DR. SEMIL B. MEHTA M.D.
NPI 1972596021
Internal Medicine - Critical Care Medicine in Bannockburn, IL

Active since August 24, 2005PECOS EnrolledAccepts Medicare Assignment
93.08/100
CMS Quality Rating
2151 WAUKEGAN RD STE 110, BANNOCKBURN, IL 60015(847) 236-1300(847) 236-9637 Get Directions Write a Review

NPPES record last updated: January 11, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 11, 2021, Nov 19, 2018 (2 updates tracked since 2018).

About Dr. Semil B. Mehta M.d. NPPES

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

DR. SEMIL B. MEHTA M.D. (NPI 1972596021) is an individual critical care medicine provider in Bannockburn, Illinois, licensed in Illinois (036103163) 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 Js Weill Medical College, Cornell University (1998).

NPPES Registry Identity

NPI1972596021
Entity TypeIndividualMale
Primary Taxonomy207RC0200X
Provider Legal NameDR. SEMIL B. MEHTACredential: M.D.
Location Address2151 WAUKEGAN RD STE 110Bannockburn, IL 60015-1857
Mailing Address2151 Waukegan Rd Ste 110Bannockburn, IL 60015-1857 · (847) 236-1300 · Fax (847) 236-9637
Fax(847) 236-9637
Sole ProprietorNo
Medical School CMSJs Weill Medical College, Cornell UniversityGraduated 1998
Enumeration DateAugust 24, 2005
Last NPPES UpdateJanuary 11, 20212 updates tracked since enumeration
NPPES CertifiedJanuary 11, 2021
NPI 1972596021 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 IL · 036103163
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 ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X · License 036103163 (IL)
2151 WAUKEGAN RD STE 110, Bannockburn, IL 60015

Other Identifiers 2

Other36-3200051IL · Fein
Medicaid036103163IL

Accepted Insurance

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

Dr. Semil B. 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 ID8820067143
PECOS Enrollment IDI20041001000858
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 15

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.

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.
272 services220 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.
255 services129 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.
168 services168 patients
Test to examine how well the lungs exchange gases 94729
This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.
138 services136 patients
Test to determine lung volumes using sensors 94726
This test, called spirometry, measures lung capacity using sensors. You breathe into a mouthpiece attached to a device that records the amount and rate of air you inhale and exhale. It helps diagnose and monitor lung conditions.
137 services135 patients
Test to measure expiratory airflow and volume changes before and after medication administration 94060
This procedure measures how air flows in and out of your lungs. It's done before and after medication to see if the treatment improves your breathing. It's a simple, non-invasive test that involves breathing into a device called a spirometer.
111 services110 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

Northwestern Lake Forest Hospital

Acute Care Hospitals · Lake Forest, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140130
Location1000 N Westmoreland RoadLake Forest, IL 60045 · Lake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60015 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
$137.43 typical visit price
range $59.81 – $181.38
Typical copayment $34.35 (range $14.95 – $45.34)
Most-billed visit code 99204
Established Patient
$105.07 typical visit price
range $19.15 – $147.12
Typical copayment $26.26 (range $4.78 – $36.78)
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.

93.08/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.79
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 23

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

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
13 suppliers291 claims291 services$33.10 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
10 suppliers143 claims143 services$68.95 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
10 suppliers138 claims383 services$26.89 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
11 suppliers100 claims570 services$14.76 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
9 suppliers169 claims961 services$12.54 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
14 suppliers300 claims300 services$44.09 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 5

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

Internal Medicine (Pulmonary Disease)
2151 WAUKEGAN RD STE 110
BANNOCKBURN, IL 60015
Internal Medicine (Pulmonary Disease)
2151 WAUKEGAN RD STE 110
BANNOCKBURN, IL 60015
Internal Medicine
2151 WAUKEGAN RD STE 110
BANNOCKBURN, IL 60015
Internal Medicine (Pulmonary Disease)
2151 WAUKEGAN RD STE 110
BANNOCKBURN, IL 60015
Internal Medicine (Critical Care Medicine)
2151 WAUKEGAN RD STE 110
BANNOCKBURN, IL 60015

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 Semil Mehta's NPI number?

The NPI number for Semil Mehta is 1972596021. It was assigned to this individual provider in the NPPES registry on August 24, 2005.

Where is Semil Mehta located?

Semil Mehta practices at 2151 Waukegan Rd Ste 110, Bannockburn, IL 60015. The listed phone number is (847) 236-1300.

What is Semil Mehta's specialty?

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

Is Semil Mehta enrolled in Medicare?

Yes. Semil 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.

What insurance does Semil Mehta accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Semil 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 Semil Mehta affiliated with any hospitals?

According to CMS data, Semil Mehta is affiliated with Northshore University Healthsystem - Evanston Hospital and Northwestern Lake Forest Hospital.

When was this NPI record last updated?

The NPPES record for Semil Mehta was last updated on January 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.