Individual provider Active NPI

Girish Chintamani Mohan, M.D.

  • Dermatology Physician
  • Tulsa, OK
National Provider Identifier
1093193161
Registry record updated Feb 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
44353 Issued in OK
Practice address
9245 S Mingo Rd
Tulsa, OK 74133-5793
Phone
(918) 492-8980
Fax
(918) 495-0607
NPI assigned
May 11, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 62550 CT
Dermatology Physician 207N00000X A170186 CA
MOHS-Micrographic Surgery Physician 207ND0101X 62550 CT
Procedural Dermatology Physician 207NS0135X 62550 CT
Dermatology Physician 207N00000X 44353 OK Primary

Addresses

Primary practice location

9245 S Mingo Rd
Tulsa, OK 74133-5793

Mailing address

110 W 7TH St Ste 2520
Tulsa, OK 74119-1104
Phone (918) 579-3826

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, OK2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20201125000052 CA Practitioner - DermatologyPractitioner - Micrographic Dermatologic Surgery (MDS) 0446547277 Reassigns benefits to 2 organizations
I20250325002119 OK Practitioner - Dermatology 0446547277 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ahs Oklahoma Physician Group LLCGroup PAC ID 9436122496, 314 clinicians

Practice addresses (Care Compare)

9245 S Mingo Rd
Tulsa, OK 74133-5793
Phone (918) 574-0250

Merit-based Incentive Payment System (MIPS)

Final score
99.15 of 100Reported as group
Promoting interoperability
99
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision14
Removal of skin lesions1024
Skin biopsy248

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A170186CAMDDermatology Physician
44353OKMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Howard Fein MD Inc Dermatology CurrentSince Jan 1, 2021 Accepting new patients
Ahs Oklahoma Physician Group, LLC CurrentSince Apr 30, 2025 Accepting new patients
Apex Multispecialty Medical Group, Inc CurrentSince Sep 1, 2022 Accepting new patients
Ahs Oklahoma Physician Group LLC CurrentSince Apr 30, 2025 Accepting new patients
Hartford Hospital Past Accepting new patients
Empower Advanced Therapy PastSince Dec 28, 2022 Accepting new patients
Deorosan Professional Medical Corporation PastSince Jun 30, 2008 Accepting new patients
Howard Fein PC Dermatology PastSince Nov 1, 2025 Accepting new patients
James O'Connell MD, Inc. Dermatology PastSince Jan 1, 2021 Accepting new patients
Palos Verdes Skin Surgery Ctr Inc Past Accepting new patients

Locations

940 E Dominguez St
Ste G
Carson, CA 90746
Phone (310) 541-7800

11525 Brookshire Ave
Ste 101
Downey, CA 90241
Phone (562) 923-6450

24012 Calle de la Plata
Ste 200
Laguna Hills, CA 92653
Phone (714) 904-2918

5865 E Naples Plz
Long Beach, CA 90803
Phone (310) 541-7800

3772 Katella Ave
Ste 206
Los Alamitos, CA 90720
Phone (562) 430-4294

600 S San Vicente Blvd
Los Angeles, CA 90048
Phone (310) 873-3312

600 S San Vicente Blvd
Ste 101
Los Angeles, CA 90048
Phone (310) 277-6222

433 N 4th St
Ste 205A
Montebello, CA 90640
Phone (323) 208-0946

217 Avenida del Norte
Redondo Beach, CA 90277
Phone (213) 540-7546

550 Deep Valley Dr
Ste 283
Rolling Hills Estates, CA 90274
Phone (310) 541-7800

550 Deep Valley Dr
Ste 287
Rolling Hills Estates, CA 90274
Phone (310) 541-7800

13928 Seal Beach Blvd
Seal Beach, CA 90740
Phone (561) 459-7100

23451 Madison St
Ste 190
Torrance, CA 90505
Phone (310) 373-6952

20 E 34th St
Sand Springs, OK 74063
Phone (918) 245-9675

110 W 7th St
Ste 2520
Tulsa, OK 74119
Phone (918) 579-1073

Dept 1206
Tulsa, OK 74182

9245 S Mingo Rd
Tulsa, OK 74133
Phone (918) 492-8980

Interoperability endpoints

  • FHIR API: https://epicproxy.ardenthealth.com/fhir/UPC/api/FHIR/R4
  • Direct secure messaging: gmohan1330333@ahs.direct-ci.com

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1431302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740096000000",
    "number": "1093193161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 W 7TH ST STE 2520",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741191104",
            "telephone_number": "918-579-3826",
            "fax_number": "918-579-1262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9245 S MINGO RD",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741335793",
            "telephone_number": "918-492-8980",
            "fax_number": "918-495-0607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOHAN",
        "first_name": "GIRISH",
        "middle_name": "CHINTAMANI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-11",
        "last_updated": "2025-02-21",
        "certification_date": "2025-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CT",
            "license": "62550",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A170186",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "CT",
            "license": "62550",
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "CT",
            "license": "62550",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "OK",
            "license": "44353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.