SHILPA MEHTA


Address: 1505 Eastland Dr, Bloomington, IL 61701-3534
Phone: 3096632100

SHILPA MEHTA (NPI# 1174616411) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1174616411
Entity Type Individual
Full Name SHILPA MEHTA
Practice Address 1505 Eastland Dr
Bloomington
IL 61701-3534
Practice Telephone 3096632100
Practice Fax Number 3096638322
Mailing Telephone 3096632100
Mailing Fax Number 3096638322
Enumeration Date 2006-10-01
Last Update Date 2014-03-06
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine 036-110523 IL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
IL 036110523 05
IL 833120 05

Other Providers SHILPA MEHTA

NPI Name Taxonomy Address Enumeration
1518447945 Shilpa Mehta Clinic/Center 4190 24th Ave Ste 205, Fort Gratiot, MI 48059-3884 2018-08-15
1548422991 Shilpa J. Mehta Internal Medicine 100 E Valencia Mesa Dr Ste 105, Fullerton, CA 92835 2008-06-26
1255743365 Shilpa Mehta Pediatrics 1 Brookdale Plz, Brooklyn, NY 11212-3139 2014-05-22
1407162530 Shilpa Mehta Dermatology 1900 W Polk St, Chicago, IL 60612-3723 2010-08-26
1487742730 Shilpa Shamik Mehta Dentist 5130 Stevens Creek Blvd, San Jose, CA 95129-1019 2006-10-11
1427153337 Shilpa Mehta Radiology 1555 Barrington Rd, Hoffman Estates, IL 60194-1019 2006-09-14
1447236773 Shilpa Prabodh Mehta Internal Medicine 1400 Peoples Plz, Suite 201, Newark, DE 19702-5707 2005-12-19
1144212671 Shilpa P. Mehta Pathology 1775 Dempster St, Lutheran General Hospital / Pathology Department, Park Ridge, IL 60068-1143 2005-08-19

Office Location

Street Address 1505 EASTLAND DR
City BLOOMINGTON
State IL
Zip Code 61701-3534

Providers in the same location

NPI Name Taxonomy Address Enumeration
1336142017 Yogesh K Agarwal Internal Medicine 1505 Eastland Dr, Ste 330, Bloomington, IL 61701-3534 2005-05-24
1073082384 Caroline J Turner Nurse Practitioner 1505 Eastland Dr, Bloomington, IL 61701-3534 2018-11-15
1548755366 Sunanda R Kale Nurse Practitioner 1505 Eastland Dr, Bloomington, IL 61701-3534 2018-06-25
1790294403 Sarah Kneip Nurse Practitioner 1505 Eastland Dr, Bloomington, IL 61701-3534 2017-09-26
1760909626 Hannah K Corley Nurse Practitioner 1505 Eastland Dr, Bloomington, IL 61701-3534 2017-08-23
1467827592 Kelly Karr Registered Nurse 1505 Eastland Dr, Bloomington, IL 61701-3534 2015-12-01
1205219607 Michele Krieger-johnsen Nurse Practitioner 1505 Eastland Dr, Bloomington, IL 61701-7905 2015-07-02
1326420563 Fresenius Medical Care Normal, LLC Clinic/Center 1505 Eastland Dr, Medical Plaza Lower Level, Bloomington, IL 61701-3534 2015-06-24
1588068803 Allison Vogel Physician Assistant 1505 Eastland Dr, Bloomington, IL 61701-3534 2014-10-15
1578964987 Kristin N Wilkins Clinical Nurse Specialist 1505 Eastland Dr, Suite 320, Bloomington, IL 61701-3534 2014-09-05
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1770140964 County of Mclean Community/Behavioral Health 200 W Front St, 1st Floor Sw, C/o 200 W Front St, Suite 400f, Bloomington, IL 61701 2019-05-22
1023525292 Karli Johnson Counselor 200 W Monroe St Ste C7, Bloomington, IL 61701 2018-01-09
1487172409 Melody Ann Bauman Physician Assistant 1505 Eastland Dr, Osf Critical Cane, Pulmonary, Sleep M, Bloomington, IL 61701 2017-08-30
1215396288 Heidi Larsen Social Worker 902 S East St, Bloomington, IL 61701 2016-02-18
1558735126 Andrea E. Andrews Counseling LLC Counselor 200 W. Monroe St., Ste 302 C, Bloomington, IL 61701 2015-11-19
1174924856 Carole Hahn Dietitian, Registered 1406 Forrest St, Bloomington, IL 61701 2014-09-12
1558786392 Valerie Colleen Parker Counselor 109 W. Mulberry St., Bloomington, IL 61701 2014-03-04
1124459219 Matilde Francois Surgery 1505 Eastland Dr Ste 2300, Bloomington, IL 61701 2013-11-27
1922435114 Smitha H Shivaprasad Pharmacist 2611 East Oakland Avenue, Bloomington, IL 61701 2013-10-02
1295161941 Ashvin Patel Obstetrics & Gynecology 31 Country Club Pl, Bloomington, IL 61701 2013-09-25
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Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1073165650 Genevieve Elon Monge Family Medicine 18651 Valley Blvd, Bloomington, CA 92316-1831 2019-07-12
1982117172 Andry Medical Services Family Medicine 451 S Park Ridge Rd Ste 101, Bloomington, IN 47401-8589 2017-11-09
1033459904 Charles R Farmer Family Medicine 3480 S Oak Ridge Dr, Bloomington, IN 47401-8926 2013-02-28
1467798504 James Anthony Ray Family Medicine 2001 E Hillside Dr Lot 4, Bloomington, IN 47401-6692 2012-12-18
1902140585 Fountain Healthcare Limited Liability Company Family Medicine 2412 E Washington St Ste 6, Bloomington, IL 61704-4497 2012-11-20
1306147236 Community Health Network Family Medicine 524 N Fairview St, Bloomington, IN 47404-3774 2010-11-09
1942501978 Premier Medical Group, LLC Family Medicine 2102 E Washington St, Bloomington, IL 61701-4321 2010-11-08
1356660666 Glen Edward Tomlinson Family Medicine 42 Crista Ann Ct, Bloomington, IL 61704-8699 2010-05-26
1285862664 Charles W Mcclary Family Medicine 1411 S Sare Rd, Bloomington, IN 47401-4431 2009-06-24
1982840005 Thomas Patterson Cairns Family Medicine 10258 Berkshire Rd, Bloomington, MN 55437-2265 2008-12-18
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Competitor

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City BLOOMINGTON
Zip Code 61701

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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