DR. NIRAJ H MEHTA M.D.
NPI 1598919243
Radiology - Radiation Oncology in Pembroke Pines, FL

Active since November 07, 2008PECOS EnrolledAccepts Medicare Assignment
12309 PEMBROKE RD, PEMBROKE PINES, FL 33025(954) 392-4750(954) 433-1608 Get Directions Write a Review

NPPES record last updated: April 19, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Niraj H Mehta M.d. NPPES

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

DR. NIRAJ H MEHTA M.D. (NPI 1598919243) is an individual radiation oncology provider in Pembroke Pines, Florida, licensed in Florida (ME 116959) and active in the NPI registry since November 2008. He is enrolled in Medicare PECOS and is a graduate of Other (2008).

NPPES Registry Identity

NPI1598919243
Entity TypeIndividualMale
Primary Taxonomy2085R0001X
Provider Legal NameDR. NIRAJ H MEHTACredential: M.D.
Location Address12309 PEMBROKE RDPembroke Pines, FL 33025-1723
Mailing Address2234 Colonial Blvd, Attn: Payer Contracting & RelationsFort Myers, FL 33907-1412 · (239) 931-7342 · Fax (239) 931-7385
Fax(954) 433-1608
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateNovember 7, 2008
Last NPPES UpdateApril 19, 2023
NPPES CertifiedApril 19, 2023
✔ NPI 1598919243 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Radiation OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0001X
Licenses✔ Licensed in FL · ME 116959✔ Licensed in CA · A103983
Definition
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
12309 PEMBROKE RD, Pembroke Pines, FL 33025

Other Identifiers 13

Other927233FL · Wellcare
MedicaidP515353FL
Other29496FL · Medica
Other927223FL · Wellcare
Other9129143FL · Cigna
OtherP0020485FL · Florida Healthcare Plus
OtherP1010576FL · Freedom Health
Other367687FL · Avmed
Other13451FL · Dimensions Health
Other13451FL · Dimension Health
OtherP949934FL · Optimum
Medicaid009363800FL
Other14RN2FL · Bcbs Of Fl

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. Niraj H Mehta M.d. 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 ID2769623750
PECOS Enrollment IDI20130802000748, I20250721003986
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

3

Medicare enrollment records show Niraj Mehta reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Urology
601 N FLAMINGO RD STE 300
Pembroke Pines, FL 33028
  • Reassigned Medicare billing, Florida enrollment
  • 284 clinicians in this Medicare group
General Practice
8300 SW 8TH ST STE 108
Miami, FL 33144
  • Reassigned Medicare billing, Florida enrollment
  • Medicare enrollment name: Wound Care Specialists West Coast Inc
  • 6 clinicians in this Medicare group
Psychiatric Unit
1509 WILSON TER
Glendale, CA 91206
  • Reassigned Medicare billing, California enrollment
  • 164 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

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.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
29 services22 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33025 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
$179.05 typical visit price
range $58.56 – $179.05
Typical copayment $44.76 (range $14.64 – $44.76)
Most-billed visit code 99205
Established Patient
$73.00 typical visit price
range $18.44 – $144.68
Typical copayment $18.25 (range $4.61 – $36.17)
Most-billed visit code 99213
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 10

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

Internal Medicine (Hematology & Oncology)
12309 PEMBROKE RD
PEMBROKE PINES, FL 33025
Physician Assistant
12309 PEMBROKE RD
PEMBROKE PINES, FL 33025
Physician Assistant
12309 PEMBROKE RD
PEMBROKE PINES, FL 33025
Physician Assistant
12309 PEMBROKE RD
PEMBROKE PINES, FL 33025
Physician Assistant
12309 PEMBROKE RD
PEMBROKE PINES, FL 33025
Internal Medicine (Hematology & Oncology)
12309 PEMBROKE RD
PEMBROKE PINES, FL 33025
Physician Assistant
12309 PEMBROKE RD
PEMBROKE PINES, FL 33025
Physician Assistant
12309 PEMBROKE RD
PEMBROKE PINES, FL 33025

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 Niraj Mehta's NPI number?

The NPI number for Niraj Mehta is 1598919243. It was assigned to this individual provider in the NPPES registry on November 7, 2008.

Where is Niraj Mehta located?

Niraj Mehta practices at 12309 Pembroke Rd, Pembroke Pines, FL 33025. The listed phone number is (954) 392-4750.

What is Niraj Mehta's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Radiation Oncology, with taxonomy code 2085R0001X.

Is Niraj Mehta enrolled in Medicare?

Yes. Niraj 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 Niraj Mehta's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Niraj Mehta reassigns Medicare benefits to 3 organizations: Genesiscare Usa Of Florida LLC (Pembroke Pines, FL), Wound Care Specialist West Coast Inc (Miami, FL) and Glendale Adventist Medical Center (Glendale, CA). 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 Niraj Mehta's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Niraj Mehta accept?

Health plans from 22 Health, Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama and Cigna HealthCare of Florida, Inc. and 6 other insurers list Niraj 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.

When was this NPI record last updated?

The NPPES record for Niraj Mehta was last updated on April 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.