Active NPI
Kiran Mohan, M.D.
- Internal Medicine Physician
- Cleveland, OH
National Provider Identifier
1457348302
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 35-069221
- Practice address
- 8300 Hough Avenue
Cleveland, OH 44103-4247 - Phone
- (216) 231-7700
- Fax
- (216) 231-7920
- NPI assigned
- Oct 5, 2005
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 35-069221 | OH | Primary |
Addresses
Primary practice location
8300 Hough Avenue
Cleveland, OH 44103-4247
Mailing address
8300 Hough Avenue
Cleveland, OH 44103-4247
Phone (216) 231-7700
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000358514 | Other | OH | ANTHEM |
| 0208626 | 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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35-069221 | OH | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southwest Medical Care Corporation | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Acute Care Hospital
- Middleburg Heights, OH
- NPI 1740367762
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128470400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320278400000",
"number": "1457348302",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8300 HOUGH AVENUE",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441034247",
"telephone_number": "216-231-7700",
"fax_number": "216-231-7920"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8300 HOUGH AVENUE",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441034247",
"telephone_number": "216-231-7700",
"fax_number": "216-231-7920"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOHAN",
"first_name": "KIRAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-10-05",
"last_updated": "2011-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OH",
"license": "35-069221",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000358514",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0208626",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cleveland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.