DR. SATISH R MEHTA (MD) – Pediatrics Physician, NPI 1114960309

DR. SATISH R MEHTA (MD) is a healthcare provider. based in Detroit, Michigan. specializing in GENERAL PRACTICE, PEDIATRIC MEDICINE. They hold the professional credentials MD. They hold a License No. 4301065258 (MI). The NPI Number for DR. SATISH R MEHTA (MD) is 1114960309

Main info

Male
46 Years Of Experience
Accepts Medicare Assignment
Name
DR. SATISH R MEHTA (MD)
NPI
1114960309
Phone
(313) 745-5260
Address
3901 BEAUBIEN
Enumeration Date
14 June 2006
Last Update Date
10 August 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3133784620
Graduation Year
1980 (46 years ago)
PAC ID
7214821149
Professional Enrollment ID
I20040217000027
Address ID
MI480213213EA21501RDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness75
Years active:19State licenses:1Digital endpointsOther names

216 GENERAL PRACTICE in MI

Provider Addresses for DR. SATISH R MEHTA (MD)

  • 3901 BEAUBIEN

    CHILDREN'S HOSPITAL OF MI

    DETROIT, MI 48201

    Phone: (313) 745-5260

    Fax: (313) 966-0665

    Type: Location

  • 12632 Dexter Ave

    Detroit, MI 482383340

    Phone: (313) 868-7700

    Fax: (313) 868-0303

    Type: Location

  • 3681, Acorn Drive, Glenwood Park, Troy, Oakland County, Michigan, 48083, United States

    TROY, MI 480835793

    Phone: (313) 868-7700

    Fax: (586) 776-5132

    Type: Mailing

  • 21501, Kelly Road, Eastpointe, Macomb County, Michigan, 48021, United States

    EASTPOINTE, MI 480213213

    Phone: (586) 776-4185

    Fax: (586) 776-4185

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $14.

Total Amount is formed as General ($14) + Research ($0) + Ownership ($0) = $14.

Last reported payment date: 2024-05-08 • Largest payer in this snapshot: PFIZER INC. ($14).

Total Amount

$14

General + Research + Ownership

Payments

1

Total payment records

General Amount

$14

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-08

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
PFIZER INC.$14
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: 2004-02-17

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
I20040217000027IGeneral PracticeMITBD

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 48201)

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Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

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Frequently asked questions

How is DR. SATISH R MEHTA (MD) identified in CMS data?
CMS-hosted NPPES data lists DR. SATISH R MEHTA (MD) with NPI 1114960309.
Does the file indicate DR. SATISH R MEHTA (MD) is practicing under active NPI?
Directory data currently reports DR. SATISH R MEHTA (MD) as active.
What is DR. SATISH R MEHTA (MD)'s specialty?
The listing groups DR. SATISH R MEHTA (MD) with Pediatrics Physician. Clinical services aligned with this taxonomy classification.
What area does DR. SATISH R MEHTA (MD) serve?
DR. SATISH R MEHTA (MD)'s listing highlights Detroit, Michigan; more addresses can appear in NPPES.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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