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PRACHI HEETEN MEHTA
NPI 1689254344
Emergency Medicine in Surprise, AZ

Active since April 08, 2021PECOS EnrolledAccepts Medicare Assignment
16575 W WADDELL RD, SURPRISE, AZ 85388(623) 300-9110 Get Directions Write a Review

NPPES record last updated: August 9, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 9, 2024, Apr 8, 2021 (2 updates tracked since 2021).

About Prachi Heeten Mehta NPPES

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

PRACHI HEETEN MEHTA (NPI 1689254344) is an individual emergency medicine provider in Surprise, Arizona, licensed in Arizona (73204) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS and is a graduate of Saint Louis University School Of Medicine (2021).

NPPES Registry Identity

NPI1689254344
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NamePRACHI HEETEN MEHTA
Location Address16575 W WADDELL RDSurprise, AZ 85388-9627
Mailing Address16575 W Waddell RdSurprise, AZ 85388-9627
Phone(623) 300-9110
Sole ProprietorYes
Medical School CMSSaint Louis University School Of MedicineGraduated 2021
Enumeration DateApril 8, 2021
Last NPPES UpdateAugust 9, 20242 updates tracked since enumeration
NPPES CertifiedAugust 9, 2024
✔ NPI 1689254344 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 AZ · 73204
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 ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
16575 W WADDELL RD, Surprise, AZ 85388
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona, Cigna HealthCare of Arizona, Inc, Oscar Health Plan, Inc..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

Prachi Heeten 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 ID4981143385
PECOS Enrollment IDI20240829002119
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

6

Medicare enrollment records show Prachi Mehta reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Loop 101 Emergency Physicians LLC
18 mi
Emergency Medicine
19829 N 27TH AVE
Phoenix, AZ 85027
  • Reassigned Medicare billing, Arizona enrollment
  • 122 clinicians in this Medicare group
NPI 1376573378 (954) 939-5000
Emergency Group Of Arizona Professional Corporation
19 mi
Emergency Medicine
2000 W BETHANY HOME RD
Phoenix, AZ 85015
  • Reassigned Medicare billing, Arizona enrollment
  • 260 clinicians in this Medicare group
NPI 1215275433 (925) 924-1600
Emcare - Pnx Emergency Physicians LLC
20 mi
Emergency Medicine
250 E DUNLAP AVE
Phoenix, AZ 85020
  • Reassigned Medicare billing, Arizona enrollment
  • 153 clinicians in this Medicare group
NPI 1902855992 (954) 939-5000
Honorhealth
20 mi
General Acute Care Hospital
250 E DUNLAP AVE
Phoenix, AZ 85020
  • Reassigned Medicare billing, Arizona enrollment
  • 267 clinicians in this Medicare group
NPI 1770690695 (602) 870-6304
Arizona Acute Medical Services 1 PC
23 mi
Hospitalist
1930 E THOMAS RD
Phoenix, AZ 85016
  • Reassigned Medicare billing, Arizona enrollment
  • 302 clinicians in this Medicare group
NPI 1154860674 (602) 532-1000
303 Emergency Physicians PLLC
144 mi
Emergency Medicine
2400 S AVENUE A
Yuma, AZ 85364
  • Reassigned Medicare billing, Arizona enrollment
  • 141 clinicians in this Medicare group
NPI 1518398585 (954) 939-5000

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 4

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 high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
47 services47 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
27 services27 patients
Electrocardiogram (ecg) 1 to 3 leads with review by physician only 93042
An Electrocardiogram (ECG) is a non-invasive test that records the electrical activity of your heart. 1 to 3 leads or sensors are placed on your body to capture this data. A physician then reviews the results to evaluate your heart's health.
14 services14 patients
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.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85388 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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 6

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

AUSTIN CHILDS MSN
Registered Nurse
16575 W WADDELL RD
SURPRISE, AZ 85388
Maricopa County (623) 300-9110
NICOLE MARIE OSTASZEWSKI PA-C
Physician Assistant
16575 W WADDELL RD
SURPRISE, AZ 85388
Maricopa County (623) 300-9110
ADRIAN GALASSI
Nurse Practitioner (Family)
16575 W WADDELL RD
SURPRISE, AZ 85388
Maricopa County (623) 300-9110
MIKALI NICOLE FRANS FNP-C
Nurse Practitioner (Family)
16575 W WADDELL RD
SURPRISE, AZ 85388
Maricopa County (623) 300-9110
ERIC KENT WALKER FNP
Nurse Practitioner (Family)
16575 W WADDELL RD
SURPRISE, AZ 85388
Maricopa County (801) 884-2362
HONORHEALTH
General Acute Care Hospital
16575 W WADDELL RD
SURPRISE, AZ 85388
Maricopa County (623) 300-9110

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 Prachi Mehta's NPI number?

The NPI number for Prachi Mehta is 1689254344. It was assigned to this individual provider in the NPPES registry on April 8, 2021.

Where is Prachi Mehta located?

Prachi Mehta practices at 16575 W Waddell Rd, Surprise, AZ 85388. The listed phone number is (623) 300-9110.

What is Prachi Mehta's specialty?

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

Is Prachi Mehta enrolled in Medicare?

Yes. Prachi 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 Prachi Mehta's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Prachi Mehta reassigns Medicare benefits to 6 organizations: Loop 101 Emergency Physicians LLC (Phoenix, AZ), Emergency Group Of Arizona Professional Corporation (Phoenix, AZ), Emcare - Pnx Emergency Physicians LLC (Phoenix, AZ), Honorhealth (Phoenix, AZ), Arizona Acute Medical Services 1 PC (Phoenix, AZ) and 1 more organization, listed in the Medicare section above. 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 Prachi Mehta's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Prachi Mehta accept?

Health plans from Blue Cross Blue Shield of Arizona, Cigna HealthCare of Arizona, Inc and Oscar Health Plan, Inc. list Prachi 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 Prachi Mehta was last updated on August 9, 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.