DR. KUNAL PRADIP MEHTA MD
NPI 1902115553
Internal Medicine - Endocrinology, Diabetes & Metabolism in Garden City, NY

Active since September 30, 2010PECOS EnrolledAccepts Medicare Assignment
84.47/100
CMS Quality Rating
975 STEWART AVE, GARDEN CITY, NY 11530(516) 222-2555(516) 745-5476 Get Directions Write a Review

NPPES record last updated: October 24, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Kunal Pradip Mehta Md NPPES

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

DR. KUNAL PRADIP MEHTA MD (NPI 1902115553) is an individual endocrinology, diabetes & metabolism provider in Garden City, New York, licensed in New York (279222) and active in the NPI registry since September 2010. He is enrolled in Medicare PECOS, is affiliated with Nyu Langone Hospitals, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1902115553
Entity TypeIndividualMale
Primary Taxonomy207RE0101X
Provider Legal NameDR. KUNAL PRADIP MEHTACredential: MD
Location Address975 STEWART AVEGarden City, NY 11530-4816
Mailing Address975 Stewart AveGarden City, NY 11530-4816 · (516) 222-2555 · Fax (516) 745-5476
Fax(516) 745-5476
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateSeptember 30, 2010
Last NPPES UpdateOctober 24, 2022
NPPES CertifiedOctober 24, 2022
NPI 1902115553 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License Licensed in NY · 279222
Definition

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

975 STEWART AVE, Garden City, NY 11530

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. Kunal Pradip Mehta Md 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 ID8123331055
PECOS Enrollment IDI20150721000974
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 12

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.

Injection, denosumab, 1 mg J0897
Denosumab is a medication given via injection to strengthen your bones. It works by slowing down the cells that break down bone, improving bone density and reducing the risk of fractures. It's often used for osteoporosis treatment.
3,182 services38 patients
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.
1,399 services686 patients
Blood glucose (sugar) test performed by hand-held instrument 82962
A blood glucose test uses a handheld device to measure the amount of sugar in your blood. A small prick on your finger allows a drop of blood to be placed on a test strip, which is then read by the device. This helps monitor and manage diabetes effectively.
853 services420 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.
205 services158 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
102 services94 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
71 services43 patients

Hospital Affiliations CMS Care Compare

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

Nyu Langone Hospitals

Acute Care Hospitals · New York, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330214
Location550 First AvenueNew York, NY 10016 · New York County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11530 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

84.47/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality93.33
Promoting Interoperability100
Improvement Activities40
Cost54.91

Referred Medical Equipment & Supplies CMS DME claims 10

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

Supplies for maintenance of insulin infusion catheter, per week A4224
DME-Other DME · category DE017N
5 suppliers30 claims386 services$17.05 avg. paid by Medicare
Supplies for external insulin infusion pump, syringe type cartridge, sterile, each A4225
DME-Other DME · category DE017N
5 suppliers30 claims900 services$2.27 avg. paid by Medicare
Supply allowance for adjunctive continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service A4238
DME-Medical/Surgical Supplies · category DA000N
2 suppliers14 claims14 services$176.84 avg. paid by Medicare
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
91 suppliers281 claims975 services$6.07 avg. paid by Medicare
Normal, low and high calibrator solution / chips A4256
DME-Other DME · category DE000N
7 suppliers20 claims20 services$2.80 avg. paid by Medicare
Spring-powered device for lancet, each A4258
DME-Other DME · category DE000N
8 suppliers15 claims15 services$1.82 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 20

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

Nurse Practitioner (Adult Health)
975 STEWART AVE
GARDEN CITY, NY 11530
Internal Medicine (Interventional Cardiology)
975 STEWART AVE
GARDEN CITY, NY 11530
Internal Medicine (Cardiovascular Disease)
975 STEWART AVE
GARDEN CITY, NY 11530
Internal Medicine (Cardiovascular Disease)
975 STEWART AVE
GARDEN CITY, NY 11530
Physician Assistant
975 STEWART AVE
GARDEN CITY, NY 11530
Physician Assistant (Medical)
975 STEWART AVE
GARDEN CITY, NY 11530
Internal Medicine
975 STEWART AVE
GARDEN CITY, NY 11530
Nurse Practitioner (Family)
975 STEWART AVE
GARDEN CITY, NY 11530

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 Kunal Mehta's NPI number?

The NPI number for Kunal Mehta is 1902115553. It was assigned to this individual provider in the NPPES registry on September 30, 2010.

Where is Kunal Mehta located?

Kunal Mehta practices at 975 Stewart Ave, Garden City, NY 11530. The listed phone number is (516) 222-2555.

What is Kunal Mehta's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Kunal Mehta enrolled in Medicare?

Yes. Kunal 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.

Is Kunal Mehta affiliated with any hospitals?

According to CMS data, Kunal Mehta is affiliated with Nyu Langone Hospitals.

When was this NPI record last updated?

The NPPES record for Kunal Mehta was last updated on October 24, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.