Individual provider Active NPI

Mohan S Gulati, M.D.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Palm Beach Gardens, FL
National Provider Identifier
1447207113
Registry record updated Jan 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
ME69967 Issued in FL
Practice address
2401 Pga Blvd Ste 130
Palm Beach Gardens, FL 33410-3515
Phone
(561) 641-8787
Fax
(561) 919-9108
NPI assigned
May 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X ME69967 FL Primary

Addresses

Primary practice location

2401 Pga Blvd Ste 130
Palm Beach Gardens, FL 33410-3515

Mailing address

5484 Sea Biscuit Rd
Palm Beach Gardens, FL 33418-7811
Phone (561) 641-8787

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20110630000181 FL Practitioner - Physical Medicine and RehabilitationPractitioner - Pain Management 6507044187 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mohan S Gulati, M.D., P.a. CurrentSince Jul 31, 2010 Accepting new patients
Center for Bone & Joint Surgery of the Palm Beaches, P.a. Past Accepting new patients

Locations

2401 Pga Blvd
Ste 130
Palm Beach Gardens, FL 33410
Phone (561) 316-8202

1840 Forest Hill Blvd
Ste 201
West Palm Beach, FL 33406
Phone (561) 337-4033

5305 Greenwood Ave
Ste 203
West Palm Beach, FL 33407
Phone (561) 641-8787

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1148774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736467200000",
    "number": "1447207113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5484 SEA BISCUIT RD",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334187811",
            "telephone_number": "561-641-8787",
            "fax_number": "561-919-9108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 PGA BLVD STE 130",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334103515",
            "telephone_number": "561-641-8787",
            "fax_number": "561-919-9108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GULATI",
        "first_name": "MOHAN",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-28",
        "last_updated": "2025-01-10",
        "certification_date": "2025-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "FL",
            "license": "ME69967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Beach Gardens, FL

Sources for this page

Verify at the official NPI Registry.