SUPAL MEHTA MD
NPI 1578142014
Internal Medicine in Park Ridge, IL

Q: What is Supal Mehta's NPI number?

The NPI number for Supal Mehta is 1578142014. It was assigned to this individual provider in the NPPES registry on April 2, 2021.

Q: What is Supal Mehta's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Supal Mehta was last updated on September 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.

Active since April 02, 2021PECOS EnrolledAccepts Medicare Assignment

1775 BALLARD RD, PARK RIDGE, IL 60068(847) 318-6020 Get Directions Write a Review

NPPES record last updated: September 18, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 18, 2024, Apr 7, 2021, Apr 2, 2021 (3 updates tracked since 2021).

On this page

About Supal Mehta Md NPPES

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

SUPAL MEHTA MD (NPI 1578142014) is an individual internal medicine provider in Park Ridge, Illinois, licensed in Maryland (D0100509) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS, is affiliated with Johns Hopkins Howard County Medical Center, and maintains a secondary practice location in Columbia.

NPPES Registry Identity

NPI1578142014

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameSUPAL MEHTACredential: MD

Location Address1775 BALLARD RDPark Ridge, IL 60068-1005

Mailing Address6201 Greenleigh AveMiddle River, MD 21220-2004 · (410) 933-5412

Phone(847) 318-6020

Sole ProprietorNo

Medical School CMSLoyola University Of Chicago, Stritch School Of MedicineGraduated 2021

Enumeration DateApril 2, 2021

Last NPPES UpdateSeptember 18, 20243 updates tracked since enumeration

NPPES CertifiedSeptember 18, 2024

✔ NPI 1578142014 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in MD · D0100509

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.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1775 BALLARD RD, Park Ridge, IL 60068

Open in Google Maps ↗

Secondary Practice Location 1

Location 15755 Cedar LnColumbia, MD 21044-2912 · Phone (410) 955-5000

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

Supal 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 ID9133667819

PECOS Enrollment IDI20240813001065

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 5

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.

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.

204 services99 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

62 services61 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

36 services23 patients

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.

15 services15 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.

12 services12 patients

Hospital Affiliations CMS Care Compare

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

Johns Hopkins Howard County Medical Center

Acute Care Hospitals · Columbia, MD

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number210048

Location5755 Cedar LaneColumbia, MD 21044 · Howard County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60068 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

$138.86 typical visit price

range $60.08 – $183.39

Typical copayment $34.71 (range $15.02 – $45.84)

Most-billed visit code 99204

Established Patient

$105.70 typical visit price

range $18.97 – $148.12

Typical copayment $26.42 (range $4.74 – $37.03)

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.

DANIELLE ALYSSA WALES MD

Family Medicine