Organization Active NPI

Okemos Allergy Center, P.C.

  • Allergy Physician
  • Okemos, MI
National Provider Identifier
1326048885
Registry record updated Mar 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy PhysicianTaxonomy code 207KA0200X
Legal business name
OKEMOS ALLERGY CENTER, P.C.
Practice address
3955 Okemos Rd
Suite A1
Okemos, MI 48864-4208
Phone
(517) 349-0027
Fax
(517) 349-5882
NPI assigned
Jul 27, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2025

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

Authorized official

Name
Dr. Kamal Mohan, M.D.
Title
President
Phone
(517) 349-0027

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207KA0200X MI Primary

Addresses

Primary practice location

3955 Okemos Rd
Suite A1
Okemos, MI 48864-4208

Mailing address

3955 Okemos Rd
Suite A1
Okemos, MI 48864-4208
Phone (517) 349-0027

Other identifiers 1

IdentifierTypeStateIssuer
030C313270OtherMIMI BCBS GROUP PIN NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050603000789 MI Part B Supplier - Clinic/Group Practice 1355384090 Receives reassigned benefits from 1 practitioner
Practice locations: Okemos, MI

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
23D2136298Okemos Allergy Center PC3955 Okemos Road Suite A1, Okemos, MI 48864Certificate of waiverSep 6, 2027

National Provider Directory

National Provider Directory

Locations

3955 Okemos Rd
Ste A1
Okemos, MI 48864
Phone (517) 349-0027

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1122422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742342400000",
    "number": "1326048885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3955 OKEMOS RD",
            "address_2": "SUITE A1",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "488644208",
            "telephone_number": "517-349-0027",
            "fax_number": "517-349-5882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3955 OKEMOS RD",
            "address_2": "SUITE A1",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "488644208",
            "telephone_number": "517-349-0027",
            "fax_number": "517-349-5882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OKEMOS ALLERGY CENTER, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-27",
        "last_updated": "2025-03-19",
        "certification_date": "2025-03-19",
        "status": "A",
        "authorized_official_last_name": "MOHAN",
        "authorized_official_first_name": "KAMAL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "517-349-0027",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology, Allergy",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MI BCBS GROUP PIN NUMBER",
            "identifier": "030C313270",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Okemos, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.