Individual provider Active NPI

Mohan R Hindupur, M.D.

  • Cardiovascular Disease Physician
  • Saint Joseph, MO
National Provider Identifier
1184660938
Registry record updated Nov 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
R7G44 Issued in MO
Practice address
5514 Corporate Dr Ste 150
Saint Joseph, MO 64507-7752
Phone
(816) 271-1291
Fax
(816) 271-4062
NPI assigned
Jun 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2017

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 R7G44 MO Primary

Addresses

Primary practice location

5514 Corporate Dr Ste 150
Saint Joseph, MO 64507-7752

Mailing address

5514 Corporate Dr Ste 150
Saint Joseph, MO 64507-7763
Phone (816) 271-1265

Other identifiers 2

IdentifierTypeStateIssuer
202458303MedicaidMO
100207430BMedicaidKS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20100202000384 MO Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Interventional Cardiology 6204979099 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Interventional Cardiology
Education
Other, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Heartland Regional Medical CenterGroup PAC ID 6709772767, 394 clinicians

Practice addresses (Care Compare)

1600 E Evergreen St
Cameron Regional Medical Center
Cameron, MO 64429-2400
Phone (660) 632-2101

1610 E Evergreen St B
Mosaic Life Care
Cameron, MO 64429-2400
Phone (816) 632-4492

2016 S Main St
Mosaic Life Care
Maryville, MO 64468-2655
Phone (660) 562-2600

2024 S Main St
Maryville, MO 64468-2655

2600 Miller St
Bethany, MO 64424-2701
Phone (660) 425-2211

5202 Faraon St
Suite a
Saint Joseph, MO 64506-3840
Phone (816) 271-1067

5301 Faraon St
Saint Joseph, MO 64506-3512
Phone (816) 271-7546

5325 Faraon St
Saint Joseph, MO 64506-3488
Phone (816) 271-3500

705 N College St
Northwest Medical Center
Albany, MO 64402-1433
Phone (660) 726-3941

901 Heartland Rd
Saint Joseph, MO 64506-6201

902 N Riverside Rd
St Joseph, MO 64507-2566

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.76 of 100Reported as group
Quality
74.35
Promoting interoperability
100
Improvement activities
40
Cost
74.85

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting131
Pacemaker insertion or repair33

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Heartland Regional Medical Center CurrentSince Sep 1, 2002 Accepting new patients
Heartland Regional Medical Center Cardiovascular Disease CurrentSince Sep 1, 2002 Accepting new patients
Heartland Regional Medical Center Cardiovascular Disease Current Accepting new patients
St Joseph Oncology Inc Current Accepting new patients
Midwestern Health Management, Inc. Past Accepting new patients
Harrison County Community Hospital District Past Accepting new patients
Heartland Regional Medical Center Past Accepting new patients

Locations

1600 E Evergreen St
Ste C
Cameron, MO 64429
Phone (816) 632-2139

114 E South Hills Dr
Maryville, MO 64468
Phone (660) 562-2525

2016 S Main St
Maryville, MO 64468
Phone (660) 562-2525

5202 Faraon St
Ste A
Saint Joseph, MO 64506
Phone (816) 271-1070

902 N Riverside Rd
Ste 200
Saint Joseph, MO 64507
Phone (816) 271-1301

901 Heartland Rd
Ste 4810
Saint Joseph, MO 64506
Phone (816) 271-1343

902 N Riverside Rd
Ste 100
Saint Joseph, MO 64507
Phone (816) 271-1241

901 Heartland Rd
Ste 2800
Saint Joseph, MO 64506
Phone (816) 271-1213

5325 Faraon St
Rm 1144
Saint Joseph, MO 64506

5514 Corporate Dr
Ste 150
Saint Joseph, MO 64507
Phone (816) 271-1221

301 E Price Ave
Ste A
Savannah, MO 64485
Phone (816) 324-5644

Interoperability endpoints

  • Direct secure messaging: mohan.hindupur@direct.mymlc.com

Organizations & group practices 8

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 8

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": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1511222400000",
    "number": "1184660938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5514 CORPORATE DR STE 150",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645077763",
            "telephone_number": "816-271-1265",
            "fax_number": "816-271-4062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5514 CORPORATE DR STE 150",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645077752",
            "telephone_number": "816-271-1291",
            "fax_number": "816-271-4062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HINDUPUR",
        "first_name": "MOHAN",
        "middle_name": "R",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-21",
        "last_updated": "2017-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MO",
            "license": "R7G44",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "202458303",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100207430B",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Joseph, MO

Sources for this page

Verify at the official NPI Registry.