DR. MANILAL B MEHTA (M.D.) – Urology Physician, NPI 1124024104

DR. MANILAL B MEHTA (M.D.) is a healthcare provider. based in Anaheim, California. specializing in Urology Physician. They hold the professional credentials M.D.. They hold a License No. A26272 (CA). The NPI Number for DR. MANILAL B MEHTA (M.D.) is 1124024104

Main info

Male
Sole Proprietor
65 Years Of Experience
Accepts Medicare Assignment
Name
DR. MANILAL B MEHTA (M.D.)
NPI
1124024104
Phone
(714) 776-7090
Address
1211 W LA PALMA AVE
Enumeration Date
23 June 2005
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7147767090
Graduation Year
1961 (65 years ago)
PAC ID
5092629139
Group Practice PAC ID
9335053420
Professional Enrollment ID
I20031113000631
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for DR. MANILAL B MEHTA (M.D.)

  • W La Palma Avenue, Anaheim, Orange County, California, 92805, United States

    STE 502

    ANAHEIM, CA 928012812

    Phone: (714) 776-7090

    Fax: (714) 776-5632

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2003-11-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20031113000631IUrologyCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 92801)

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Provider's Procedures

DR. MANILAL B MEHTA (M.D.) performs procedures in Urology Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
UROLOGYCA51798Ultrasound measurement of bladder capacity after voiding149117
UROLOGYCA81002Urinalysis, manual test221159

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9335053420View full group profile
NameSpecialtyState
U R O L O G YCA
U R O L O G YCA
U R O L O G YCA

Reviews

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Frequently asked questions

What is DR. MANILAL B MEHTA (M.D.)'s NPI number?
DR. MANILAL B MEHTA (M.D.)'s NPI is 1124024104 — the number used across U.S. healthcare to identify this provider.
Is there an active status for DR. MANILAL B MEHTA (M.D.)?
For scheduling context, DR. MANILAL B MEHTA (M.D.) is shown as active in the registry.
What area of care is associated with DR. MANILAL B MEHTA (M.D.)?
DR. MANILAL B MEHTA (M.D.)'s record emphasizes Urology Physician. Clinical services aligned with this taxonomy classification.
Is DR. MANILAL B MEHTA (M.D.) associated with Anaheim?
Public fields place DR. MANILAL B MEHTA (M.D.) around Anaheim, California. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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