SHILPIN MEHTA D.O.
NPI 1871856948
Surgery in Madison Heights, MI
About Shilpin Mehta D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHILPIN MEHTA D.O. (NPI 1871856948) is an individual surgery provider in Madison Heights, Michigan, licensed in Michigan (5101019868) and active in the NPI registry since June 2012. He is enrolled in Medicare PECOS, is affiliated with Lake Huron Medical Center, and is a graduate of Other (2012).
NPPES Registry Identity
Specialties & Licenses
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
Shilpin Mehta D.o. 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 Reassignments
3Medicare enrollment records show Shilpin Mehta reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Warren, MI 48092
- Reassigned Medicare billing, Michigan enrollment
- Medicare enrollment name: Michigan Healthcare Professionals PC
- 741 clinicians in this Medicare group
Warren, MI 48092
- Reassigned Medicare billing, Michigan enrollment
- 101 clinicians in this Medicare group
Fort Gratiot, MI 48059
- Reassigned Medicare billing, Michigan enrollment
- 24 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 3
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 4
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Lake Huron Medical Center
Acute Care Hospitals · Port Huron, MIAscension Macomb Oakland Hosp-Warren Campus
Acute Care Hospitals · Warren, MIMclaren Port Huron
Acute Care Hospitals · Port Huron, MIAscension Providence Rochester Hospital
Acute Care Hospitals · Rochester, MIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 48071 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
MADISON HEIGHTS, MI 48071
MADISON HEIGHTS, MI 48071
MADISON HEIGHTS, MI 48071
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 Shilpin Mehta's NPI number?
The NPI number for Shilpin Mehta is 1871856948. It was assigned to this individual provider in the NPPES registry on June 22, 2012.
Where is Shilpin Mehta located?
Shilpin Mehta practices at 27351 Dequindre Rd, Madison Heights, MI 48071. The listed phone number is (248) 967-7795.
What is Shilpin Mehta's specialty?
The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.
Is Shilpin Mehta enrolled in Medicare?
Yes. Shilpin 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 Shilpin Mehta's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shilpin Mehta reassigns Medicare benefits to 3 organizations: Michigan Healthcare Professionals, P.C. (Warren, MI), Henry Ford Semi Medical Group (Warren, MI) and Port Huron Physicians Medical Group PC (Fort Gratiot, MI). 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 Shilpin Mehta's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Shilpin Mehta accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list Shilpin 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 Shilpin Mehta affiliated with any hospitals?
According to CMS data, Shilpin Mehta is affiliated with Lake Huron Medical Center, Ascension Macomb Oakland Hosp-Warren Campus, Mclaren Port Huron and Ascension Providence Rochester Hospital.
When was this NPI record last updated?
The NPPES record for Shilpin Mehta was last updated on June 22, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Shilpin Mehta, D.O. · NPI 1871856948
Surgery physician in Madison Heights, Michigan. Individual provider, active in the CMS NPPES registry since June 22, 2012.
## Identity
- **NPI:** 1871856948 (Entity type: Individual)
- **Enumerated:** June 22, 2012
- **Primary specialty:** Surgery · taxonomy 208600000X
- **State license:** 5101019868 (Michigan)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 27351 DEQUINDRE RD, Madison Heights, MI 48071-3487
- **Phone:** (248) 967-7795 · **Fax:** (248) 967-7794
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Michigan Healthcare Professionals, P.C. (NPI 1568285872, Warren, MI); Henry Ford Semi Medical Group (NPI 1376644922, Warren, MI); Port Huron Physicians Medical Group PC (NPI 1598141640, Fort Gratiot, MI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2012
## Record status
- **NPPES last updated:** June 22, 2012
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Source: [NPI Profile](https://npiprofile.com/npi/1871856948) · Data from the CMS NPPES public registry.