DR. SANDEEP D. MEHTA – Nephrology Physician, NPI 1558300319

DR. SANDEEP D. MEHTA is a healthcare provider. based in Evanston, Illinois. specializing in NEPHROLOGY, INTERNAL MEDICINE. They hold a License No. 036112471 (IL). The NPI Number for DR. SANDEEP D. MEHTA is 1558300319

Main info

Male
32 Years Of Experience
Accepts Medicare Assignment
Name
DR. SANDEEP D. MEHTA
NPI
1558300319
Phone
(847) 570-2040
Address
2650 RIDGE AVE STE 1223
Enumeration Date
6 June 2006
Last Update Date
22 November 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8474327222
Graduation Year
1994 (32 years ago)
PAC ID
2567400849
Group Practice PAC ID
9133023963
Professional Enrollment ID
I20050418001068
Address ID
IL600313336GU15XXXCTXX305
Telehealth
Yes

Contacts

Secure Messaging
smehta237064@direct.northshore.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

629 NEPHROLOGY in IL

Provider Addresses for DR. SANDEEP D. MEHTA

  • 2650 RIDGE AVE STE 1223

    EVANSTON, IL 602011700

    Phone: (847) 570-2040

    Type: Mailing

  • 1160 PARK AVE W STE 5N

    HIGHLAND PARK, IL 600352271

    Phone: (847) 432-7222

    Type: Location

  • Park Avenue West, Highland Park, Illinois, 60035, United States

    HIGHLAND PARK, IL 600352471

    Phone: (847) 432-7222

    Fax: (847) 432-9360

    Type: Mailing

  • 210 S DESPLAINES ST

    CHICAGO, IL 606615500

    Phone: (312) 654-2720

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $16.

Total Amount is formed as General ($16) + Research ($0) + Ownership ($0) = $16.

Last reported payment date: 2024-10-30 • Largest payer in this snapshot: Travere Therapeutics, Inc. ($16).

Total Amount

$16

General + Research + Ownership

Payments

3

Total payment records

General Amount

$16

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-30

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: 2005-04-18

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
I20050418001068INephrologyILTBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes431150$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes343111$0
99213Established patient office or other outpatient visit, 20-29 minutes298169$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes128117$0
90961Dialysis services, 2-3 physician visits per month (20 years or older)12430$0
View full utilization report →

Insurance plans in this area (ZIP 60201)

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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: 9133023963View full group profile
NameSpecialtyState
Nephrology, Internal MedicineIL
-IL
N E P H R O L O G YIL
-IL
-IL
N E P H R O L O G YIL
-IL
-IL
Nephrology, Internal MedicineIL
Nephrology, Internal MedicineIL

Reviews

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Frequently asked questions

What federal number belongs to DR. SANDEEP D. MEHTA?
The federal identifier for DR. SANDEEP D. MEHTA is NPI 1558300319.
Is DR. SANDEEP D. MEHTA's NPI currently valid?
The extract we use shows DR. SANDEEP D. MEHTA as active.
What field does DR. SANDEEP D. MEHTA work in?
You can think of DR. SANDEEP D. MEHTA as practicing within Nephrology Physician. Clinical services aligned with this taxonomy classification.
Does DR. SANDEEP D. MEHTA practice in Illinois?
You will see Evanston, Illinois on file for DR. SANDEEP D. MEHTA alongside any extra practice locations.
How can I contact DR. SANDEEP D. MEHTA?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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