DR. MILIND MEHTA (M.D.) – Addiction Medicine (Internal Medicine) Physician, NPI 1174890792

DR. MILIND MEHTA (M.D.) is a healthcare provider. based in Ashtabula, Ohio. specializing in INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. 35.122534 (OH). The NPI Number for DR. MILIND MEHTA (M.D.) is 1174890792

Main info

Male
Sole Proprietor
16 Years Of Experience
Accepts Medicare Assignment
Name
DR. MILIND MEHTA (M.D.)
NPI
1174890792
Phone
(440) 206-6017
Address
2420 Lake Ave
Enumeration Date
28 November 2011
Last Update Date
21 July 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4147734312
Graduation Year
2010 (16 years ago)
PAC ID
5799096053
Group Practice PAC ID
6709794258
Professional Enrollment ID
I20170810000626
Address ID
WI532132504WA1220XAVEX300

Contacts

Secure Messaging
mmehta190978@direct.myadvocateaurora.org
FHIR Endpoint
https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience66
Completeness85
Years active:14State licenses:2Other namesUpdated within 12 months

7,201 INTERNAL MEDICINE in OH

Provider Addresses for DR. MILIND MEHTA (M.D.)

  • 2420 Lake Ave

    Ashtabula, OH 440044954

    Phone: (440) 206-6017

    Type: Location

  • 1220 DEWEY AVE

    WAUWATOSA, WI 532132504

    Phone: (414) 454-6500

    Type: Mailing

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: 2017-08-10

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
I20170810000626IInternal MedicineWITBD

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 44004)

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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: 6709794258View full group profile
NameSpecialtyState
Nurse PractitionerWI
Family PracticeWI
Family PracticeIL
Geriatric Medicine, Internal MedicineWI
-WI
-WI
-IL
Certified Registered Nurse Anesthetist (Crna)IL
Family PracticeWI
-OH

Reviews

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Frequently asked questions

What unique ID ties claims to DR. MILIND MEHTA (M.D.)?
NPI 1174890792 is assigned to DR. MILIND MEHTA (M.D.) under the national enumeration system.
Is DR. MILIND MEHTA (M.D.) active in the national directory?
DR. MILIND MEHTA (M.D.)'s public NPI profile is in an active state.
What kind of provider is DR. MILIND MEHTA (M.D.)?
The page reflects Addiction Medicine (Internal Medicine) Physician for DR. MILIND MEHTA (M.D.). Clinical services aligned with this taxonomy classification.
Does DR. MILIND MEHTA (M.D.) practice in Ohio?
You will see Ashtabula, Ohio on file for DR. MILIND MEHTA (M.D.) alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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