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

Supal Mehta, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1578142014

Supal Mehta, MD is a Hospitalist in Park Ridge, Illinois. Graduated from Loyola University of Chicago, Stritch School of Medicine in 2021, 5 years ago. Practices with Johns Hopkins Community Physicians, Inc, a 765-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Maryland.

Years since qualifying
5
Trained at
Loyola University of Chicago, Stritch School of Medicine
Licensed in
MD
In the registry since
2021
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

1775 Ballard Rd
Park Ridge, IL 60068-1005
Phone: (847) 318-6020
Show map & directions

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

Additional practice locations (1)

  • 5755 Cedar Ln, Columbia, MD 21044-2912 — (410) 955-5000

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence D0100509 (MD)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1578142014
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 2, 2021
Last updated in NPPESSeptember 18, 2024
Certification dateSeptember 18, 2024
Mailing address6201 Greenleigh Ave, Middle River, MD 21220-2004

Medicare enrollment

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

Medicare specialtyHOSPITALIST
Medical schoolLOYOLA UNIVERSITY OF CHICAGO, STRITCH SCHOOL OF MEDICINE
Graduated 2021 (5 years in practice)
Group practice Johns Hopkins Community Physicians, Inc — 765 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Park Ridge