DR. RENUKA MEHTA (MD) – Pediatric Critical Care Medicine Physician, NPI 1306955356

DR. RENUKA MEHTA (MD) is a healthcare provider. based in Augusta, Georgia. specializing in Pediatric Critical Care Medicine Physician. They hold the professional credentials MD. They hold a License No. 049921 (GA). The NPI Number for DR. RENUKA MEHTA (MD) is 1306955356

Main info

Female
41 Years Of Experience
Accepts Medicare Assignment
Name
DR. RENUKA MEHTA (MD)
NPI
1306955356
Phone
(706) 863-0055
Address
1499 WALTON WAY
Enumeration Date
30 August 2006
Last Update Date
14 December 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7067246100
Graduation Year
1985 (41 years ago)
PAC ID
9032101589
Group Practice PAC ID
9931013513
Professional Enrollment ID
I20040402000442
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience70
Completeness75
Years active:19State licenses:3Digital endpointsOther names

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Provider Addresses for DR. RENUKA MEHTA (MD)

  • 1499, Walton Way, Augusta, Richmond County, Georgia, 30901, United States

    SUITE 1400

    AUGUSTA, GA 309012602

    Phone: (706) 863-0055

    Type: Mailing

  • 15th Street, Augusta, Richmond County, Georgia, 30912, United States

    AUGUSTA, GA 309120004

    Phone: (706) 721-4402

    Fax: (706) 721-7872

    Type: Location

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: 2004-04-02

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
I20040402000442IPediatric MedicineGATBD

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 30901)

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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: 9931013513View full group profile

Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. RENUKA MEHTA (MD)?
DR. RENUKA MEHTA (MD) — NPI 1306955356 — is the standard way to identify this listing.
Is DR. RENUKA MEHTA (MD) still practicing?
DR. RENUKA MEHTA (MD) is currently listed as active in the public NPI registry.
What healthcare role does DR. RENUKA MEHTA (MD) hold?
Scheduling teams often label DR. RENUKA MEHTA (MD) under Pediatric Critical Care Medicine Physician. Clinical services aligned with this taxonomy classification.
What address line appears for DR. RENUKA MEHTA (MD)?
DR. RENUKA MEHTA (MD)'s geographic hint is Augusta, Georgia in our summary view.
Is the information about DR. RENUKA MEHTA (MD) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."