Anupama Mohanram, M.D.

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

01058220 Issued in IN

Practice address

2451 Intelliplex Dr Ste 210
Shelbyville, IN 46176-8581

Phone

(317) 421-2012

NPI assigned

Apr 18, 2006

Last updated

Jan 7, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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 IN

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

Internal Medicine

Education

University of North Carolina at Chapel Hill School of Medicine, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Major Multispecialty AssociatesGroup PAC ID 6305997842, 39 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• USRC MHP Dialysis Dialysis facility, Shelbyville, IN, CCN 152702
• Major Hospital Hospital, Shelbyville, IN, CCN 150097
• Rush Memorial Hospital Hospital, Rushville, IN, CCN 151304

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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

• Major Multispecialty Associates

  dba MHP Behavioral Health

  • Internal Medicine Physician
  • Shelbyville, IN
  • NPI 1437398492

  Nephrology

  Medicare reassignment Care Compare group NPD
• Sound Physicians of Indiana, LLC

  • Hospitalist Physician
  • Gary, IN
  • NPI 1528311149
  Medicare reassignment NPD
• Major Multispecialty Associates

  dba MHP Force Orthopaedics

  • Orthopaedic Surgery Physician
  • Shelbyville, IN
  • NPI 1245405869
  NPD
• Sound Physicians of Indiana, LLC

  dba Sound Physicinas of Indiana

  • Hospitalist Physician
  • Terre Haute, IN
  • NPI 1184063257
  NPD
• Major Hospital

  • General Acute Care Hospital
  • Shelbyville, IN
  • NPI 1174555692
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Usrc MHP, LLC

  dba U.S. Renal Care MHP Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Shelbyville, IN
  • NPI 1043875180

  Dialysis facility

  Care Compare affiliation Name & address match
• Major Hospital

  • General Acute Care Hospital
  • Shelbyville, IN
  • NPI 1174555692
  Care Compare affiliation
• Rush Memorial Hospital

  • Critical Access Hospital
  • Rushville, IN
  • NPI 1497726020
  Care Compare affiliation

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

{
    "created_epoch": "1145318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609977600000",
    "number": "1083679724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 W RAMPART ST STE 200",
            "city": "SHELBYVILLE",
            "state": "IN",
            "postal_code": "461768846",
            "telephone_number": "317-421-2012",
            "fax_number": "317-398-1851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2451 INTELLIPLEX DR STE 210",
            "city": "SHELBYVILLE",
            "state": "IN",
            "postal_code": "461768581",
            "telephone_number": "317-421-2012"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "550 University Blvd",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462025149",
            "country_code": "US",
            "telephone_number": "317-274-7453",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOHANRAM",
        "first_name": "ANUPAMA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-18",
        "last_updated": "2021-01-07",
        "certification_date": "2021-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "IN",
            "license": "01058220",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200219390",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Randall Lee Miller, DDS
• Scott R Miller, M.D.
• Shuaib Mirani, DDS
• Kathryn S Mitchell
• Elizabeth June Fish Moats, FNP
• Flavien Ituka Mokeyo
• Ty Montgomery, M.D.
• Christopher R Moore, PHARM.D.
• Tai Lynn Morrell, NP
• Abigail M Mueller

• Nephrology Physician in Shelbyville, IN
• Providers in Shelbyville, IN by specialty
• Nephrology Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2021; 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.