Individual provider Active NPI

Mohan Shenoy, M.D.

  • Cardiovascular Disease Physician
  • Bloomington, IN
National Provider Identifier
1093773376
Registry record updated Dec 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
01075144A Issued in IN
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

Updated by the provider on Dec 21, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
201281210MedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150423000092 IN Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 3577566314 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Iu Health Medical Group LLCGroup PAC ID 9638617913, 4,382 clinicians
Indiana University Health Southern Indiana Physicians LLCGroup PAC ID 6204748197, 474 clinicians

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 Hospital, Bloomington, IN, CCN 150051
  • Indiana University Health Bedford Hospital Hospital, Bedford, IN, CCN 151328
  • Indiana University Health Paoli Hospital Hospital, Paoli, IN, CCN 151306
  • Indiana University Health Hospital, Indianapolis, IN, CCN 150056
  • Columbus Regional Hospital Hospital, Columbus, IN, CCN 150112

Merit-based Incentive Payment System (MIPS)

Final score
79.81 of 100Reported as individual
Quality
71.99
Improvement activities
40
Cost
74.87

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01075144AINMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Iu Health Medical Group, LLC CurrentSince Jan 1, 2026 Accepting new patients
Indiana University Health Bedford, Inc PastSince Jan 1, 2021 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

  • Direct secure messaging: 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.

FacilityTypeRoleSince
Indiana University Health Paoli HospitalPaoli, IN, CCN 151306 Hospital Corporate Director Jan 1, 2021
Indiana University Health Paoli HospitalPaoli, IN, CCN 15Z306 Hospital Corporate Director Jan 1, 2021
Iu Health Bloomington HospitalBloomington, IN, CCN 150051 Hospital Corporate Director Jan 1, 2021
Indiana University Health Bedford HospitalBedford, IN, CCN 151328 Hospital Corporate Director Jan 1, 2021
Indiana University Health Bedford HospitalBedford, IN, CCN 15Z328 Hospital Corporate Director Jan 1, 2021
Iu Health Paoli Family and Internal MedicinePaoli, IN, CCN 158557 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.

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.

Hospital & facility affiliations 6

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

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

Verify at the official NPI Registry.