Organization Active NPI

Mohan Neurosurgical PC

  • Neurological Surgery Physician
  • Garden City, MI
National Provider Identifier
1376993634
Registry record updated Nov 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
4301068711 Issued in MI
Legal business name
MOHAN NEUROSURGICAL PC
Practice address
6255 Inkster Rd Ste 101
Garden City, MI 48135-2538
Phone
(248) 275-1144
Fax
(248) 275-1146
NPI assigned
Jun 17, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2024

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

Authorized official

Name
Mohan Ys, M.D.NPI 1386854602
Title
President
Phone
(248) 860-6900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207T00000X 4301068711 MI Primary

Addresses

Primary practice location

6255 Inkster Rd Ste 101
Garden City, MI 48135-2538

Mailing address

1131 Silver Creek CT
Rochester Hills, MI 48306-4284
Phone (248) 275-1144

Other practice location 1

5456 15 Mile Rd Ste 101
Sterling Heights, MI 48310-5110
Phone (248) 275-1144

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180605000301 MI Part B Supplier - Clinic/Group Practice 0244595742 Receives reassigned benefits from 1 practitioner
Practice locations: Garden City, MI; Sterling Heights, MI

National Provider Directory

National Provider Directory

Locations

6245 Inkster Rd
Ste 101
Garden City, MI 48135

2450 Walton Blvd
Rochester Hills, MI 48309
Phone (248) 650-0096

Practitioners & affiliated clinicians

Practitioners 2

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": "1466121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732147200000",
    "number": "1376993634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1131 SILVER CREEK CT",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483064284",
            "telephone_number": "248-275-1144",
            "fax_number": "248-275-1146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6255 INKSTER RD STE 101",
            "city": "GARDEN CITY",
            "state": "MI",
            "postal_code": "481352538",
            "telephone_number": "248-275-1144",
            "fax_number": "248-275-1146"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5456 15 Mile Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Sterling Heights",
            "state": "MI",
            "postal_code": "483105110",
            "country_code": "US",
            "telephone_number": "248-275-1144",
            "fax_number": "248-275-1146",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MOHAN NEUROSURGICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-17",
        "last_updated": "2024-11-21",
        "certification_date": "2024-11-21",
        "status": "A",
        "authorized_official_last_name": "YS",
        "authorized_official_first_name": "MOHAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-860-6900",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Neurological Surgery",
            "state": "MI",
            "license": "4301068711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.