DR. RADHIKA B MEHTA DO
NPI 1396088191
Internal Medicine in Baltimore, MD
NPI Status: Active since March 29, 2013
Contact Information
1501 S CLINTON ST
BALTIMORE, MD
ZIP 21224
Phone: (917) 261-4414
- Individual
- Female
- Internal Medicine
- Accepts Insurance
- PECOS Enrolled
- Medicare Quality Reporting
About RADHIKA MEHTA
This page provides the complete NPI Profile along with additional information for Radhika Mehta, an internist established in Baltimore, Maryland with a medical specialization in Internal Medicine. The healthcare provider is registered in the NPI registry with number 1396088191 assigned on March 2013. The practitioner's primary taxonomy code is 207R00000X with license number OS018033 (PA). The provider is registered as an individual and her NPI record was last updated 2 years ago.
- NPI
- 1396088191
- Provider Name
- DR. RADHIKA B MEHTA DO
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1501 S CLINTON ST BALTIMORE, MD 21224
- Location Phone
- (917) 261-4414
- Mailing Address
- 1 LIBERTY PLZ STE 301 NEW YORK, NY 10006
- Mailing Phone
- (917) 261-4414
- Is Sole Proprietor?
- No
- Enumeration Date
- 03-29-2013
- Last Update Date
- 07-13-2023
- Code Navigator
An internist like Radhika Mehta is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.
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
Internal Medicine
- Taxonomy Code
- 207R00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- OS018033
- License State
- PA
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207R00000X | Allopathic & Osteopathic Physicians | Internal Medicine | 0102205651 (VA) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue Preferred Bronze PPO? 201 - PPO
- Blue Preferred Bronze PPO? 202 - PPO
- Blue Preferred Bronze PPO? Standard - PPO
- Blue Preferred Gold PPO? 204 - PPO
- Blue Preferred Gold PPO? 901 - PPO
- Blue Preferred Gold PPO? Standard - PPO
- Blue Preferred Security PPO? 200 - PPO
- Blue Preferred Silver PPO? 203 - PPO
- Blue Preferred Silver PPO? 308 - PPO
- Blue Preferred Silver PPO? Standard - PPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Radhika 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
Provider Referred Orders for Durable Medical Equipment, Devices & Supplies
The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.
Durable Medical Equipment
DME-Oxygen and Supplies (DC000N)
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing (HCPCS:E0431)
2 DME suppliers used 19 Medicare Claims 19 Services Paid
DME-Oxygen and Supplies (DC002N)
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate (HCPCS:E1390)
2 DME suppliers used 19 Medicare Claims 19 Services Paid
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 21224 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $139.05
- Minimum New Patient Price $60.73
- Maximum New Patient Price $183.44
- Average New Patient Copayment $34.76
- Minimum New Patient Copayment $15.18
- Maximum New Patient Copayment $45.86
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $106.59
- Minimum Established Patient Price $19.6
- Maximum Established Patient Price $149.17
- Average Established Patient Copayment $26.64
- Minimum Established Patient Copayment $4.9
- Maximum Established Patient Copayment $37.29
* 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.
Quality Reporting
The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.
| Quality Measure | Performance | Number of Patients |
|---|---|---|
| Advance Care Planning | Yes | N/A |
| Implementation of practices/processes to develop advance care planning that includes: documenting the advance care plan or living will within the medical record, educating clinicians about advance care planning motivating them to address advance care planning needs of their patients, and how these needs can translate into quality improvement, educating clinicians on approaches and barriers to talking to patients about end-of-life and palliative care needs and ways to manage its documentation, as well as informing clinicians of the healthcare policy side of advance care planning. | ||
| Care Plan | 98% | 140 |
| Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker or provide an advance care plan | ||
| Implementation of medication management practice improvements | Yes | N/A |
| Manage medications to maximize efficiency, effectiveness and safety that could include one or more of the following: Reconcile and coordinate medications and provide medication management across transitions of care settings and eligible clinicians or groups; Integrate a pharmacist into the care team; and/or Conduct periodic, structured medication reviews. | ||
