DR. SUMIT MEHTA M.D.
NPI 1215176904
Radiology - Diagnostic Radiology in Wheat Ridge, CO

NPI Status: Active since February 19, 2009

Contact Information

8300 W 38TH AVE
WHEAT RIDGE, CO
ZIP 80033
Phone: (303) 425-2015

Get Directions Reviews

  • Individual
  • Male
  • Radiology
  • Diagnostic Radiology
  • Accepts Insurance
  • PECOS Enrolled

About SUMIT MEHTA

This page provides the complete NPI Profile along with additional information for Sumit Mehta, a provider established in Wheat Ridge, Colorado with a medical specialization in Radiology, focusing in diagnostic radiology . The healthcare provider is registered in the NPI registry with number 1215176904 assigned on February 2009. The practitioner's primary taxonomy code is 2085R0202X with license number MD418026 (PA). The provider is registered as an individual and his NPI record was last updated 7 years ago.

NPI
1215176904
Provider Name
DR. SUMIT MEHTA M.D.
Gender
Male
Entity Type
Individual
Location Address
8300 W 38TH AVE WHEAT RIDGE, CO 80033
Location Phone
(303) 425-2015
Mailing Address
1873 S BELLAIRE ST STE 420 DENVER, CO 80222
Mailing Phone
(303) 753-1191
Mailing Fax
Is Sole Proprietor?
Yes
Enumeration Date
02-19-2009
Last Update Date
08-30-2018
Code Navigator

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Radiology Diagnostic Radiology

Taxonomy Code
2085R0202X
Type
Allopathic & Osteopathic Physicians
License No.
MD418026
License State
PA
Taxonomy Description
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Blue AdvanceHealth Bronze - MaricopaFocus Network - HMO
  • Blue AdvanceHealth Bronze - Neighborhood Network - HMO
  • Blue AdvanceHealth Bronze - PimaFocus Network - HMO
  • Blue AdvanceHealth Gold - MaricopaFocus Network - HMO
  • Blue AdvanceHealth Gold - Neighborhood Network - HMO
  • Blue AdvanceHealth Gold - PimaFocus Network - HMO
  • Blue AdvanceHealth Silver - MaricopaFocus Network - HMO
  • Blue AdvanceHealth Silver - Neighborhood Network - HMO
  • Blue AdvanceHealth Silver - PimaFocus Network - HMO
  • Blue EverydayHealth Gold - MaricopaFocus Network - HMO
  • Blue EverydayHealth Gold - Neighborhood Network - HMO
  • Blue EverydayHealth Gold - PimaFocus Network - HMO
  • Blue EverydayHealth Silver - MaricopaFocus Network - HMO
  • Blue EverydayHealth Silver - Neighborhood Network - HMO
  • Blue EverydayHealth Silver - PimaFocus Network - HMO
  • Blue Portfolio HSA Bronze - MaricopaFocus Network - HMO
  • Blue Portfolio HSA Bronze - Neighborhood Network - HMO
  • Blue Portfolio HSA Bronze - PimaFocus Network - HMO
  • Blue Portfolio HSA Gold - Statewide PPO Network - PPO
  • Blue PPO PremierHealth Silver - Statewide PPO Network - PPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Sumit Mehta is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

X-ray of chest, 1 view

A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.

This service was performed 41 times for 35 patients

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 80033 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $89.43
  • Minimum New Patient Price $58.06
  • Maximum New Patient Price $174.82
  • Average New Patient Copayment $22.35
  • Minimum New Patient Copayment $14.51
  • Maximum New Patient Copayment $43.7

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $72.2
  • Minimum Established Patient Price $18.88
  • Maximum Established Patient Price $142.79
  • Average Established Patient Copayment $18.05
  • Minimum Established Patient Copayment $4.72
  • Maximum Established Patient Copayment $35.69

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Reviews for DR. SUMIT MEHTA M.D.

