DR. ANJALI J MEHTA (M.D.) – Psychiatry Physician, NPI 1053425801

DR. ANJALI J MEHTA (M.D.) is a healthcare provider. based in Jackson, Michigan. specializing in PSYCHIATRY. They hold the professional credentials M.D.. They hold a License No. 047123 (MI). The NPI Number for DR. ANJALI J MEHTA (M.D.) is 1053425801

Main info

Female
46 Years Of Experience
Accepts Medicare Assignment
Name
DR. ANJALI J MEHTA (M.D.)
NPI
1053425801
Phone
(517) 780-3332
Address
1200 N WEST AVE
Enumeration Date
18 August 2006
Last Update Date
21 November 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7347857700
Graduation Year
1980 (46 years ago)
PAC ID
2163670175
Group Practice PAC ID
8022171735
Professional Enrollment ID
I20120918000034
Address ID
MI481952216SO13101RDXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,216 PSYCHIATRY in MI

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Provider Addresses for DR. ANJALI J MEHTA (M.D.)

  • West Avenue, Jackson, Butts County, Georgia, 30233, United States

    JACKSON, MI 492022179

    Phone: (517) 780-3332

    Fax: (517) 796-4532

    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: 2012-09-18

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
I20120918000034IPsychiatryMITBD

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 49202)

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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: 8022171735View full group profile
NameSpecialtyState
Mental Health CounselorMI
Clinical Social WorkerMI
P S Y C H I A T R YMI
Clinical Social WorkerMI
Clinical Social WorkerMI
-MI
Clinical Social WorkerMI
Mental Health CounselorMI
Clinical Social WorkerMI
Clinical Social WorkerMI

Reviews

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Frequently asked questions

What unique ID ties claims to DR. ANJALI J MEHTA (M.D.)?
NPI 1053425801 is assigned to DR. ANJALI J MEHTA (M.D.) under the national enumeration system.
Is DR. ANJALI J MEHTA (M.D.) currently active in the NPI registry?
CMS-published data lists DR. ANJALI J MEHTA (M.D.) as an active registrant.
What does DR. ANJALI J MEHTA (M.D.) treat or focus on?
Patients typically see DR. ANJALI J MEHTA (M.D.) under the specialty Psychiatry Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. ANJALI J MEHTA (M.D.)?
The page summarizes Jackson, Michigan for DR. ANJALI J MEHTA (M.D.); expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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