Shanti I Mohling, MD

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

License

MD192816 Issued in OR

Practice address

511 SW 10TH Ave
Suite 907
Portland, OR 97205

Phone

(503) 715-1377

Fax

(503) 715-2717

NPI assigned

Jul 4, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN, OR2 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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Richard B. Rosenfield MD PC

  • Medical Specialty Clinic/Center
  • Portland, OR
  • NPI 1639360902
  Medicare reassignment NPD
• Nicholas Fogelson MD LLC

  • Gynecology Physician
  • Portland, OR
  • NPI 1316436785
  NPD
• Pearl Surgicenter, LLC

  • Ambulatory Surgical Clinic/Center
  • Portland, OR
  • NPI 1407997125
  NPD

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662422400000",
    "number": "1184654311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 SW 10TH AVE",
            "address_2": "SUITE 907",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97205",
            "telephone_number": "503-715-1377",
            "fax_number": "503-715-2717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 SW 10TH AVE",
            "address_2": "SUITE 907",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97205",
            "telephone_number": "503-715-1377",
            "fax_number": "503-715-2717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOHLING",
        "first_name": "SHANTI",
        "middle_name": "I",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-04",
        "last_updated": "2022-09-06",
        "certification_date": "2022-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NM",
            "license": "2001-264",
            "primary": false
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "OR",
            "license": "MD192816",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500790363",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shahrzad Mohammadi, PHARMD
• Sahra Mohamud
• Kerry Ellen Mohan
• Soroush Mohandessi, M.D.
• Ajay Bharat Mohinani, DO
• Robert Luke Mohlman, LCSW
• Rory Mohon, LMT
• Danielle Corin Mohr, MS
• Joseph Mohr
• Joseph Mohr, PA-C

• Gynecology Physician in Portland, OR
• Providers in Portland, OR by specialty
• Gynecology Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.