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1215176904
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2225271290
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 2 + 5 + 2 + 7 + 1 + 2 + 9 + 0 + 24 = 56
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 56 = 44

The NPI number 1215176904 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1467436667 LAWRENCE M PERTCHECK MD
Individual
Radiology (Diagnostic Radiology)8300 W 38TH AVE
WHEAT RIDGE, CO 80033
(303) 425-2015
1457335655 WILLIAM L JOBE MD
Individual
Radiology (Diagnostic Radiology)8300 W 38TH AVE
WHEAT RIDGE, CO 80033
(303) 425-2015
1275518383EXEMPLA INC.
Organization
Skilled Nursing Facility8300 W 38TH AVE
WHEAT RIDGE, CO 80033
(303) 813-5300
1396720298 DIANNE A ANSARI WINN MD
Individual
Anesthesiology8300 W 38TH AVE
WHEAT RIDGE, CO 80033
(303) 422-9438
1447235122 THANHTU T HUYNH MD
Individual
Anesthesiology8300 W 38TH AVE
WHEAT RIDGE, CO 80033
(303) 422-9438
1952386757 JASON M BELLOWS MD
Individual
Emergency Medicine8300 W 38TH AVE DEPARTMENT OF EMERGENCY MEDICINE
WHEAT RIDGE, CO 80033
(303) 467-4812
1871578567 EIPE KURUVILA MD
Individual
Anesthesiology8300 W 38TH AVE
WHEAT RIDGE, CO 80033
(303) 422-9438
1316903701DR. RONALD PHILLIP KELLER M.D.
Individual
Emergency Medicine (Emergency Medical Services)8300 W 38TH AVE
WHEAT RIDGE, CO 80033
(303) 425-2088
1457318172 ANN MARGARET SHIMKUS PA-C
Individual
Physician Assistant (Medical)8300 W 38TH AVE
WHEAT RIDGE, CO 80033
(303) 425-2098
1184682601EKG INTERPRETATION SERVICE
Organization
Internal Medicine (Cardiovascular Disease)8300 W 38TH AVE
WHEAT RIDGE, CO 80033
(303) 423-5431
1053379719DR. TODD HENDERSON BICKFORD MD
Individual
Emergency Medicine8300 W 38TH AVE
WHEAT RIDGE, CO 80033
(303) 425-2087
1154370336 ANNEMARIE LYNN UTZ MD
Individual
Emergency Medicine (Emergency Medical Services)8300 W 38TH AVE LUTHERAN MEDICAL CENTER
DENVER, CO 80033
(303) 425-2087
1154370237DR. LEO SEUNG KON PAIK M.D.
Individual
Emergency Medicine (Emergency Medical Services)8300 W 38TH AVE EMERGENCY DEPARTMENT
WHEAT RIDGE, CO 80033
(303) 425-2087
1013966092MR. SIMON LOUIS EDWARDS PA-C
Individual
Physician Assistant (Medical)8300 W 38TH AVE
WHEAT RIDGE, CO 80033
(303) 425-2525
1992754626MS. JESSICA EVE PRICE PA-C
Individual
Physician Assistant (Medical)8300 W 38TH AVE EXEMPLA LUTHERAN MEDICAL CENTER-EMERGENCY DEPT
WHEAT RIDGE, CO 80033
(303) 425-2089
1053360792DR. DAVID SCOTT MINER M.D.
Individual
Emergency Medicine (Emergency Medical Services)8300 W 38TH AVE
WHEAT RIDGE, CO 80033
(303) 425-2087
1063462125 CHRISTINA LOUISE JOHNSON M.D.
Individual
Emergency Medicine (Emergency Medical Services)8300 W 38TH AVE
WHEAT RIDGE, CO 80033
(303) 425-2087
1356391320 LISA-TSIN COOK PA-C
Individual
Physician Assistant (Medical)8300 W 38TH AVE
WHEAT RIDGE, CO 80033
(303) 425-2525
1801831649 ANDREW P. BUCHHOLZ M.D.
Individual
Anesthesiology8300 W 38TH AVE
WHEAT RIDGE, CO 80033
(303) 909-2998
1619904646DR. CARLA ELIZABETH MURPHY D.O.
Individual
Emergency Medicine (Emergency Medical Services)8300 W 38TH AVE EMERGENCY DEPARTMENT, EXEMPLA LUTHERAN MEDICAL CENTER
WHEAT RIDGE, CO 80033
(303) 425-2087

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1215176904, enumerated in the NPI registry as an "individual" on February 19, 2009

The provider is located at 8300 W 38th Ave Wheat Ridge, Co 80033 and the phone number is (303) 425-2015

The provider's speciality is Radiology with taxonomy code 2085R0202X with a focus in Diagnostic Radiology

The provider might be accepting Accepts: Blue Cross Blue Shield of Arizona. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Medicare beneficiaries should expect a typical cost of $89.43 with an average copayment of $22.35 for new patient appointments. Established patients should expect a typical charge of $72.2 and an average copayment of 18.05. Please review your insurance plan or contact the provider directly to determine your specific costs.

The most common procedures or services performed by this practitioner are: X-ray of chest, 1 view.

This NPI record was last updated on February 19, 2009. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.