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DR. PAAVAN MEHTA M.D.
NPI 1922455237
Internal Medicine in Neptune, NJ

Active since May 17, 2016PECOS EnrolledAccepts Medicare Assignment
1945 STATE ROUTE 33, NEPTUNE, NJ 07753(732) 776-2963(732) 776-2452 Get Directions Write a Review

NPPES record last updated: March 30, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 30, 2025, Jun 14, 2019, May 17, 2016 (3 updates tracked since 2016).

About Dr. Paavan Mehta M.d. NPPES

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

DR. PAAVAN MEHTA M.D. (NPI 1922455237) is an individual internal medicine provider in Neptune, New Jersey, licensed in New Jersey (25MA11654800) and active in the NPI registry since May 2016. He is enrolled in Medicare PECOS, is affiliated with Jersey Shore University Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1922455237
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. PAAVAN MEHTACredential: M.D.
Location Address1945 STATE ROUTE 33Neptune, NJ 07753-4859
Mailing Address1945 State Route 33Neptune, NJ 07753-4859 · (732) 776-2963 · Fax (732) 776-2452
Phone(732) 776-2963
Fax(732) 776-2452
Sole ProprietorNo
Medical School CMSUniversity Of Massachusetts Medical SchoolGraduated 2016
Enumeration DateMay 17, 2016
Last NPPES UpdateMarch 30, 20253 updates tracked since enumeration
NPPES CertifiedMarch 30, 2025
✔ NPI 1922455237 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in NJ · 25MA11654800✔ Licensed in DE · C1-0013088✔ Licensed in MD · D92354
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.
Also ListedHospitalistTaxonomy 208M00000X · License C1-0013088 (DE)
1945 STATE ROUTE 33, Neptune, NJ 07753
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Secondary Practice Locations 2

Location 14755 Ogletown Stanton Rd Ste 5A43Newark, DE 19718 · Phone (302) 623-0188 · Fax (302) 733-5640
Location 2106 Bow StElkton, MD 21921-5544 · Phone (410) 398-4000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next.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

Dr. Paavan 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 ID8325333842
PECOS Enrollment IDI20230208003150
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

3

Medicare enrollment records show Paavan Mehta reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Plover Inpatient Services LLC
42 mi
Emergency Medicine
1 BAY AVE
Montclair, NJ 07042
  • Reassigned Medicare billing, New Jersey enrollment
  • 252 clinicians in this Medicare group
NPI 1134534688 (954) 939-5000
Christiana Care Health Services Inc
94 mi
Hospitalist
200 HYGEIA DR, SUITE 2100
Newark, DE 19713
  • Reassigned Medicare billing, Delaware enrollment
  • 460 clinicians in this Medicare group
NPI 1245474329 (302) 623-0188
Union Hospital Of Cecil County, Inc.
104 mi
Urology
137 W HIGH ST STE 2B
Elkton, MD 21921
  • Reassigned Medicare billing, Maryland enrollment
  • 512 clinicians in this Medicare group
NPI 1407607450 (410) 398-0451

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 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.

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.
645 services241 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.
418 services193 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
210 services207 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
175 services172 patients

Hospital Affiliations CMS Care Compare 2

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

Jersey Shore University Medical Center

Acute Care Hospitals · Neptune, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310073
Location1945 State Route 33Neptune, NJ 07753 · Monmouth County
Emergency services Birthing friendly

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 07753 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
$140.34 typical visit price
range $61.59 – $185.05
Typical copayment $35.08 (range $15.39 – $46.26)
Most-billed visit code 99204
Established Patient
$107.94 typical visit price
range $20.08 – $150.98
Typical copayment $26.98 (range $5.02 – $37.74)
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.

MAULIK D SHAH DO
Internal Medicine (Gastroenterology)
1945 STATE ROUTE 33
NEPTUNE, NJ 07753
Monmouth County (732) 897-2770
HANI NASER
Internal Medicine
1945 STATE ROUTE 33
NEPTUNE, NJ 07753
Monmouth County (732) 776-4483
KALIOPI MELLO
Student in an Organized Health Care Education/Training Program
1945 STATE ROUTE 33
NEPTUNE, NJ 07753
Monmouth County (732) 897-2455
DR. EMILY NICOLE RIENZO MD
Student in an Organized Health Care Education/Training Program
1945 STATE ROUTE 33
NEPTUNE, NJ 07753
Monmouth County (732) 776-4328
CHRISTINE BARONE D.O
Pediatrics (Neonatal-Perinatal Medicine)
1945 STATE ROUTE 33
NEPTUNE, NJ 07753
Monmouth County (732) 776-4283
NIYOUSHA SADEGHPOUR MD
Student in an Organized Health Care Education/Training Program
1945 STATE ROUTE 33
NEPTUNE, NJ 07753
Monmouth County (732) 897-2455
JUSTIN VAN NEST PA-C
Physician Assistant
1945 STATE ROUTE 33
NEPTUNE, NJ 07753
Monmouth County (732) 776-2330
ZAINAB SHAHSAMAND MD
Student in an Organized Health Care Education/Training Program
1945 STATE ROUTE 33
NEPTUNE, NJ 07753
Monmouth County (732) 776-3712

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 Paavan Mehta's NPI number?

The NPI number for Paavan Mehta is 1922455237. It was assigned to this individual provider in the NPPES registry on May 17, 2016.

Where is Paavan Mehta located?

Paavan Mehta practices at 1945 State Route 33, Neptune, NJ 07753. The listed phone number is (732) 776-2963.

What is Paavan Mehta's specialty?

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

Is Paavan Mehta enrolled in Medicare?

Yes. Paavan 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 Paavan Mehta's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Paavan Mehta reassigns Medicare benefits to 3 organizations: Plover Inpatient Services LLC (Montclair, NJ), Christiana Care Health Services Inc (Newark, DE) and Union Hospital Of Cecil County, Inc. (Elkton, MD). 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 Paavan Mehta's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Paavan Mehta accept?

Health plans from AmeriHealth Caritas Next list Paavan 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 Paavan Mehta affiliated with any hospitals?

According to CMS data, Paavan Mehta is affiliated with Jersey Shore University Medical Center and Jfk Medical Center.

When was this NPI record last updated?

The NPPES record for Paavan Mehta was last updated on March 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.