57.18 – $172.86
Typical copayment $32.75 (range $14.29 – $43.21)
Most-billed visit code 99204
Established Patient
$100.80 typical visit price
range $18.48 – $141.20
Typical copayment $25.20 (range $4.62 – $35.30)
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 5

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

Acupuncturist
5151 MAPLE AVE FL 4
DALLAS, TX 75235
Social Worker (Clinical)
5151 MAPLE AVE FL 4
DALLAS, TX 75235
Family Medicine
5151 MAPLE AVE FL 4
DALLAS, TX 75235
Dentist (General Practice)
5151 MAPLE AVE FL 4
DALLAS, TX 75235
Nurse Practitioner (Primary Care)
5151 MAPLE AVE FL 4
DALLAS, TX 75235

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 Sumita Mehta's NPI number?

The NPI number for Sumita Mehta is 1568768828. It was assigned to this individual provider in the NPPES registry on February 4, 2011. The provider is also known as Sumita Rawal.

Where is Sumita Mehta located?

Sumita Mehta practices at 5151 Maple Ave Fl 4, Dallas, TX 75235. The listed phone number is (214) 266-1256.

What is Sumita Mehta's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Sumita Mehta enrolled in Medicare?

Yes. Sumita 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 Sumita Mehta's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sumita Mehta reassigns Medicare benefits to 5 organizations: Dallas County Hospital District (Dallas, TX), Winnebago Tribe Of Nebraska (Winnebago, NE), Rosebud Indian Health Service (Rosebud, SD), Us Health Dept Of Health & Human Services (Arapahoe, WY) and Prospect Health Access Network, Inc. (Glen Mills, PA). 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 Sumita Mehta's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sumita Mehta accept?

Health plans from Oscar Insurance Company list Sumita 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 Sumita Mehta affiliated with any hospitals?

According to CMS data, Sumita Mehta is affiliated with Parkland Health & Hospital System.

When was this NPI record last updated?

The NPPES record for Sumita Mehta was last updated on April 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.