Mohana Health Care LTD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

036103788 Issued in IL

Legal business name

MOHANA HEALTH CARE LTD

Practice address

3641 E 108TH St
Chicago, IL 60617-6951

Phone

(773) 731-5466

Fax

(773) 731-5461

NPI assigned

Oct 16, 2007

Last updated

Jul 9, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Bhargavi Nettem, MDNPI 1811098783

Title

President

Phone

(773) 731-5466

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Interoperability endpoints

• Direct secure messaging: bnettem284079@direct.myadvocateaurora.org

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Bhargavi Nettem, M.D.

  • Family Medicine Physician
  • Chicago, IL
  • NPI 1811098783
  Medicare reassignment NPD Authorized official
• Jayesh M Madhani, MD

  • Cardiovascular Disease Physician
  • Whiting, IN
  • NPI 1457461576

  IL

  Medicare reassignment NPD

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

{
    "created_epoch": "1192492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720483200000",
    "number": "1083803902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5843 N SAINT JOHNS CT",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606466048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3641 E 108TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606176951",
            "telephone_number": "773-731-5466",
            "fax_number": "773-731-5461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOHANA HEALTH CARE LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-16",
        "last_updated": "2024-07-09",
        "certification_date": "2024-07-09",
        "status": "A",
        "authorized_official_last_name": "NETTEM",
        "authorized_official_first_name": "BHARGAVI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-731-5466",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036103788",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036103788",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bnettem284079@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3641 E 108th St",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606176951",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "3641 E 108th St",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606176951",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Nicole Uma Mohan, OTD, OTR/L
• Sangarapillai Chondra Mohan, MD
• Shena Mohan, PA-C
• Sonya Mohan, D.O.
• Sukriti Mohan, MD, MPH
• Mohana Urgent Care LTD
• Amrita Mohanty
• Nivedita Mohanty, MD
• Sunita Mohapatra, M.D.
• Isabella Mohatt

• Family Medicine Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.