Purnima Singh Mohan, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

R7762 Issued in MO

Practice address

17067 S Outer Rd
Suite 100
Belton, MO 64012-2165

Phone

(816) 331-4000

Fax

(816) 331-2626

NPI assigned

Oct 17, 2006

Last updated

Nov 3, 2014By the provider in NPPES

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 15

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: purnima.mohan.1@14940.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Belton Family Practice Clinic LLC

  • Family Medicine Physician
  • Belton, MO
  • NPI 1477500221
  NPD (past)
• Centerpoint Physicians Group LLC

  • Internal Medicine Physician
  • Independence, MO
  • NPI 1497954754
  NPD (past)
• Grandview Health Care Clinic LLC

  • Internal Medicine Physician
  • Grandview, MO
  • NPI 1811943145
  NPD (past)
• Independence Regional Medical Group LLC

  dba Heritage Physicians Group

  • Family Medicine Physician
  • Independence, MO
  • NPI 1922054295
  NPD (past)
• Jackson County Medical Group LLC

  • Endocrinology, Diabetes & Metabolism Physician
  • Independence, MO
  • NPI 1144277880
  NPD (past)
• Midwest Hemorrhoid Treatment Center North Kansas City LLC

  • Specialist
  • North Kansas City, MO
  • NPI 1316137953
  NPD (past)
• Midwest Metropolitan Physicians Group LLC

  • Psychiatry Physician
  • Kansas City, MO
  • NPI 1851341440
  NPD (past)
• Raymore Medical Group LLC

  • Family Medicine Physician
  • Raymore, MO
  • NPI 1306893003
  NPD (past)
• Research Family Physicians LLC

  • Family Medicine Physician
  • Raytown, MO
  • NPI 1417904004
  NPD (past)
• Serafini Medical, P.C.

  • Family Medicine Physician
  • Blue Springs, MO
  • NPI 1184024408
  NPD (past)
• Midwest Hemorrhoid Treatment Center LLC

  • Specialist
  • Leawood, KS
  • NPI 1538106448
  NPD (past)

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414972800000",
    "number": "1275614505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17067 S OUTER RD",
            "address_2": "SUITE 100",
            "city": "BELTON",
            "state": "MO",
            "postal_code": "640122165",
            "telephone_number": "816-331-4000",
            "fax_number": "816-331-2626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17067 S OUTER RD",
            "address_2": "SUITE 100",
            "city": "BELTON",
            "state": "MO",
            "postal_code": "640122165",
            "telephone_number": "816-331-4000",
            "fax_number": "816-331-2626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOHAN",
        "first_name": "PURNIMA",
        "middle_name": "SINGH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-17",
        "last_updated": "2014-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "KS",
            "license": "04-32018",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "R7762",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1275614505",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200593720 C",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200593720 H",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200593720K",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200593720P",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200593720 B",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200593720 D",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200593720 F",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200593720 G",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200593720J",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200593720 E",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200593720I",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200593720N",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200593720Q",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200593720 A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda Miller
• Missouri CVS Pharmacy LLC (CVS Pharmacy #16868)
• Missouri CVS Pharmacy, L.L.C. (CVS Pharmacy #05661)
• Missouri Dental Professionals, Richard Straus, D.M.D., P.C. (Dental Care on North Avenue)
• Missouri Dental Professionals, Richard Straus, DMD, PC (Belton Family Dental Care)
• Kristene Y Moore, FNP-BC
• Elizabeth A Morrow, PA
• Rachel Ann Murphy
• Terry L. Myers, DDS
• Venkata Vamsi Nagineni, MD

• Family Medicine Physician in Belton, MO
• Providers in Belton, MO by specialty
• Family Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.