Gisha Mohan, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

69900 Issued in TN

Practice address

2701 Dekalb Pike
Suburban Community Hospital, Graduate Medical Education
East Norriton, PA 19401

Phone

(610) 278-2003

Fax

(610) 278-2832

NPI assigned

Aug 26, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

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

Specialty

Internal Medicine

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southeastern Physician Services PCGroup PAC ID 0042307852, 591 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Physicians Regional Medical Center Hospital, Powell, TN, CCN 440120

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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.

• Southeastern Physician Services PC

  • Hospitalist Physician
  • Oak Ridge, TN
  • NPI 1083835441

  Internal Medicine

  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Metro Knoxville Hma LLC

  • General Acute Care Hospital
  • Powell, TN
  • NPI 1043292899
  Care Compare affiliation

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

{
    "created_epoch": "1629936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730764800000",
    "number": "1346917499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 DEKALB PIKE",
            "address_2": "SUBURBAN COMMUNITY HOSPITAL, GRADUATE MEDICAL EDUCATION",
            "city": "EAST NORRITON",
            "state": "PA",
            "postal_code": "19401",
            "telephone_number": "610-278-2003",
            "fax_number": "610-278-2832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 DEKALB PIKE",
            "address_2": "SUBURBAN COMMUNITY HOSPITAL, GRADUATE MEDICAL EDUCATION",
            "city": "EAST NORRITON",
            "state": "PA",
            "postal_code": "19401",
            "telephone_number": "610-278-2003",
            "fax_number": "610-278-2832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOHAN",
        "first_name": "GISHA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-26",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "69900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Victor Mihalic, PHARMD
• Steven Ira Miller, DDS
• Mind Well Services LLC
• Danesh S Modi, D.O.
• Prachi Mahendra Modi, M.D.
• Mona Albandar Dental Associates Inc.
• Montgomery County Gi Specialists
• Montgomery County Pulmonary & Sleep Consultants PC
• Montgomery County Pulmonary and Sleep Consultants PC
• Jermine Mousa

• Internal Medicine Physician in East Norriton, PA
• Providers in East Norriton, PA by specialty
• Internal Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2024; 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.

Verify at the official NPI Registry.