DR. GAURAV SURESH MEHTA (M.D.) – Family Medicine Physician, NPI 1043519796

DR. GAURAV SURESH MEHTA (M.D.) is a healthcare provider. based in Duluth, Minnesota. specializing in FAMILY PRACTICE, EMERGENCY MEDICINE. They hold the professional credentials M.D.. They hold a License No. BP10058334 (TX). The NPI Number for DR. GAURAV SURESH MEHTA (M.D.) is 1043519796

Main info

Male
10 Years Of Experience
Accepts Medicare Assignment
Name
DR. GAURAV SURESH MEHTA (M.D.)
NPI
1043519796
Phone
(218) 847-5611
Address
400 E THIRD STREET
Enumeration Date
21 March 2011
Last Update Date
3 April 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2188442300
Graduation Year
2016 (10 years ago)
PAC ID
2567758147
Group Practice PAC ID
2062326820
Professional Enrollment ID
I20190416003268
Address ID
MN565013409DE1027XAVEX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness75
Years active:15State licenses:2Digital endpointsOther names

3,076 FAMILY PRACTICE in MN

Provider Addresses for DR. GAURAV SURESH MEHTA (M.D.)

  • 400 E THIRD STREET

    DULUTH, MN 558051951

    Phone: (218) 847-5611

    Type: Mailing

  • 1027 WASHINGTON AVENUE

    DETROIT LAKES, MN 565013409

    Phone: (218) 847-5611

    Type: Location

  • 11937 US Highway 271

    Tyler, TX 757083154

    Phone: (903) 877-7200

    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: 2019-04-16

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
I20190416003268IFamily PracticeMNTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes289122$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit6262$0
99215Established patient office or other outpatient visit, 40-54 minutes3528$0
20610Aspiration and/or injection of fluid from large joint2011$0
99284Emergency department visit with moderate level of medical decision making2020$0
View full utilization report →

Insurance plans in this area (ZIP 55805)

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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: 2062326820View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeND
Family PracticeMN
Certified Registered Nurse Anesthetist (Crna)MN
Family PracticeND
Nurse PractitionerWI
Family PracticeMN
Nurse PractitionerND
Nurse PractitionerMN
O P T O M E T R YMN
P O D I A T R YMN

Reviews

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Frequently asked questions

Where can patients find DR. GAURAV SURESH MEHTA (M.D.)'s NPI?
You can confirm DR. GAURAV SURESH MEHTA (M.D.) with NPI 1043519796; it appears in the national provider directory.
Is DR. GAURAV SURESH MEHTA (M.D.) currently active in the NPI registry?
CMS-published data lists DR. GAURAV SURESH MEHTA (M.D.) as an active registrant.
Can you summarize DR. GAURAV SURESH MEHTA (M.D.)'s specialty in plain language?
Clinically, the directory lists DR. GAURAV SURESH MEHTA (M.D.) with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What location shows for DR. GAURAV SURESH MEHTA (M.D.)?
We surface Duluth, Minnesota for DR. GAURAV SURESH MEHTA (M.D.) based on available NPPES addresses.
Is DR. GAURAV SURESH MEHTA (M.D.) a real provider?
This page reflects official NPPES data for NPI 1043519796. Always confirm identity and privileges with the practice and licensing boards.

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