DR. NIMISH MEHTA MD
NPI 1649257916
Emergency Medicine in Charleston, WV

Active since December 28, 2005PECOS EnrolledAccepts Medicare Assignment
90.11/100
CMS Quality Rating
800 PENNSYLVANIA AVE, CHARLESTON, WV 25302(304) 388-2550 Get Directions Write a Review

NPPES record last updated: April 28, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Nimish Mehta Md NPPES

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

DR. NIMISH MEHTA MD (NPI 1649257916) is an individual emergency medicine provider in Charleston, West Virginia, licensed in West Virginia (20051) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with Charleston Area Medical Center, and is a graduate of Jc Edwards School Of Medicine, Marshall University (1997).

NPPES Registry Identity

NPI1649257916
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. NIMISH MEHTACredential: MD
Location Address800 PENNSYLVANIA AVECharleston, WV 25302-3351
Mailing Address3100 Maccorkle Ave Se, Ste 203Charleston, WV 25304-1228 · (304) 388-1724 · Fax (304) 388-1721
Sole ProprietorNo
Medical School CMSJc Edwards School Of Medicine, Marshall UniversityGraduated 1997
Enumeration DateDecember 28, 2005
Last NPPES UpdateApril 28, 2023
NPPES CertifiedApril 28, 2023
NPI 1649257916 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in WV · 20051
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedPediatricsTaxonomy 208000000X · License 20051 (WV)
800 PENNSYLVANIA AVE, Charleston, WV 25302

Other Identifiers 3

Other001718074WV · Wv Bcbs
Other1057343WV · Wv Dwc
Medicaid1803190000WV

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. Nimish 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 ID8729095963
PECOS Enrollment IDI20060314000387
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 2

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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
21 services21 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Charleston Area Medical Center

Acute Care Hospitals · Charleston, WV
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510022
Location501 Morris StreetCharleston, WV 25301 · Kanawha County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 25302 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
$83.49 typical visit price
range $53.20 – $164.59
Typical copayment $20.87 (range $13.30 – $41.14)
Most-billed visit code 99203
Established Patient
$94.81 typical visit price
range $16.47 – $133.29
Typical copayment $23.70 (range $4.11 – $33.32)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

90.11/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality66.96
Promoting Interoperability100
Improvement Activities40

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.

Nurse Anesthetist, Certified Registered
800 PENNSYLVANIA AVE
CHARLESTON, WV 25302
Student in an Organized Health Care Education/Training Program
800 PENNSYLVANIA AVE
CHARLESTON, WV 25302
Student in an Organized Health Care Education/Training Program
800 PENNSYLVANIA AVE
CHARLESTON, WV 25302
Clinic/Center (Adult Mental Health)
800 PENNSYLVANIA AVE, FAMILY RESOURCE CENTER
CHARLESTON, WV 25302
Nurse Practitioner (Family)
800 PENNSYLVANIA AVE
CHARLESTON, WV 25302
Student in an Organized Health Care Education/Training Program
800 PENNSYLVANIA AVE
CHARLESTON, WV 25302
Nurse Anesthetist, Certified Registered
800 PENNSYLVANIA AVE
CHARLESTON, WV 25302
Nurse Anesthetist, Certified Registered
800 PENNSYLVANIA AVE
CHARLESTON, WV 25302

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 Nimish Mehta's NPI number?

The NPI number for Nimish Mehta is 1649257916. It was assigned to this individual provider in the NPPES registry on December 28, 2005.

Where is Nimish Mehta located?

Nimish Mehta practices at 800 Pennsylvania Ave, Charleston, WV 25302. The listed phone number is (304) 388-2550.

What is Nimish Mehta's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Nimish Mehta enrolled in Medicare?

Yes. Nimish 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 Nimish Mehta accept?

Health plans from CareSource list Nimish 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 Nimish Mehta affiliated with any hospitals?

According to CMS data, Nimish Mehta is affiliated with Charleston Area Medical Center.

When was this NPI record last updated?

The NPPES record for Nimish Mehta was last updated on April 28, 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.