SHILPIN MEHTA D.O.
NPI 1871856948
Surgery in Madison Heights, MI

Active since June 22, 2012PECOS EnrolledAccepts Medicare Assignment
90.52/100
CMS Quality Rating
27351 DEQUINDRE RD, MADISON HEIGHTS, MI 48071(248) 967-7795(248) 967-7794 Get Directions Write a Review

NPPES record last updated: June 22, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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 Ascension Macomb Oakland Hosp-warren Campus, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1871856948
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameSHILPIN MEHTACredential: D.O.
Location Address27351 DEQUINDRE RDMadison Heights, MI 48071-3487
Mailing Address27351 Dequindre RdMadison Heights, MI 48071-3487 · (248) 967-7795 · Fax (248) 967-7794
Fax(248) 967-7794
Sole ProprietorYes
Medical School CMSOtherGraduated 2012
Enumeration DateJune 22, 2012
NPI 1871856948 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in MI · 5101019868
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
27351 DEQUINDRE RD, Madison Heights, MI 48071

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

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.

PECOS PAC ID2668761727
PECOS Enrollment IDI20170821002140
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 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.

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.
85 services39 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
63 services62 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
17 services17 patients

Hospital Affiliations CMS Care Compare 3

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

Ascension Macomb Oakland Hosp-Warren Campus

Acute Care Hospitals · Warren, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230195
Location11800 East Twelve Mile RoadWarren, MI 48093 · Macomb County
Emergency services

Mclaren Port Huron

Acute Care Hospitals · Port Huron, MI
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230216
Location1221 Pine Grove AvePort Huron, MI 48060 · St. Clair County
Emergency services Birthing friendly

Ascension Providence Rochester Hospital

Acute Care Hospitals · Rochester, MI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230254
Location1101 W University DriveRochester, MI 48307 · Oakland County
Emergency services Birthing friendly

Physician 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.

New Patient
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
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.

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.

90.52/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost54.15

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 Practitioner (Acute Care)
27351 DEQUINDRE RD
MADISON HEIGHTS, MI 48071
Physical Therapist
27351 DEQUINDRE RD
MADISON HEIGHTS, MI 48071
Psychiatry & Neurology (Psychiatry)
27351 DEQUINDRE RD
MADISON HEIGHTS, MI 48071
Dental Assistant
27351 DEQUINDRE RD
MADISON HEIGHTS, MI 48071
Podiatrist (Foot & Ankle Surgery)
27351 DEQUINDRE RD
MADISON HEIGHTS, MI 48071
Emergency Medicine
27351 DEQUINDRE RD
MADISON HEIGHTS, MI 48071
General Practice
27351 DEQUINDRE RD
MADISON HTS, MI 48071
Pharmacist
27351 DEQUINDRE RD
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.

What insurance does Shilpin Mehta accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and Priority Health 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 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 with the weekly NPPES data releases published by CMS.