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RIDDHI MEHTA
NPI 1649753187
Physician Assistant in Clayton, NC

Active since September 11, 2018PECOS EnrolledAccepts Medicare Assignment
166 SPRINGBROOK AVE STE 101, CLAYTON, NC 27520(919) 550-3430(919) 550-7403 Get Directions Write a Review

NPPES record last updated: December 18, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 18, 2024, Sep 11, 2018 (2 updates tracked since 2018).

About Riddhi Mehta NPPES

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

RIDDHI MEHTA (NPI 1649753187) is an individual physician assistant in Clayton, North Carolina, licensed in North Carolina (0010-013950) and active in the NPI registry since September 2018. She is enrolled in Medicare PECOS, is affiliated with Johnston Health, and maintains a secondary practice location in New Milford.

NPPES Registry Identity

NPI1649753187
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameRIDDHI MEHTA
Location Address166 SPRINGBROOK AVE STE 101Clayton, NC 27520-8520
Mailing Address203 Dahlia DrNew Milford, NJ 07646-2533 · (551) 795-2502
Phone(919) 550-3430
Fax(919) 550-7403
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateSeptember 11, 2018
Last NPPES UpdateDecember 18, 20242 updates tracked since enumeration
NPPES CertifiedDecember 18, 2024
✔ NPI 1649753187 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses✔ Licensed in NC · 0010-013950✔ Licensed in NY · 022445
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
166 SPRINGBROOK AVE STE 101, Clayton, NC 27520
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Secondary Practice Location 1

Location 1203 Dahlia DrNew Milford, NJ 07646-2533 · Phone (551) 795-2502

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, UnitedHealthcare.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

Riddhi Mehta 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 ID4385980630
PECOS Enrollment IDI20240228002379
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 7

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.
48 services25 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.
47 services28 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.
31 services31 patients
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.
28 services23 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
25 services23 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
18 services18 patients

Hospital Affiliations CMS Care Compare 2

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

Johnston Health

Acute Care Hospitals · Smithfield, NC
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340090
Location509 Bright Leaf BlvdSmithfield, NC 27577 · Johnston County
Emergency services Birthing friendly

Rex Hospital

Acute Care Hospitals · Raleigh, NC
5/5 CMS rating
OwnershipGovernment - State
CMS Certification Number340114
Location4420 Lake Boone TrailRaleigh, NC 27607 · Wake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27520 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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 4

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

MR. THOMAS WALKER JENKINS PA-C
Physician Assistant
166 SPRINGBROOK AVE STE 101
CLAYTON, NC 27520
Johnston County (919) 550-3430
MR. DERRICK ANDREW BASS PA-C
Physician Assistant
166 SPRINGBROOK AVE STE 101
CLAYTON, NC 27520
Johnston County (919) 550-3430
ZACHARY J BLOOM M.D.
Orthopaedic Surgery
166 SPRINGBROOK AVE STE 101
CLAYTON, NC 27520
Johnston County (919) 550-3430
PAUL MATTHEW DUNNEBACK III PA
Physician Assistant
166 SPRINGBROOK AVE STE 101
CLAYTON, NC 27520
Johnston County (919) 550-3430

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 Riddhi Mehta's NPI number?

The NPI number for Riddhi Mehta is 1649753187. It was assigned to this individual provider in the NPPES registry on September 11, 2018.

Where is Riddhi Mehta located?

Riddhi Mehta practices at 166 Springbrook Ave Ste 101, Clayton, NC 27520. The listed phone number is (919) 550-3430.

What is Riddhi Mehta's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Riddhi Mehta enrolled in Medicare?

Yes. Riddhi 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 Riddhi Mehta accept?

Health plans from Blue Cross and Blue Shield of NC and UnitedHealthcare list Riddhi 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 Riddhi Mehta affiliated with any hospitals?

According to CMS data, Riddhi Mehta is affiliated with Johnston Health and Rex Hospital.

When was this NPI record last updated?

The NPPES record for Riddhi Mehta was last updated on December 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.