NPIMap

Individual provider Active NPI

Kuimil K Mohan, MD

  • Neurology Physician
  • Indianapolis, IN
National Provider Identifier
1407850068
Registry record updated Mar 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
01052341A Issued in IN
Practice address
8402 Harcourt Rd Ste 615
Indianapolis, IN 46260-2055
Phone
(317) 806-6991
Fax
(317) 806-6990
NPI assigned
Jun 10, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 01052341 IN
Neurology Physician 2084N0400X 01052341A IN Primary

Addresses

Primary practice location

8402 Harcourt Rd Ste 615
Indianapolis, IN 46260-2055

Mailing address

6983 Hillsdale CT
Indianapolis, IN 46250-2054
Phone (317) 849-8350

Other identifiers 2

IdentifierTypeStateIssuer
000000089476OtherINANTHEM BXBS
200269510MedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address referrals@jwmn.gwaydirect.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081027000580 IN Practitioner - NeurologyPractitioner - Sleep Medicine 5991863508 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
NeurologyAlso: Sleep Medicine
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Josephson-Wallack-Munshower Neurology PCGroup PAC ID 6709868870, 59 clinicians

Practice addresses (Care Compare)

8402 Harcourt Rd
Suite 615
Indianapolis, IN 46260-2055
Phone (317) 806-6991

Hospital & facility affiliations

  • Ascension St Vincent Hospital Hospital, Indianapolis, IN, CCN 150084
  • Riverview Health Hospital, Noblesville, IN, CCN 150059
  • Ascension St Vincent Carmel Hospital, Carmel, IN, CCN 150157
  • St Vincent Heart Center Hospital, Carmel, IN, CCN 150153
  • Ascension St Vincent Kokomo Hospital, Kokomo, IN, CCN 150010

Merit-based Incentive Payment System (MIPS)

Final score
69.89 of 100Reported as group
Promoting interoperability
56
Improvement activities
40
Cost
76.39

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01052341AINMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Josephson-Wallack-Munshower Neurology PC Neurology CurrentSince Jul 1, 2000 Accepting new patients
Daviess County Hospital CurrentSince Nov 1, 2022 Accepting new patients
Daviess County Hospital CurrentSince Nov 1, 2022 Accepting new patients
Daviess County Hospital Current Accepting new patients
Major Hospital Past Accepting new patients
Josephson-Wallack-Munshower Neurology PC Neurology Past Accepting new patients
St. Vincent Heart Center of Indiana, LLC Past Accepting new patients
Josephson-Wallack-Munshower Neurology PC Neurology Past Accepting new patients
Northwest Radiology Network P C Past Accepting new patients

Locations

12188A N Meridian St
Ste 320
Carmel, IN 46032
Phone (317) 580-0420

1400 N Ritter Ave
Ste 220
Indianapolis, IN 46219
Phone (317) 355-1555

6983 Hillsdale Ct
Indianapolis, IN 46250

7250 Clearvista Dr
Ste 225
Indianapolis, IN 46256
Phone (317) 537-6088

8402 Harcourt Rd
Ste 615
Indianapolis, IN 46260
Phone (317) 806-6991

1314 E Walnut St
Washington, IN 47501
Phone (812) 254-2250

1402 Grand Ave
Washington, IN 47501
Phone (812) 254-2250

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.1753

Organizations & group practices 9

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.

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": "1118361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616457600000",
    "number": "1407850068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6983 HILLSDALE CT",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462502054",
            "telephone_number": "317-849-8350",
            "fax_number": "317-576-6311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8402 HARCOURT RD STE 615",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462602055",
            "telephone_number": "317-806-6991",
            "fax_number": "317-806-6990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOHAN",
        "first_name": "KUIMIL",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-10",
        "last_updated": "2021-03-23",
        "certification_date": "2021-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "IN",
            "license": "01052341",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "IN",
            "license": "01052341A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BXBS",
            "identifier": "000000089476",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200269510",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "referrals@jwmn.gwaydirect.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "8402 Harcourt Rd Ste 615",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462602055",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.