Pradeep K Mehta, M.D.
Internal Medicine, Nephrology in Springfield, IL. Individual provider (NPI-1).
NPI number1366414443
StatusActive
Last updated in NPPESMar 7, 2023
Details
- NPI
- 1366414443
- Entity type
- Individual (NPI-1)
- Name
- Mr. Pradeep K Mehta
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 3, 2006
- Last updated
- Mar 7, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RN0300X | Internal Medicine, Nephrology | 036-050314 | IL | Yes |
Practice location
3401 Conifer DrSpringfield, IL 62711-8300
Phone 217-726-0967 · Fax 217-726-7633
Mailing address
3401 Conifer DrSpringfield, IL 62711-8300
Phone 217-726-0967 · Fax 217-726-7633
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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