Active NPI
Mulakkan D Yohannan, M.D.
- Neonatal-Perinatal Medicine Physician
- Dayton, OH
National Provider Identifier
1437240686
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal-Perinatal Medicine Physician
- License
- 35.065664Y
- Practice address
- 1 Childrens PLZ
RM 4085
Dayton, OH 45404-1898 - Phone
- (937) 641-3414
- Fax
- (937) 641-5446
- NPI assigned
- Sep 27, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neonatal-Perinatal Medicine Physician | 2080N0001X | 35.065664Y | OH | Primary |
Addresses
Primary practice location
1 Childrens PLZ
RM 4085
Dayton, OH 45404-1898
Mailing address
PO Box 643727
Cincinnati, OH 45264-0309
Phone (937) 641-3414
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0963284 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35.065664Y | OH | MD | Neonatal-Perinatal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alliance Physicians Inc | Current | Accepting new patients | |
| Dayton Newborn Care Specialists, Inc. | Neonatal-Perinatal Medicine | Past | Accepting new patients |
| Dayton Children'S Hospital | Past | Accepting new patients | |
| Community Mercy Health Partners | Past | Accepting new patients |
Locations
3535 Pentagon Blvd
Beavercreek, OH 45431
Phone (937) 702-4000
1 Wyoming St
Dayton, OH 45409
Phone (937) 208-2636
3535 Southern Blvd
Kettering, OH 45429
Phone (937) 298-1221
1997 W Centerville Rd
Washington Township, OH 45459
Phone (937) 401-6000
Interoperability endpoints
- dyohannan441835@direct.ketteringhealth.org
Organizations & group practices 4
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.
-
- Family Medicine Physician
- Kettering, OH
- NPI 1437125572
-
- General Acute Care Hospital
- Springfield, OH
- NPI 1144286402
-
- Children's Hospital
- Dayton, OH
- NPI 1457379448
-
- Neonatal-Perinatal Medicine Physician
- Dayton, OH
- NPI 1043397151
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1437240686",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 643727",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452640309",
"telephone_number": "937-641-3414",
"fax_number": "937-641-5446"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 CHILDRENS PLZ",
"address_2": "RM 4085",
"city": "DAYTON",
"state": "OH",
"postal_code": "454041898",
"telephone_number": "937-641-3414",
"fax_number": "937-641-5446"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOHANNAN",
"first_name": "MULAKKAN",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2080N0001X",
"taxonomy_group": "",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "OH",
"license": "35.065664Y",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0963284",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dayton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.