Mohan J.S. Brar, MD
Individual provider Active NPI Interventional Cardiology Physician · Edgewood, KY
NPI 1386665040 · NPPES record last updated Dec 19, 2025
Key facts
- NPI
- 1386665040
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Interventional Cardiology Physician 207RI0011X
- License
- 36507 (KY)
- Practice address
- 711 Medical Village Dr
Edgewood, KY 41017-3439 - Phone
- (859) 287-3045
- Fax
- (859) 578-3800
- NPI assigned
- Jul 21, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 27
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Other, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- St Elizabeth Medical Center, Inc
Summit Medical Group Inc
Practice addresses (Care Compare)
711 Medical Village Dr
Edgewood, KY 41017-3439
Phone (859) 301-0124
Hospital & facility affiliations
- St Elizabeth Edgewood
- St Elizabeth Florence
- St Elizabeth Ft Thomas
- St Elizabeth Grant
- St Elizabeth Dearborn Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.01 of 100
- Quality
- 86.02
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.01 of 100
- Quality
- 86.02
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 40 |
| Leg revascularization (restoring blood flow) | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120809000509 | KY | Practitioner - Cardiovascular Disease (Cardiology) | 8426026279 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36507 | KY | MD | Interventional Cardiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Summit Medical Group, Inc. | Current |
Accepting new patients | |
| Summit Medical Group, Inc | Current | Accepting new patients | |
| Trinity Regional Medical Center | Past | Accepting new patients |
Locations
1500 James Simpson Jr Way
Covington, KY 41011
Phone (859) 655-4353
334 Thomas More Pkwy
Crestview Hills, KY 41017
Phone (859) 331-6065
380 Centre View Blvd
Crestview Hills, KY 41017
Phone (859) 341-3015
1 Medical Village Dr
Edgewood, KY 41017
Phone (859) 301-2000
711 Medical Village Dr
Edgewood, KY 41017
Phone (859) 287-3045
4900 Houston Rd
Florence, KY 41042
Phone (859) 212-5200
85 N Grand Ave
Fort Thomas, KY 41075
Phone (859) 572-3100
1980 Litton Ln
Hebron, KY 41048
Phone (859) 334-8700
1400 Grand Ave
Newport, KY 41071
Phone (859) 905-3070
238 Barnes Rd
Williamstown, KY 41097
Phone (859) 292-4000
300 Barnes Rd
Williamstown, KY 41097
Phone (859) 824-8217
Interoperability endpoints
- mbrar141102@direct-prd.stelizabeth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Cardiology Physician | 207RI0011X | 36507 | KY | Yes |
Addresses
Primary practice location
711 Medical Village Dr
Edgewood, KY 41017-3439
Mailing address
PO Box 635283
Cincinnati, OH 45263-5283
Phone (859) 341-3015
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P01108047 | Other | KY | RR MEDICARE |
| 0070974 | Medicaid | OH | |
| 201201010 | Medicaid | IN | |
| 7100206150 | Medicaid | KY |
Other providers in Edgewood, KY
- Ian Scott Boyd
- David Leon Bracken
- Wesley Braden III
- Eric A Brandser
- Daniel Todd Brannon
- Danielle Brauning
- Joseph Javier Bravo
- Jennifer Braxton-Brown
- Lawrence V Brennan
- Vail M Brennan
All providers in Edgewood, KY · Interventional Cardiology Physician in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 19, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.