Active NPI
Sumeet Mohan
- Family Medicine Physician
- Minot, ND
National Provider Identifier
1447703293
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- RL14115
- Practice address
- 1201 11TH Ave SW
Minot, ND 58701-4207 - Phone
- (701) 858-6700
- NPI assigned
- Jul 28, 2016
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | RL14115 | ND | Primary |
Addresses
Primary practice location
1201 11TH Ave SW
Minot, ND 58701-4207
Mailing address
1201 11TH Ave SW
Minot, ND 58701-4207
Phone (701) 858-6700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1469664000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1469664000000",
"number": "1447703293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1201 11TH AVE SW",
"city": "MINOT",
"state": "ND",
"postal_code": "587014207",
"telephone_number": "701-858-6700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 11TH AVE SW",
"city": "MINOT",
"state": "ND",
"postal_code": "587014207",
"telephone_number": "701-858-6700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOHAN",
"first_name": "SUMEET",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-07-28",
"last_updated": "2016-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "ND",
"license": "RL14115",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Minot, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.