Individual provider Active NPI

Mohan Ys, M.D.

  • Neurological Surgery Physician
  • Rochester Hills, MI
National Provider Identifier
1386854602
Registry record updated Feb 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
4301068711 Issued in MI
Practice address
2450 Walton Blvd
Rochester Hills, MI 48309-1481
Phone
(248) 275-1144
Fax
(248) 275-1146
NPI assigned
May 23, 2007
Last updated
Feb 2, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 4301068711 MI Primary
Neurological Surgery Physician 207T00000X A104705 CA

Addresses

Primary practice location

2450 Walton Blvd
Rochester Hills, MI 48309-1481

Mailing address

2450 Walton Blvd
Rochester Hills, MI 48309-1481
Phone (248) 275-1144

Other names 1

  • Dr. Yedathore Subba Rao Mohan Former name

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20141017001405 MI Practitioner - Neurosurgery 7416189675 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Specialty Medical Center IncGroup PAC ID 8820469380, 20 clinicians

Practice addresses (Care Compare)

13530 Michigan Ave
Suite 110
Dearborn, MI 48126-3575
Phone (313) 572-0810

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion1-10
Laminectomy or laminotomy (partial removal of spine bones)1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
104705CAMDClinical Social Worker
A104705CAMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Martin Quiroga PC CurrentSince Feb 20, 2018 Accepting new patients
Specialty Medical Center Inc CurrentSince Jan 17, 2025 Accepting new patients
Mohan Neurosurgical PC Neurological Surgery CurrentSince Jan 1, 2016 Accepting new patients
Michigan United Physicians PC CurrentSince Feb 9, 2015 Accepting new patients
Specialty Medical Center Inc Past Accepting new patients

Locations

13530 Michigan Ave
Ste 110
Dearborn, MI 48126
Phone (248) 844-8281

30800 Northwestern Hwy
Farmington Hills, MI 48334
Phone (248) 298-9198

6245 Inkster Rd
Garden City, MI 48135
Phone (734) 421-3300

6245 Inkster Rd
Ste 102
Garden City, MI 48135

6255 Inkster Rd
Ste 101
Garden City, MI 48135
Phone (248) 275-1144

6255 Inkster Rd
Ste 102
Garden City, MI 48135
Phone (313) 525-5744

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

2450 Walton Blvd
Ste A
Rochester Hills, MI 48309

43401 Schoenherr Rd
Sterling Hts, MI 48313
Phone (586) 488-3636

44056 Mound Rd
Ste 105
Sterling Hts, MI 48314
Phone (586) 540-1094

5456 15 Mile Rd
Ste 101
Sterling Hts, MI 48310
Phone (313) 743-2300

27101 Schoenherr Rd
Ste 200
Warren, MI 48088
Phone (586) 754-5900

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 6

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.

Hospital & facility affiliations 6

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

NPI Registry JSON

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485993600000",
    "number": "1386854602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2450 WALTON BLVD",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483091481",
            "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": "2450 WALTON BLVD",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483091481",
            "telephone_number": "248-275-1144",
            "fax_number": "248-275-1146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YS",
        "first_name": "MOHAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-23",
        "last_updated": "2017-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "MI",
            "license": "4301068711",
            "primary": true
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "CA",
            "license": "A104705",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "YEDATHORE",
            "last_name": "MOHAN",
            "middle_name": "SUBBA RAO",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rochester Hills, MI

Sources for this page

Verify at the official NPI Registry.