Santha Mohan, M.D

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

150725 Issued in NY

Practice address

1790 Randall Ave
Bronx, NY 10473-3629

Phone

(718) 542-3060

Fax

(718) 542-8165

NPI assigned

Oct 18, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Pediatric Medicine

Education

Other, 1971

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Networks

• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/FIDEBD/Endpoint/FIDEBD
• FHIR API: https://fhir4.healow.com/fhir/r4/FIDEBD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Santha Mohan MD

  • Legal Medicine
  • New York, NY
  • NPI 1659783256

  Single Specialty

  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565827200000",
    "number": "1063593531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 BYRNE LANE",
            "city": "HARRINGTON PARK",
            "state": "NJ",
            "postal_code": "076401068",
            "telephone_number": "212-831-3660",
            "fax_number": "201-784-8429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1790 RANDALL AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104733629",
            "telephone_number": "718-542-3060",
            "fax_number": "718-542-8165"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "335 E. 118th Street",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100354253",
            "country_code": "US",
            "telephone_number": "212-831-3660",
            "fax_number": "212-831-3211",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOHAN",
        "first_name": "SANTHA",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-18",
        "last_updated": "2019-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "150725",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00715320",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laila Mohammed, RN
• Ozaz Mohammed Albilaly Mohammed
• Romeeda Mohammed, NP
• Ronald Alex Mohammed, RPH
• Ryan Mohammed
• Stephanie Ann Mohan, FNP
• Kala Mohandas, MD
• Sundararaju Mohandoss, M.D.
• Sharon Mohink
• Steve Mohink

• Pediatrics Physician in Bronx, NY
• Providers in Bronx, NY by specialty
• Pediatrics Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.