Shailender Karry Mohanrao, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

25MA08279900 Issued in NJ

Practice address

2115 Millburn Ave
Suite L2
Maplewood, NJ 07040-3724

Phone

(973) 275-1322

Fax

(973) 900-8917

NPI assigned

Jul 4, 2006

Last updated

Jul 25, 2019By the provider in NPPES

Sex

Male

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 NJ

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

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Hospital & facility affiliations

• Barnabas Health Home Care and Hospice Home health agency, West Orange, NJ, CCN 317061
• Barnabas Health Home Care and Hospice Hospice, West Orange, NJ, CCN 311507
• Clara Maass Medical Center Hospital, Belleville, NJ, CCN 310009
• South Mountain HC Nursing home, Vauxhall, NJ, CCN 315283

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: shailender.karry@glacecentral.com

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.

• Sri Medical Center, Inc

  • Internal Medicine Physician
  • Maplewood, NJ
  • NPI 1124594809
  Medicare reassignment NPD Authorized official
• Clara Maass Medical Center

  • General Acute Care Hospital
  • Belleville, NJ
  • NPI 1902901333
  NPD (past)

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

• Clara Maass Medical Center

  • General Acute Care Hospital
  • Belleville, NJ
  • NPI 1902901333
  Care Compare affiliation
• Vna Health Group of New Jersey, LLC

  dba Barnabas Health Home Care and Hospice

  • Community Based Hospice Care Agency
  • West Orange, NJ
  • NPI 1174520076
  Care Compare affiliation
• Vna Health Group of New Jersey, LLC

  dba Barnabas Health Home Care and Hospice

  • Home Health Agency
  • West Orange, NJ
  • NPI 1841302254
  Care Compare affiliation

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564012800000",
    "number": "1093745077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2115 MILLBURN AVE",
            "address_2": "STE L2",
            "city": "MAPLEWOOD",
            "state": "NJ",
            "postal_code": "070403714",
            "telephone_number": "973-275-1322",
            "fax_number": "973-900-8453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2115 MILLBURN AVE",
            "address_2": "SUITE L2",
            "city": "MAPLEWOOD",
            "state": "NJ",
            "postal_code": "070403724",
            "telephone_number": "973-275-1322",
            "fax_number": "973-900-8917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARRY MOHANRAO",
        "first_name": "SHAILENDER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-04",
        "last_updated": "2019-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA08279900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0155641",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Irene Jordan, DOCTORATE
• Lisa N Joseph, LSW
• Esta K Kaftan, LCSW
• Khalil Ahmed Kaid
• Hillel J. Karp, MD
• Kasefa Care LLC
• Kasefa Care LLC
• Pamela Kattouf
• Dana Marie Cosentino Katz, CNM
• Janice Katz, LCSW

• Internal Medicine Physician in Maplewood, NJ
• Providers in Maplewood, NJ by specialty
• Internal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 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.