AVINDER SINGH MEHTA – Family Medicine Physician, NPI 1508196742

AVINDER SINGH MEHTA is a healthcare provider. based in Park ridge, Illinois. specializing in FAMILY PRACTICE. They hold a License No. 036126452 (IL). The NPI Number for AVINDER SINGH MEHTA is 1508196742

Main info

Male
Sole Proprietor
24 Years Of Experience
Accepts Medicare Assignment
Name
AVINDER SINGH MEHTA
NPI
1508196742
Phone
Not provided
Address
1420 RENAISSANCE DR
Enumeration Date
11 January 2010
Last Update Date
18 April 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8472966161
Graduation Year
2002 (24 years ago)
PAC ID
3072701754
Group Practice PAC ID
9133219827
Professional Enrollment ID
I20101222000150
Address ID
IL600681353PA1480XDRXX302
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:16State licenses:1Digital endpointsOther names

5,037 FAMILY PRACTICE in IL

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Provider Addresses for AVINDER SINGH MEHTA

  • 1420, Renaissance Drive, Park Ridge, Cook County, Illinois, 60068, United States

    SUITE 207

    PARK RIDGE, IL 600681330

    Phone:

    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)

CMS reports 2 Open Payments records for all available years, with a total value of $276.

Total Amount is formed as General ($276) + Research ($0) + Ownership ($0) = $276.

Last reported payment date: 2024-07-11 • Largest payer in this snapshot: AngioDynamics, Inc. ($167).

Total Amount

$276

General + Research + Ownership

Payments

2

Total payment records

General Amount

$276

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-11

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: 2010-12-22

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
I20101222000150IFamily PracticeILTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes2,390431$0
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes654228$0
11042Removal of skin and tissue, 20.0 sq cm or less379119$0
99305Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes300300$0
11045Removal of skin and tissue, each additional 20.0 sq cm or less14419$0
View full utilization report →

Insurance plans in this area (ZIP 60068)

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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: 9133219827View full group profile
NameSpecialtyState
Nurse PractitionerIL
-IL
Physical Medicine And Rehabilitation, Pain ManagementIL
Nurse PractitionerIL

Reviews

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Frequently asked questions

What federal number belongs to AVINDER SINGH MEHTA?
The federal identifier for AVINDER SINGH MEHTA is NPI 1508196742.
Does this profile mean AVINDER SINGH MEHTA is currently active?
Yes — AVINDER SINGH MEHTA appears active in the national provider directory.
Can you summarize AVINDER SINGH MEHTA's specialty in plain language?
Clinically, the directory lists AVINDER SINGH MEHTA with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for AVINDER SINGH MEHTA?
The page summarizes Park Ridge, Illinois for AVINDER SINGH MEHTA; expand the address list for detail.
Is AVINDER SINGH MEHTA a real provider?
This page reflects official NPPES data for NPI 1508196742. Always confirm identity and privileges with the practice and licensing boards.

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