PUJA MEHTA MD
NPI 1912588963
Psychiatry & Neurology - Psychiatry in Champaign, IL

Q: What is Puja Mehta's NPI number?

The NPI number for Puja Mehta is 1912588963. It was assigned to this individual provider in the NPPES registry on April 20, 2021.

Q: What is Puja Mehta's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Q: When was this NPI record last updated?

The NPPES record for Puja Mehta was last updated on September 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.

Active since April 20, 2021PECOS EnrolledAccepts Medicare Assignment

1802 S MATTIS AVE, CHAMPAIGN, IL 61821(217) 365-2855(217) 365-2856 Get Directions Write a Review

NPPES record last updated: September 12, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 12, 2025, Aug 5, 2025, Apr 20, 2021 (3 updates tracked since 2021).

On this page

About Puja Mehta Md NPPES

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

PUJA MEHTA MD (NPI 1912588963) is an individual psychiatry provider in Champaign, Illinois, licensed in Illinois (036176029) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS, is affiliated with Carle Foundation Hospital, and maintains a secondary practice location in Indianapolis.

NPPES Registry Identity

NPI1912588963

Entity TypeIndividualFemale

Primary Taxonomy2084P0800X

Provider Legal NamePUJA MEHTACredential: MD

Location Address1802 S MATTIS AVEChampaign, IL 61821-5923

Mailing Address611 W Park StUrbana, IL 61801-2501 · (217) 383-3311

Phone(217) 365-2855

Fax(217) 365-2856

Sole ProprietorNo

Medical School CMSSouthern Illinois University School Of MedicineGraduated 2021

Enumeration DateApril 20, 2021

Last NPPES UpdateSeptember 12, 20253 updates tracked since enumeration

NPPES CertifiedSeptember 12, 2025

✔ NPI 1912588963 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

License✔ Licensed in IL · 036176029

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

Secondary Practice Location 1

Location 1355 W 16th St Ste 2364Indianapolis, IN 46202-2279 · Phone (317) 963-7307

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

Puja 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 ID5698176840

PECOS Enrollment IDI20250814002370

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.

Hospital Affiliations CMS Care Compare

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

Carle Foundation Hospital

Acute Care Hospitals · Urbana, IL

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140091

Location611 West Park StreetUrbana, IL 61801 · Champaign County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61821 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

$168.44 typical visit price

range $54.80 – $168.44

Typical copayment $42.11 (range $13.70 – $42.11)

Most-billed visit code 99205

Established Patient

$68.64 typical visit price

range $17.16 – $136.56

Typical copayment $17.16 (range $4.29 – $34.14)

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.

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.

RACHAEL D RUBIN PHD

Psychologist