SUPAL MEHTA MD
NPI 1578142014
Internal Medicine in Park Ridge, IL
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
Specialties & Licenses 2
Secondary Practice Location 1
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
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.
Medicare Billing Reassignment
Medicare enrollment records show Supal Mehta reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Columbia, MD 21044
- Reassigned Medicare billing, Maryland enrollment
- 952 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 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.
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, MDPhysician 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.
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.
PARK RIDGE, IL 60068
PARK RIDGE, IL 60068
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 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.
Where is Supal Mehta located?
Supal Mehta practices at 1775 Ballard Rd, Park Ridge, IL 60068. The listed phone number is (847) 318-6020.
What is Supal Mehta's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Supal Mehta enrolled in Medicare?
Yes. Supal 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 organization bills Medicare for Supal Mehta's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Supal Mehta reassigns Medicare benefits to Johns Hopkins Community Physicians (Columbia, MD). The 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 Supal Mehta's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Supal Mehta affiliated with any hospitals?
According to CMS data, Supal Mehta is affiliated with Johns Hopkins Howard County Medical Center.
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 2 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.
# Supal Mehta, MD · NPI 1578142014
Internal Medicine physician in Park Ridge, Illinois. Individual provider, active in the CMS NPPES registry since April 2, 2021.
## Identity
- **NPI:** 1578142014 (Entity type: Individual)
- **Enumerated:** April 2, 2021
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** D0100509 (Maryland)
- **Sole proprietor:** No
## Practice location
- **Address:** 1775 BALLARD RD, Park Ridge, IL 60068-1005
- **Phone:** (847) 318-6020
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** Johns Hopkins Community Physicians (NPI 1437970373, Columbia, MD), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Loyola University Of Chicago, Stritch School Of Medicine, class of 2021
## Record status
- **NPPES last updated:** September 18, 2024
---
Source: [NPI Profile](https://npiprofile.com/npi/1578142014) · Data from the CMS NPPES public registry.