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DR. KETAN C MEHTA M.D.
NPI 1942331608
Specialist in Santa Rosa, CA

Active since March 07, 2007PECOS Enrolled
3867 MONTGOMERY DR, SANTA ROSA, CA 95405(707) 525-3780(707) 525-3783 Get Directions Write a Review

NPPES record last updated: January 13, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Ketan C Mehta M.d. NPPES

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

DR. KETAN C MEHTA M.D. (NPI 1942331608) is an individual specialist in Santa Rosa, California, licensed in California (A41306) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1942331608
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameDR. KETAN C MEHTACredential: M.D.
Location Address3867 MONTGOMERY DRSanta Rosa, CA 95405-5244
Mailing Address3867 Montgomery DrSanta Rosa, CA 95405-5244 · (707) 525-3780 · Fax (707) 525-3783
Phone(707) 525-3780
Fax(707) 525-3783
Sole ProprietorYes
Enumeration DateMarch 7, 2007
Last NPPES UpdateJanuary 13, 2011
✔ NPI 1942331608 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in CA · A41306
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
3867 MONTGOMERY DR, Santa Rosa, CA 95405
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Other Identifiers 2

Medicare UPINA29348
Medicaid00A413060CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Ketan C Mehta M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Referred Medical Equipment & Supplies CMS DME claims

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$17.51 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 2

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

JAMES MARCO STEELE MD
Internal Medicine (Pulmonary Disease)
3867 MONTGOMERY DR
SANTA ROSA, CA 95405
Sonoma County (707) 525-3786
NORTHERN CALIFORNIA MEDICAL ASSOC INC
Internal Medicine (Pulmonary Disease)
3867 MONTGOMERY DR
SANTA ROSA, CA 95405
Sonoma County (707) 525-3786

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 Ketan Mehta's NPI number?

The NPI number for Ketan Mehta is 1942331608. It was assigned to this individual provider in the NPPES registry on March 7, 2007.

Where is Ketan Mehta located?

Ketan Mehta practices at 3867 Montgomery Dr, Santa Rosa, CA 95405. The listed phone number is (707) 525-3780.

What is Ketan Mehta's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Ketan Mehta enrolled in Medicare?

Yes. Ketan Mehta is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ketan Mehta was last updated on January 13, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.