Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Manisha Mehta, DPM

Individual provider Podiatrist · NPI 1417136029

Manisha Mehta, DPM is a Podiatry in Detroit, Michigan. Qualified in 2005, 21 years ago. Accepts Medicare assignment. Licensed in Michigan and Ohio.

Years since qualifying
21
Licensed in
MI, OH
In the registry since
2007
Specialties on file
2
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

4160 John R St Ste 1011
Detroit, MI 48201-2017
Phone: (313) 833-3090
Fax: (313) 833-7843
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Podiatric Medicine Podiatrist (primary) Taxonomy 213EP1101X · Licence 5901002275 (MI)
Podiatrist Taxonomy 213E00000X · Licence 36. 003467 (OH)

Record details

NPI number1417136029
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPM
Sole proprietorNo
NPI enumeratedOctober 31, 2007
Last updated in NPPESAugust 11, 2023
Certification dateAugust 11, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPODIATRY
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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