MANOJ KUMAR MEHTA MD
NPI 1962495200
Internal Medicine - Gastroenterology in Evanston, IL

Q: What is the provider's specialty?

The provider's specialty is Internal Medicine with taxonomy code 207RG0100X and a focus in Gastroenterology.

Active since August 23, 2005PECOS Enrolled

96.22/100

CMS Quality Rating

1732 CENTRAL ST, EVANSTON, IL 60201(847) 256-1855(866) 375-3001 Get Directions Write a Review

NPPES record last updated: April 10, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 10, 2023, Apr 3, 2023, Mar 16, 2023 (3 updates tracked since 2023).

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About Manoj Kumar Mehta Md NPPES

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

MANOJ KUMAR MEHTA MD (NPI 1962495200) is an individual gastroenterology provider in Evanston, Illinois, licensed in Illinois (036087435) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Northshore University Healthsystem - Evanston Hospital, and is a graduate of Rush Medical College Of Rush University (1991).

NPPES Registry Identity

NPI1962495200

Entity TypeIndividualMale

Primary Taxonomy207RG0100X

Provider Legal NameMANOJ KUMAR MEHTACredential: MD

Location Address1732 CENTRAL STEvanston, IL 60201-1508

Mailing Address1732 Central StEvanston, IL 60201-1508 · (847) 256-1855 · Fax (866) 375-3001

Phone(847) 256-1855

Fax(866) 375-3001

Sole ProprietorNo

Medical School CMSRush Medical College Of Rush UniversityGraduated 1991

Enumeration DateAugust 23, 2005

Last NPPES UpdateApril 10, 20233 updates tracked since enumeration

NPPES CertifiedApril 10, 2023

✔ NPI 1962495200 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

License✔ Licensed in IL · 036087435

Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

Also ListedInternal MedicineTaxonomy 207R00000X · License 036087435 (IL)

1732 CENTRAL ST, Evanston, IL 60201

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Manoj Kumar Mehta Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2961582564

PECOS Enrollment IDI20100611000763

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 18

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

214 services214 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

139 services139 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

120 services109 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

81 services78 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

72 services68 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.

68 services48 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

66 services66 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

42 services42 patients

Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito G0500

Moderate sedation is a method where a physician uses medication to help you relax during a gastrointestinal endoscopy. An independent trained observer will be present to monitor your vital signs and ensure your safety throughout the procedure. It's a common and safe practice.

36 services36 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

34 services33 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.

32 services31 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

31 services31 patients

Diagnostic exam of large bowel using a flexible endoscope 45378

This procedure, known as a colonoscopy, involves using a flexible tube with a light and camera to examine the large intestine. It helps detect any abnormalities such as polyps or inflammation. It's a standard procedure to ensure gut health.

29 services29 patients

Diagnostic exam of large bowel using a flexible endoscope 45378

27 services27 patients

Biopsy of large bowel using a flexible endoscope 45380

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

27 services26 patients

Biopsy of large bowel using a flexible endoscope 45380

25 services25 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.

21 services21 patients

Colorectal cancer screening; colonoscopy on individual at high risk G0105

Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.

12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Northshore University Healthsystem - Evanston Hospital

Acute Care Hospitals · Evanston, IL

5/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number140010

Location2650 Ridge AveEvanston, IL 60201 · Cook County

Emergency services Birthing friendly

Presence Saint Francis Hospital

Acute Care Hospitals · Evanston, IL

2/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number140080

Location355 Ridge AveEvanston, IL 60202 · Cook County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60201 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

$138.86 typical visit price

range $60.08 – $183.39

Typical copayment $34.71 (range $15.02 – $45.84)

Most-billed visit code 99204

Established Patient

$105.70 typical visit price

range $18.97 – $148.12

Typical copayment $26.42 (range $4.74 – $37.03)

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.

96.22/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

92.44

Improvement Activities

MIPS Quality Measures

The following performance measures were reported under the Merit-Based Incentive Payment System (MIPS) and Qualified Clinical Data Registry (QCDR) quality measures program.

Quality Measure	Performance	Number of Patients
Breast Cancer Screening	77%	217
Cervical Cancer Screening	29%	129
Closing the Referral Loop: Receipt of Specialist Report	57%	23
Colorectal Cancer Screening	97%	533
Controlling High Blood Pressure	67%	177
Diabetes: Eye Exam	36%	36
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)	28% "Inverse Quality Measure" This is an inverse quality measure, a lower rate means the provider is rated better.	36
Documentation of Current Medications in the Medical Record	84%	1011
Falls: Screening for Future Fall Risk	15%	549
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan	46%	838
Preventive Care and Screening: Screening for Depression and Follow-Up Plan	18%	676
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented	24%	739
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention	98%	133
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention	99%	133
Use of High-Risk Medications in Older Adults	14% "Inverse Quality Measure" This is an inverse quality measure, a lower rate means the provider is rated better.	572
Use of High-Risk Medications in Older Adults	12% "Inverse Quality Measure" This is an inverse quality measure, a lower rate means the provider is rated better.	572
Use of High-Risk Medications in Older Adults	17% "Inverse Quality Measure" This is an inverse quality measure, a lower rate means the provider is rated better.	572

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.

ENDOSCOPY CENTER OF THE NORTH SHORE, LLC

Internal Medicine (Gastroenterology)

1732 CENTRAL ST
EVANSTON, IL 60201

Cook County (847) 256-1855

REBECCA WANTING TSANG M.D., M.P.H.