1. Home
  2. Directory
  3. New Jersey
  4. South Plainfield
  5. Internal Medicine
  6. NPI Profile

DR. PRITI J MEHTA M.D
NPI 1881831469
Internal Medicine in South Plainfield, NJ

Active since January 19, 2009PECOS EnrolledAccepts Medicare Assignment
904 OAK TREE AVE STE J, SOUTH PLAINFIELD, NJ 07080(732) 372-5063(888) 225-7592 Get Directions Write a Review

NPPES record last updated: July 9, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 9, 2018, Jul 7, 2018, Mar 17, 2018 and 2 more (5 updates tracked since 2017).

About Dr. Priti J Mehta M.d NPPES

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

DR. PRITI J MEHTA M.D (NPI 1881831469) is an individual internal medicine provider in South Plainfield, New Jersey, licensed in New Jersey (25MA08524100) and active in the NPI registry since January 2009. She is enrolled in Medicare PECOS, is affiliated with Jfk Medical Center, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1881831469
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. PRITI J MEHTACredential: M.D
Location Address904 OAK TREE AVE STE JSouth Plainfield, NJ 07080
Mailing Address815 Village DrEdison, NJ 08817-2635 · (732) 393-0185 · Fax (888) 225-7592
Phone(732) 372-5063
Fax(888) 225-7592
Sole ProprietorYes
Medical School CMSOtherGraduated 2009
Enumeration DateJanuary 19, 2009
Last NPPES UpdateJuly 9, 20185 updates tracked since enumeration
✔ NPI 1881831469 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NJ · 25MA08524100
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
904 OAK TREE AVE STE J, South Plainfield, NJ 07080
Open in Google Maps ↗

Other Identifiers 1

Medicaid0353655NJ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.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. Priti J Mehta M.d 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 ID7113107293
PECOS Enrollment IDI20110207000479
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 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.

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.
455 services184 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
388 services155 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
30 services30 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
21 services21 patients

Hospital Affiliations CMS Care Compare

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

Jfk Medical Center

Acute Care Hospitals · Edison, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310108
Location65 James StreetEdison, NJ 08820 · Middlesex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07080 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
$144.86 typical visit price
range $63.84 – $190.92
Typical copayment $36.21 (range $15.96 – $47.73)
Most-billed visit code 99204
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
21 suppliers54 claims129 services$5.59 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
14 suppliers27 claims34 services$1.07 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
2 suppliers12 claims12 services$133.72 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

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

HEALTHCARE MD LLC
Clinic/Center (Primary Care)
904 OAK TREE AVE STE J
SOUTH PLAINFIELD, NJ 07080
Middlesex County (732) 372-5063

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 Priti Mehta's NPI number?

The NPI number for Priti Mehta is 1881831469. It was assigned to this individual provider in the NPPES registry on January 19, 2009.

Where is Priti Mehta located?

Priti Mehta practices at 904 Oak Tree Ave Ste J, South Plainfield, NJ 07080. The listed phone number is (732) 372-5063.

What is Priti Mehta's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Priti Mehta enrolled in Medicare?

Yes. Priti 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 Priti Mehta accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Priti 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 Priti Mehta affiliated with any hospitals?

According to CMS data, Priti Mehta is affiliated with Jfk Medical Center.

When was this NPI record last updated?

The NPPES record for Priti Mehta was last updated on July 9, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.