MANOJ KUMAR MEHTA (NPI# 1962495200) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962495200 |
| Entity Type | Individual |
| Full Name | MANOJ KUMAR MEHTA |
| Credential | MD |
| Practice Address |
510 Green Bay Rd Kenilworth IL 60043-1002 |
| Practice Telephone | 8472561855 |
| Practice Fax Number | 8472563412 |
| Enumeration Date | 2005-08-23 |
| Last Update Date | 2013-05-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 036087435 | IL | Allopathic & Osteopathic Physicians |
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
036087435 | IL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902171432 | Manoj G. Mehta | Physical Therapist | 6100 Corporate Dr, Suite 270, Houston, TX 77036-3419 | 2012-03-16 |
| Street Address |
510 GREEN BAY RD |
| City | KENILWORTH |
| State | IL |
| Zip Code | 60043-1002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962403212 | Gastroenterology Consultants of The North Shore | Internal Medicine | 510 Green Bay Rd, Kenilworth, IL 60043-1002 | 2005-08-09 |
| 1013195650 | Jonathan F Williams | Internal Medicine | 510 Green Bay Rd, Kenilworth, IL 60043-1002 | 2008-02-06 |
| 1326030511 | Yolandra L Johnson | Internal Medicine | 510 Green Bay Rd, Kenilworth, IL 60043-1002 | 2005-08-16 |
| 1003818469 | James Lee Rosenberg | Internal Medicine | 510 Green Bay Rd, Kenilworth, IL 60043-1002 | 2005-08-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982945697 | Monica Joyce | Dietitian, Registered | 9812 S Damen, Chicago, IL 60043 | 2013-03-05 |
| 1285968115 | Danette Tiarrizzo Palomar | Counselor | 444 Greenbay Road, Kenilworth, IL 60043 | 2009-09-24 |
| 1730392614 | Paige B Turner | Marriage & Family Therapist | 503 Park Drive, Kenilworth, IL 60043 | 2007-05-08 |
| 1679671655 | Arthur B. Carpenter | Dentist | 450 A Green Bay Rd, Kenilworth, IL 60043 | 2006-09-21 |
| 1629176003 | Geoffrey C Fenner | Plastic Surgery | 512 Green Bay Road, Kenilworth, IL 60043 | 2006-09-20 |
| 1346573029 | Kimberly Ann Mula | Psychologist | 444 Green Bay Rd, Kenilworth, IL 60043-1001 | 2009-09-11 |
| 1891857546 | Miriam Levitan Dani | Dentist | 432 Green Bay Rd, Kenilworth, IL 60043-1001 | 2006-12-15 |
| 1407474216 | Ben Spanner | Counselor | 444 Green Bay Rd, Kenilworth, IL 60043-1001 | 2020-07-08 |
| 1295359586 | Paldin Yousef | Dentist | 432 Green Bay Rd, Kenilworth, IL 60043-1001 | 2020-06-02 |
| 1821623372 | Morgan Anne Lasley | Psychologist | 444 Green Bay Rd, Kenilworth, IL 60043-1001 | 2020-03-05 |
| Find all providers in zip 60043 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962403212 | Gastroenterology Consultants of The North Shore | Internal Medicine | 510 Green Bay Rd, Kenilworth, IL 60043-1002 | 2005-08-09 |
| 1013195650 | Jonathan F Williams | Internal Medicine | 510 Green Bay Rd, Kenilworth, IL 60043-1002 | 2008-02-06 |
| 1326030511 | Yolandra L Johnson | Internal Medicine | 510 Green Bay Rd, Kenilworth, IL 60043-1002 | 2005-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013487388 | Endoscopy Center of The North Shore, LLC | Internal Medicine | 1100 Central Ave Ste H, Wilmette, IL 60091-2666 | 2018-11-29 |
| 1104303296 | Amanda Israel | Internal Medicine | 5841 S Maryland Ave # 4076m410, Chicago, IL 60637-1443 | 2018-07-23 |
| 1861999559 | Kiba, Inc. | Internal Medicine | 3845 Mccoy Dr Ste 101, Aurora, IL 60504-4429 | 2018-04-09 |
| 1447765888 | David Henoch Barch | Internal Medicine | 3431 N Leavitt St, Chicago, IL 60618-6013 | 2017-12-07 |
| 1861861403 | Belleville Endoscopy LLC | Internal Medicine | 311 West Lincoln St, Suite 101, Belleville, IL 62220 | 2015-09-24 |
| 1205218658 | Ye Eun Kwak | Internal Medicine | 5841 S Maryland Ave Rm J-517, Chicago, IL 60637 | 2015-06-22 |
| 1699186890 | Laura Hamad | Internal Medicine | 1717 Midwest Club Pkwy, Oak Brook, IL 60523-2586 | 2014-05-11 |
| 1154749042 | Joshua Michael Steinberg | Internal Medicine | 5841 S Maryland Ave # 4076, Chicago, IL 60637-1443 | 2014-03-28 |
| 1841533254 | Danish Shahab | Internal Medicine | 133 E Brush Hill Rd Ste 100&400, Elmhurst, IL 60126-5659 | 2013-04-03 |
| 1447599311 | Seymour Marshall Sabesin | Internal Medicine | 630 S Hermitage Ave, Suite 802, Chicago, IL 60612-3874 | 2013-02-12 |
| Find all providers with the same taxonomy | ||||
| City | KENILWORTH |
| Zip Code | 60043 |
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| 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.