| Measurement and Improvement at the Practice and Panel Level | Yes | N/A |
| Measure and improve quality at the practice and panel level, such as the American Board of Orthopaedic Surgery (ABOS) Physician Scorecards, that could include one or more of the following: • Regularly review measures of quality, utilization, patient satisfaction and other measures that may be useful at the practice level and at the level of the care team or MIPS eligible clinician or group (panel); and/or • Use relevant data sources to create benchmarks and goals for performance at the practice level and panel level. | ||
| Participation in an AHRQ-listed patient safety organization. | Yes | N/A |
| Participation in an AHRQ-listed patient safety organization. | ||
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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. | |||||||||
| 1 | 3 | 9 | 6 | 0 | 8 | 8 | 1 | 9 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 18 | 6 | 0 | 8 | 16 | 1 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 1 + 8 + 6 + 0 + 8 + 1 + 6 + 1 + 1 + 8 + 24 = 69 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 69 = 1 | 1 | ||||||||
The NPI number 1396088191 is valid because the calculated check digit 1 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 |
|---|---|---|---|
| 1669560942 | DR. ROBERT L CONNORS MD Individual | Internal Medicine | 1501 S CLINTON ST SUITE 200 BALTIMORE, MD 21224 (410) 522-9940 |
| 1245390590 | KATHRYN ROSE RICHARDSON OMRON MD Individual | Pediatrics | 1501 S CLINTON ST SUITE 200 BALTIMORE, MD 21224 (410) 522-9940 |
| 1255761201 | CFA, LLC Organization | Health Maintenance Organization | 1501 S CLINTON ST 7TH FLOOR BALTIMORE, MD 21224 (410) 528-2222 |
| 1477847846 | JANE MEEYOUNG LEE SHEN M.D. Individual | Internal Medicine | 1501 S CLINTON ST SUITE 200 BALTIMORE, MD 21224 (410) 522-9940 |
| 1174061774 | PATTI EDWARDS Individual | Registered Nurse | 1501 S CLINTON ST BALTIMORE, MD 21224 (410) 215-7962 |
| 1063947711 | ASHLEY BORDEN Individual | Registered Nurse | 1501 S CLINTON ST BALTIMORE, MD 21224 (443) 725-2665 |
| 1285153460 | MR. WALTER SHAW Individual | Case Manager/Care Coordinator | 1501 S CLINTON ST BALTIMORE, MD 21224 (410) 581-3000 |
| 1154301430 | NICKOL D. BARNES LCPC Individual | Counselor (Professional) | 1501 S CLINTON ST BALTIMORE, MD 21224 (443) 800-2101 |
| 1952645210 | JULIE FADEN-SHIFRIN MSW Individual | Social Worker (Clinical) | 1501 S CLINTON ST BALTIMORE, MD 21224 (410) 953-1848 |
| 1104227172 | GLYNDA WALKER MSW LCSW-C Individual | Social Worker | 1501 S CLINTON ST BALTIMORE, MD 21224 (443) 904-1818 |
| 1477928554 | DARRELL VAUGHN BROWN LCSW-C Individual | Social Worker (Clinical) | 1501 S CLINTON ST BALTIMORE, MD 21224 (443) 823-9320 |
| 1922507755 | GLORIA BOND Individual | Case Manager/Care Coordinator | 1501 S CLINTON ST BALTIMORE, MD 21224 (443) 257-7041 |
| 1104020874 | MS. ANNETTE RICKERT CALLAHAN LSCWC Individual | Social Worker (Clinical) | 1501 S CLINTON ST BALTIMORE, MD 21224 (443) 805-5598 |
| 1144527151 | MS. CHERYL ANN SHIRK RN, MSN Individual | Registered Nurse | 1501 S CLINTON ST BALTIMORE, MD 21224 (410) 528-5755 |
| 1730496399 | CHARISSE WEISS LCPC Individual | Counselor | 1501 S CLINTON ST BALTIMORE, MD 21224 (410) 904-1867 |
| 1538699905 | CAROLYN ROSS RN Individual | Case Manager/Care Coordinator | 1501 S CLINTON ST BALTIMORE, MD 21224 (443) 618-3769 |
| 1053863977 | TEAIRA LEWIS LCPC, LPC Individual | Counselor (Professional) | 1501 S CLINTON ST BALTIMORE, MD 21224 (443) 805-0515 |
| 1083139752 | MEGAN MILLS LCPC Individual | Counselor | 1501 S CLINTON ST BALTIMORE, MD 21224 (410) 953-1856 |
| 1528560596 | ESTHER O ORIMOGUNJE Individual | Case Manager/Care Coordinator | 1501 S CLINTON ST BALTIMORE, MD 21224 (202) 731-0591 |
| 1487150967 | MS. WHITNEY TUCKER Individual | Case Manager/Care Coordinator | 1501 S CLINTON ST BALTIMORE, MD 21224 (443) 401-3550 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1396088191, enumerated in the NPI registry as an "individual" on March 29, 2013
The provider is located at 1501 S Clinton St Baltimore, Md 21224 and the phone number is (917) 261-4414
The provider's speciality is Internal Medicine with taxonomy code 207R00000X
The provider might be accepting Accepts: Blue Cross and Blue Shield of Montana. 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 $139.05 with an average copayment of $34.76 for new patient appointments. Established patients should expect a typical charge of $106.59 and an average copayment of 26.64. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on March 29, 2013. 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].
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