NPIMap

Organization Active NPI

Annu Mohan MD PLLC

  • Family Medicine Physician
  • Mt Pleasant, MI
National Provider Identifier
1396048765
Registry record updated Jun 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301078619 Issued in MI
Legal business name
ANNU MOHAN MD PLLC
Practice address
2480 Rosewood Dr
Mt Pleasant, MI 48858-5003
Phone
(989) 773-9828
NPI assigned
Dec 7, 2010
Last updated
Jun 30, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2026

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

Authorized official

Name
Dr. Annu Mohan, MDNPI 1992751663
Title
Physician
Phone
(989) 773-9828

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
Family Medicine Physician 207Q00000X 4301078619 MI Primary

Addresses

Primary practice location

2480 Rosewood Dr
Mt Pleasant, MI 48858-5003

Mailing address

2480 Rosewood Dr
Mt Pleasant, MI 48858-5003

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110311000752 MI Part B Supplier - Clinic/Group Practice 8022290014 Receives reassigned benefits from 11 practitioners
Practice locations: Mount Pleasant, 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
23D1074266Rosewood Healthcare Annu Mohan MD2480 Rosewood Drive N, Mount Pleasant, MI 48858Certificate of waiverSep 25, 2027

National Provider Directory

National Provider Directory

Locations

2480 Rosewood N
Mt Pleasant, MI 48858
Phone (989) 775-3823

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1291680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782777600000",
    "number": "1396048765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2480 ROSEWOOD DR",
            "city": "MT PLEASANT",
            "state": "MI",
            "postal_code": "488585003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2480 ROSEWOOD DR",
            "city": "MT PLEASANT",
            "state": "MI",
            "postal_code": "488585003",
            "telephone_number": "989-773-9828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANNU MOHAN MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-07",
        "last_updated": "2026-06-30",
        "certification_date": "2026-06-30",
        "status": "A",
        "authorized_official_last_name": "MOHAN",
        "authorized_official_first_name": "ANNU",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "989-773-9828",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301078619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mt Pleasant, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2026; 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.