Active NPI
Neluxzan Mohavarothayarajah, MD
- Family Medicine Physician
- Minot, ND
National Provider Identifier
1265112486
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- RL19755
- Practice address
- 1201 11TH Ave SW
Minot, ND 58701-4207 - Phone
- (701) 858-6700
- Fax
- (701) 858-6811
- NPI assigned
- Jul 21, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | RL19755 | ND | Primary |
| Family Medicine Physician | 207Q00000X | 78767 | AZ |
Addresses
Primary practice location
1201 11TH Ave SW
Minot, ND 58701-4207
Mailing address
1201 11TH Ave SW
Minot, ND 58701-4207
Phone (701) 858-6700
Other practice location 1
11351 S Frontage Rd
Yuma, AZ 85367-7862
Phone (928) 344-2000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ND
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230804000804 | ND | Order and Referring Only - Family Practice | 0840651956 |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2022
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1201 11TH Ave SW
Minot, ND 58701-4207
2400 S Ave a
Yuma, AZ 85364-7127
Hospital & facility affiliations
- Trinity Hospitals
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RL19755 | ND | MD | Family Medicine Physician |
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Substance Use Disorder Rehabilitation Hospital Unit
- Minot, ND
- NPI 1487804092
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1689897600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781136000000",
"number": "1265112486",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1201 11TH AVE SW",
"city": "MINOT",
"state": "ND",
"postal_code": "587014207",
"telephone_number": "701-858-6700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 11TH AVE SW",
"city": "MINOT",
"state": "ND",
"postal_code": "587014207",
"telephone_number": "701-858-6700",
"fax_number": "701-858-6811"
}
],
"practiceLocations": [
{
"address_1": "11351 S Frontage Rd",
"address_purpose": "LOCATION",
"city": "Yuma",
"state": "AZ",
"postal_code": "853677862",
"country_code": "US",
"telephone_number": "928-344-2000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOHAVAROTHAYARAJAH",
"first_name": "NELUXZAN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-07-21",
"last_updated": "2026-06-11",
"certification_date": "2026-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "ND",
"license": "RL19755",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AZ",
"license": "78767",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Minot, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2026; 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.
- 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.