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RAJ MEHTA M.D.
NPI 1891920328
Family Medicine in Winter Park, FL

Active since May 28, 2009PECOS EnrolledAccepts Medicare Assignment
78.01/100
CMS Quality Rating
133 BENMORE DR, SUITE 200, WINTER PARK, FL 32792(407) 646-7070(407) 646-7747 Get Directions Write a Review

NPPES record last updated: July 26, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Raj Mehta M.d. NPPES

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

RAJ MEHTA M.D. (NPI 1891920328) is an individual family medicine provider in Winter Park, Florida, licensed in Florida (ME112803) and active in the NPI registry since May 2009. He is enrolled in Medicare PECOS, is affiliated with Adventhealth Orlando, and is a graduate of University Of Florida College Of Medicine (2009).

NPPES Registry Identity

NPI1891920328
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameRAJ MEHTACredential: M.D.
Location Address133 BENMORE DR, SUITE 200Winter Park, FL 32792-4111
Mailing Address133 Benmore Dr, Suite 200Winter Park, FL 32792-4111 · (407) 646-7070 · Fax (407) 646-7747
Phone(407) 646-7070
Fax(407) 646-7747
Sole ProprietorNo
Medical School CMSUniversity Of Florida College Of MedicineGraduated 2009
Enumeration DateMay 28, 2009
Last NPPES UpdateJuly 26, 2016
✔ NPI 1891920328 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in FL · ME112803✔ Licensed in MA · 258623
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
133 BENMORE DR, Winter Park, FL 32792
Open in Google Maps ↗

Other Identifiers 2

Medicare PINGG473ZFL
Medicaid005932100FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Health First Commercial Plans, Inc. and more.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

Raj 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 ID6103082102
PECOS Enrollment IDI20120718000961
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

2

Medicare enrollment records show Raj Mehta reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Adventist Health System Sunbelt Inc
Same address
Geriatric Medicine
133 BENMORE DR, SUITE 200
Winter Park, FL 32792
  • Reassigned Medicare billing, Florida enrollment
  • 80 clinicians in this Medicare group
NPI 1558636597 (407) 599-6060
Florida Hospital Medical Group Inc
4.1 mi
Family Medicine
1115 E RIDGEWOOD ST
Orlando, FL 32803
  • Reassigned Medicare billing, Florida enrollment
  • 3,005 clinicians in this Medicare group
NPI 1225034234 (407) 841-1100

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.

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.
218 services169 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.
198 services164 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.
35 services35 patients

Hospital Affiliations CMS Care Compare

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

Adventhealth Orlando

Acute Care Hospitals · Orlando, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100007
Location601 E Rollins StOrlando, FL 32803 · Orange County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32792 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

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.

78.01/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality57.51
Promoting Interoperability100
Improvement Activities40
Cost69.18

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.

DR. AFTAB PATNI MD
Otolaryngology
133 BENMORE DR, STE 100
WINTER PARK, FL 32792
Orange County (407) 644-4883
DR. BRIAN SPECTOR MD
Otolaryngology
133 BENMORE DR, STE 100
WINTER PARK, FL 32792
Orange County (407) 644-4883
LEIGH ELIZABETH MILLER
Audiologist
133 BENMORE DR, 100
WINTER PARK, FL 32792
Orange County (407) 644-4883
LORI KLINGENBERG AUD
Audiologist
133 BENMORE DR, SUITE 100
WINTER PARK, FL 32792
Orange County (407) 644-4883
CHASTITY SKINNER D.O.
Emergency Medicine
133 BENMORE DR, SUITE 201
WINTER PARK, FL 32792
Orange County (407) 644-7070
DR. BORIS GALKIN M.D.
Student in an Organized Health Care Education/Training Program
133 BENMORE DR, SUITE 201
WINTER PARK, FL 32792
Orange County (407) 646-7757
DENYCE MICHELLE NICHOLS M.D.
Hospitalist
133 BENMORE DR, SUITE 200
WINTER PARK, FL 32792
Orange County (407) 646-7070
THE EAR NOSE AND THROAT SURGICAL ASSOCIATES PA
Otolaryngology
133 BENMORE DR, SUITE 100
WINTER PARK, FL 32792
Orange County (407) 644-4883

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 Raj Mehta's NPI number?

The NPI number for Raj Mehta is 1891920328. It was assigned to this individual provider in the NPPES registry on May 28, 2009.

Where is Raj Mehta located?

Raj Mehta practices at 133 Benmore Dr Suite 200, Winter Park, FL 32792. The listed phone number is (407) 646-7070.

What is Raj Mehta's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Raj Mehta enrolled in Medicare?

Yes. Raj 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 Raj Mehta's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Raj Mehta reassigns Medicare benefits to 2 organizations: Adventist Health System Sunbelt Inc (Winter Park, FL) and Florida Hospital Medical Group Inc (Orlando, FL). 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 Raj Mehta's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Raj Mehta accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Health First Commercial Plans, Inc., Oscar Health Maintenance Organization of Florida and Taro Health and 2 other insurers list Raj 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 Raj Mehta affiliated with any hospitals?

According to CMS data, Raj Mehta is affiliated with Adventhealth Orlando.

When was this NPI record last updated?

The NPPES record for Raj Mehta was last updated on July 26, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.