Active NPI
Mohan Shenoy, M.D.
- Cardiovascular Disease Physician
- Bloomington, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 01075144A
- Practice address
- 1312 W. Arch Haven Avenue
Bloomington, IN 47403 - Phone
- (812) 676-4144
- Fax
- (812) 339-8344
- NPI assigned
- May 3, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 01075144A | IN | Primary |
Addresses
Primary practice location
1312 W. Arch Haven Avenue
Bloomington, IN 47403
Mailing address
PO Box 1329
Bloomington, IN 47402
Phone (812) 353-3087
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201281210 | Medicaid | IN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | MSHENOY@direct.iuhealth.org |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1701 N Senate Blvd
Indianapolis, IN 46202-1239
Phone (888) 484-3258
2209 John R Wooden Dr
Indiana University So in Phy Inc
Martinsville, IN 46151-1840
Phone (888) 484-3258
2651 E Discovery Pkwy
Bloomington, IN 47408-9059
Phone (812) 353-9250
2900 16TH St
Bedford, IN 47421-3510
Phone (888) 484-3258
642 W Hospital Rd
Indiana University So in Phy Inc
Paoli, IN 47454-9672
Phone (888) 484-3258
707 W 2ND St
Bloomington, IN 47403-2209
Phone (888) 484-3258
719 W 2ND St
Bloomington, IN 47403-2209
Phone (888) 484-3258
727 W 2ND St
Bloomington, IN 47403-2209
Phone (888) 484-3258
Hospital & facility affiliations
- Indiana University Health Bloomington Hospital
- Indiana University Health Bedford Hospital
- Indiana University Health Paoli Hospital
- Indiana University Health
- Columbus Regional Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 79.81 of 100
- Quality
- 71.99
- Improvement activities
- 40
- Cost
- 74.87
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Varicose vein removal | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01075144A | IN | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Iu Health Medical Group, LLC | Current | Accepting new patients | |
| Indiana University Health Bedford, Inc | Past | Accepting new patients |
Locations
2900 16th St
Bedford, IN 47421
Phone (812) 275-1200
1302 S Rogers St
Bloomington, IN 47403
Phone (812) 333-2663
1520 S Liberty Dr
Bloomington, IN 47403
Phone (812) 676-4300
550 S Landmark Ave
Bloomington, IN 47403
Phone (812) 330-3688
727 W 2nd St
Bloomington, IN 47403
Phone (812) 353-3450
2651 E Discovery Pkwy
Bloomington, IN 47408
Phone (812) 353-9147
1701 Senate Blvd
Indianapolis, IN 46202
Phone (317) 612-2754
Interoperability endpoints
- mshenoy@direct.iuhealth.org
Ownership & related parties
All facility ownership & control disclosures 6
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Indiana University Health Paoli Hospital | Hospital | Corporate Director | Jan 1, 2021 |
| Indiana University Health Paoli Hospital | Hospital | Corporate Director | Jan 1, 2021 |
| Iu Health Bloomington Hospital | Hospital | Corporate Director | Jan 1, 2021 |
| Indiana University Health Bedford Hospital | Hospital | Corporate Director | Jan 1, 2021 |
| Indiana University Health Bedford Hospital | Hospital | Corporate Director | Jan 1, 2021 |
| Iu Health Paoli Family and Internal Medicine | Rural health clinic | Corporate Director | Jan 1, 2021 |
Owned or controlled facilities with NPI records 7
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Critical Access Hospital
- Bedford, IN
- NPI 1548260284
Corporate Director
-
- Medicare Defined Swing Bed Hospital Unit
- Bedford, IN
- NPI 1457329807
Corporate Director
-
- General Acute Care Hospital
- Bloomington, IN
- NPI 1205860335
Corporate Director
-
- Medicare Defined Swing Bed Hospital Unit
- Paoli, IN
- NPI 1285845057
Corporate Director
-
- Rural Health Clinic/Center
- Paoli, IN
- NPI 1679182190
Corporate Director
-
- Critical Access Hospital
- Paoli, IN
- NPI 1912984451
Corporate Director
Organizations & group practices 3
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.
-
- General Practice Physician
- Indianapolis, IN
- NPI 1326893777
-
- Multi-Specialty Clinic/Center
- Bloomington, IN
- NPI 1013953983
-
- Clinical Pathology Physician
- Bedford, IN
- NPI 1871036962
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Columbus, IN
- NPI 1104998624
-
- Critical Access Hospital
- Bedford, IN
- NPI 1548260284
-
- General Acute Care Hospital
- Bloomington, IN
- NPI 1205860335
-
- General Acute Care Hospital
- Indianapolis, IN
- NPI 1144266024
-
- Critical Access Hospital
- Paoli, IN
- NPI 1912984451
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1608508800000",
"number": "1093773376",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1329",
"city": "BLOOMINGTON",
"state": "IN",
"postal_code": "47402",
"telephone_number": "812-353-3087"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1312 W. ARCH HAVEN AVENUE",
"city": "BLOOMINGTON",
"state": "IN",
"postal_code": "47403",
"telephone_number": "812-676-4144",
"fax_number": "812-339-8344"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHENOY",
"first_name": "MOHAN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-03",
"last_updated": "2020-12-21",
"certification_date": "2020-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "IN",
"license": "01075144A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201281210",
"state": "IN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "MSHENOY@direct.iuhealth.org",
"affiliation": "N",
"address_1": "1312 W. Arch Haven Avenue",
"city": "Bloomington",
"state": "IN",
"country_code": "US",
"postal_code": "47403",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Bloomington, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.