MEHUL M LOHIA M.D
NPI 1912262684
Internal Medicine - Critical Care Medicine in Springfield, MO

Active since July 09, 2012PECOS EnrolledAccepts Medicare Assignment
1235 E CHEROKEE ST, SPRINGFIELD, MO 65804(417) 820-6569 Get Directions Write a Review

NPPES record last updated: September 6, 2022. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Sep 6, 2022, Sep 1, 2022, Jul 12, 2019 and 1 more (4 updates tracked since 2015).

About Mehul M Lohia M.d NPPES

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

MEHUL M LOHIA M.D (NPI 1912262684) is an individual critical care medicine provider in Springfield, Missouri, licensed in Missouri (2022025646) and active in the NPI registry since July 2012. He is enrolled in Medicare PECOS, is affiliated with Mercy Hospital Springfield, and maintains a secondary practice location in Rochester.

NPPES Registry Identity

NPI1912262684
Entity TypeIndividualMale
Primary Taxonomy207RC0200X
Provider Legal NameMEHUL M LOHIACredential: M.D
Location Address1235 E CHEROKEE STSpringfield, MO 65804-2203
Mailing Address1235 E Cherokee StSpringfield, MO 65804-2203 · (417) 820-6569
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateJuly 9, 2012
Last NPPES UpdateSeptember 6, 20224 updates tracked since enumeration
NPPES CertifiedSeptember 6, 2022
✔ NPI 1912262684 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RC0200X
License✔ Licensed in MO · 2022025646
Definition
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
Also ListedHospitalistTaxonomy 208M00000X · License 279966 (NY), 2022025646 (MO)
1235 E CHEROKEE ST, Springfield, MO 65804

Secondary Practice Location 1

Location 11425 Portland Ave, Department of MedicineRochester, NY 14621-3001 · Phone (585) 922-4000

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

Mehul M Lohia 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 ID8325351554
PECOS Enrollment IDI20220913002743
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

5

Medicare enrollment records show Mehul Lohia reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
3231 S NATIONAL AVE STE 220
Springfield, MO 65807
  • Reassigned Medicare billing, Missouri enrollment
  • 1,487 clinicians in this Medicare group
Critical Access
500 PORTER AVE
Aurora, MO 65605
  • Reassigned Medicare billing, Missouri enrollment
  • 175 clinicians in this Medicare group
Critical Access
94 MAIN ST
Cassville, MO 65625
  • Reassigned Medicare billing, Missouri enrollment
  • 152 clinicians in this Medicare group
Emergency Medicine
3125 DR RUSSELL SMITH WAY
Carthage, MO 64836
  • Reassigned Medicare billing, Missouri enrollment
  • 562 clinicians in this Medicare group
Critical Access
100 WEST HIGHWAY 60
Mountain View, MO 65548
  • Reassigned Medicare billing, Missouri enrollment
  • 134 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 5

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
271 services156 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
75 services60 patients
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.
36 services27 patients
Insertion of artery tube for blood sampling or infusion through skin 36620
This procedure involves placing a small tube into an artery, usually in the wrist or elbow, to collect blood samples or administer medication. It's done under local anesthesia and is a common, safe practice.
25 services25 patients
Insertion of non-tunneled central venous tube for infusion (5 years or older) 36556
This procedure involves placing a thin tube into a large vein, usually in the neck or chest, to administer medication or fluids. It's done under local anesthesia to minimize discomfort. It's a standard, safe procedure for individuals aged 5 and above.
15 services14 patients

Hospital Affiliations CMS Care Compare 2

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

Mercy Hospital Springfield

Acute Care Hospitals · Springfield, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260065
Location1235 E CherokeeSpringfield, MO 65804 · Greene County
Emergency services Birthing friendly

Ozarks Healthcare

Acute Care Hospitals · West Plains, MO
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260078
Location1100 Kentucky AveWest Plains, MO 65775 · Howell County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 65804 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
$121.96 typical visit price
range $52.28 – $161.24
Typical copayment $30.49 (range $13.07 – $40.31)
Most-billed visit code 99204
Established Patient
$93.24 typical visit price
range $16.30 – $131.05
Typical copayment $23.31 (range $4.07 – $32.76)
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.

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.

Internal Medicine
1235 E CHEROKEE ST
SPRINGFIELD, MO 65804
Emergency Medicine
1235 E CHEROKEE ST
SPRINGFIELD, MO 65804
Anesthesiology
1235 E CHEROKEE ST
SPRINGFIELD, MO 65804
Nurse Anesthetist, Certified Registered
1235 E CHEROKEE ST
SPRINGFIELD, MO 65804
Speech-Language Pathologist
1235 E CHEROKEE ST
SPRINGFIELD, MO 65804
Nurse Practitioner (Gerontology)
1235 E CHEROKEE ST
SPRINGFIELD, MO 65804
Physician Assistant
1235 E CHEROKEE ST
SPRINGFIELD, MO 65804
Nurse Anesthetist, Certified Registered
1235 E CHEROKEE ST
SPRINGFIELD, MO 65804

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 Mehul Lohia's NPI number?

The NPI number for Mehul Lohia is 1912262684. It was assigned to this individual provider in the NPPES registry on July 9, 2012.

Where is Mehul Lohia located?

Mehul Lohia practices at 1235 E Cherokee St, Springfield, MO 65804. The listed phone number is (417) 820-6569.

What is Mehul Lohia's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Is Mehul Lohia enrolled in Medicare?

Yes. Mehul Lohia 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 Mehul Lohia's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mehul Lohia reassigns Medicare benefits to 5 organizations: Mercy Clinic Springfield Communities (Springfield, MO), Mercy Hospital Aurora (Aurora, MO), Mercy Hospital Cassville (Cassville, MO), Mercy Clinic Joplin LLC (Carthage, MO) and Mercy St. Francis Hospital (Mountain View, MO). 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 Mehul Lohia's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mehul Lohia accept?

Health plans from Anthem Blue Cross and Blue Shield and Medica list Mehul Lohia 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 Mehul Lohia affiliated with any hospitals?

According to CMS data, Mehul Lohia is affiliated with Mercy Hospital Springfield and Ozarks Healthcare.

When was this NPI record last updated?

The NPPES record for Mehul Lohia was last updated on September 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.