DR. DIVYESH M MEHTA (RN, BSN, DPM) – Podiatrist, NPI 1861075178

DR. DIVYESH M MEHTA (RN, BSN, DPM) is a healthcare provider. based in Lake mary, Florida. specializing in PODIATRY. They hold the professional credentials RN, BSN, DPM. They hold a License No. PO4453 (FL). The NPI Number for DR. DIVYESH M MEHTA (RN, BSN, DPM) is 1861075178

Main info

Male
5 Years Of Experience
Accepts Medicare Assignment
Name
DR. DIVYESH M MEHTA (RN, BSN, DPM)
NPI
1861075178
Phone
(407) 956-4123
Address
2500 W Lake Mary Blvd Ste 210
Enumeration Date
4 May 2021
Last Update Date
10 March 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4079564123
Graduation Year
2021 (5 years ago)
PAC ID
0840631347
Group Practice PAC ID
0042252140
Professional Enrollment ID
I20240515002172
Address ID
FL327463501LA2500XBLVD510
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:5State licenses:1Digital endpointsOther names

1,444 PODIATRY in FL

Provider Addresses for DR. DIVYESH M MEHTA (RN, BSN, DPM)

  • 2500 W Lake Mary Blvd Ste 210

    Lake Mary, FL 327463501

    Phone: (407) 956-4123

    Fax: (321) 296-7190

    Type: Location

  • 15815 SHADDOCK DR STE 130

    WINTER GARDEN, FL 347875773

    Phone: (813) 400-1140

    Fax: (813) 701-9132

    Type: Mailing

  • 201 MORAY LN STE B

    WINTER PARK, FL 327924122

    Phone: (407) 993-2072

    Fax: (407) 915-9615

    Type: Location

  • 216 CALABRIA AVE APT 5

    CORAL GABLES, FL 331342943

    Phone: (732) 824-7538

    Type: Mailing

  • 3659 S MIAMI AVE STE 3008

    MIAMI, FL 331334225

    Phone: (732) 824-7538

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 38 Open Payments records for all available years, with a total value of $3,842.

Total Amount is formed as General ($3,842) + Research ($0) + Ownership ($0) = $3,842.

Last reported payment date: 2024-08-08 • Largest payer in this snapshot: Stryker Corporation ($2,015).

Total Amount

$3,842

General + Research + Ownership

Payments

38

Total payment records

General Amount

$3,842

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-08

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2024-05-15

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
I20240515002172IPodiatryFLTBD

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 32746)

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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: 0042252140View full group profile
NameSpecialtyState
P O D I A T R YMI
P O D I A T R YNJ
P O D I A T R YFL
P O D I A T R YFL
P O D I A T R YFL
P O D I A T R YFL
P O D I A T R YKY
P O D I A T R YFL
P O D I A T R YFL
Physical Therapist In Private PracticeFL

Reviews

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Frequently asked questions

What is the registry number for DR. DIVYESH M MEHTA (RN, BSN, DPM)?
The registry entry for DR. DIVYESH M MEHTA (RN, BSN, DPM) shows NPI 1861075178.
Is DR. DIVYESH M MEHTA (RN, BSN, DPM)'s NPI status active today?
Active status means DR. DIVYESH M MEHTA (RN, BSN, DPM)'s NPI record is not deactivated in the public file.
How should patients interpret DR. DIVYESH M MEHTA (RN, BSN, DPM)'s specialty?
The extract shows Podiatrist for DR. DIVYESH M MEHTA (RN, BSN, DPM). Clinical services aligned with this taxonomy classification.
What geographic area is tied to DR. DIVYESH M MEHTA (RN, BSN, DPM)?
DR. DIVYESH M MEHTA (RN, BSN, DPM) is associated with Lake Mary, Florida in the same public data insurers reference.
Why is information missing for DR. DIVYESH M MEHTA (RN, BSN, DPM)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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