Individual provider Active NPI

Sachin Mohan

  • Gastroenterology Physician
  • Oxon Hill, MD
National Provider Identifier
1114269461
Registry record updated Dec 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
D91249 Issued in MD
Practice address
6710 Oxon Hill Rd
Oxon Hill, MD 20745-1117
Phone
(301) 373-7900
Fax
(301) 373-6900
NPI assigned
Mar 25, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 13, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 26015 MN
Gastroenterology Physician 207RG0100X D91249 MD Primary

Addresses

Primary practice location

6710 Oxon Hill Rd
Oxon Hill, MD 20745-1117

Mailing address

6710 Oxon Hill Rd
Oxon Hill, MD 20745-1117
Phone (301) 373-7900

Other practice location 1

401 Haddon Ave
E&R Building, 3rd Floor, Cooper University Hospital
Camden, NJ 08103-1505
Phone (856) 757-7967

Other practice location 2

435 Phalen Blvd
Saint Paul, MN 55130-5302
Phone (651) 254-8600

Other identifiers 1

IdentifierTypeStateIssuer
205765400MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 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
I20210511000787 DC Practitioner - Gastroenterology 0446529135 Reassigns benefits to 2 organizations
I20210922000928 MD Practitioner - Gastroenterology 0446529135

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Virginia Hospital Center Physician Group LLCGroup PAC ID 8426231119, 350 clinicians

Practice addresses (Care Compare)

1851 N George Mason Dr
Suite 3a
Arlington, VA 22207-1953
Phone (703) 717-4792

Hospital & facility affiliations

  • Virginia Hospital Center Hospital, Arlington, VA, CCN 490050

Merit-based Incentive Payment System (MIPS)

Final score
81.41 of 100Reported as group
Quality
61.45
Promoting interoperability
96
Improvement activities
40
Cost
79.91

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy87
Upper gastrointestinal (GI) endoscopy for acid reflux33

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26015MNMDCritical Care Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Virginia Hospital Center Physician Group LLC CurrentSince Jun 3, 2025 Accepting new patients
Medstar Medical Group - Southern Maryland LLC Current Accepting new patients
Virginia Hospital Center Physician Group LLC CurrentSince Jun 3, 2025 Accepting new patients
Virginia Hospital Center Physician Group, LLC Current Accepting new patients
Medstar Medical Group - Southern Maryland LLC CurrentSince Jul 1, 2021 Accepting new patients
Virginia Hospital Center Physician Group LLC Past Accepting new patients

Locations

11711 Livingston Rd
Ft Washington, MD 20744
Phone (301) 203-2250

950 E Swan Creek Rd
Ft Washington, MD 20744
Phone (301) 292-0236

24035 Three Notch Rd
Hollywood, MD 20636
Phone (301) 373-2588

10 Saint Patricks Dr
Waldorf, MD 20603
Phone (301) 705-7870

1851 N George Mason Dr
Ste 3A
Arlington, VA 22207
Phone (703) 717-4792

1701 N George Mason Dr
Arlington, VA 22205
Phone (703) 558-5000

3025 Hamaker Ct
Ste 250
Fairfax, VA 22031
Phone (703) 717-4175

Organizations & group practices 7

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 1

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": "1364169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639353600000",
    "number": "1114269461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6710 OXON HILL RD",
            "city": "OXON HILL",
            "state": "MD",
            "postal_code": "207451117",
            "telephone_number": "301-373-7900",
            "fax_number": "301-373-6900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6710 OXON HILL RD",
            "city": "OXON HILL",
            "state": "MD",
            "postal_code": "207451117",
            "telephone_number": "301-373-7900",
            "fax_number": "301-373-6900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "401 Haddon Ave",
            "address_2": "E&R Building, 3rd Floor, Cooper University Hospital",
            "address_purpose": "LOCATION",
            "city": "Camden",
            "state": "NJ",
            "postal_code": "081031505",
            "country_code": "US",
            "telephone_number": "856-757-7967",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "435 Phalen Blvd",
            "address_purpose": "LOCATION",
            "city": "Saint Paul",
            "state": "MN",
            "postal_code": "551305302",
            "country_code": "US",
            "telephone_number": "651-254-8600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOHAN",
        "first_name": "SACHIN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-03-25",
        "last_updated": "2021-12-13",
        "certification_date": "2021-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MN",
            "license": "26015",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MD",
            "license": "D91249",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "205765400",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxon Hill, MD

Sources for this page

Verify at the official NPI Registry.