Individual ProviderJulie MehtaFamily MedicineAllopathic & Osteopathic PhysiciansPractice Address3650 Joseph Siewick Dr Ste 400, Fairfax, VA 22033-1715(703) 391-2020PECOS EnrollmentBased on the most recent information from CMS, provider Julie Mehta is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1356099931Provider TypeIndividualFull NameMehta, JulieGenderFemaleSole ProprietorNoEnumeration Date3/14/2022Last Updated5/14/2025Contact InformationPractice LocationPractice Address3650 Joseph Siewick Dr Ste 400, Fairfax, VA 22033-1715Phone(703) 391-2020FaxUnlisted FaxMailing LocationMailing Address3650 Joseph Siewick Dr Ste 400, Fairfax, VA 22033-1715Phone(703) 391-2020FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207Q00000XPrimaryDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicense0116037708VirginiaCode207Q00000XDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicense0102208922Virginia