NPIMap

Individual provider Active NPI

Vishnu Mohan, M.D

  • Rheumatology Physician
  • Houston, TX
National Provider Identifier
1497138838
Registry record updated Jan 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
S7505 Issued in TX
Practice address
11476 Space Center Blvd Ste 100
Houston, TX 77059-3656
Phone
(713) 486-6325
NPI assigned
Jul 2, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X S7505 TX Primary

Addresses

Primary practice location

11476 Space Center Blvd Ste 100
Houston, TX 77059-3656

Mailing address

3833 Dunlavy St Apt 339
Houston, TX 77006-4750
Phone (832) 908-1441

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, TX2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20201016000112 IL Practitioner - Rheumatology 4587084363 Reassigns benefits to 1 organization
I20231201000713 TX Practitioner - RheumatologyPractitioner - Internal Medicine 4587084363 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
RheumatologyAlso: Internal Medicine
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ut PhysiciansGroup PAC ID 8426960360, 1,744 clinicians

Practice addresses (Care Compare)

11476 Space Ctr Blvd
Suite 100
Houston, TX 77059-3656
Phone (713) 486-6335

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Physician Services Corporation of Southern Illinois Inc. CurrentSince Aug 13, 2020 Accepting new patients
Ut Physicians CurrentSince Jan 15, 2024 Accepting new patients
Ut Physicians CurrentSince Jan 15, 2024 Accepting new patients

Locations

2 Good Samaritan Way
Ste 320
Mount Vernon, IL 62864
Phone (618) 899-1944

2 Good Samaritan Way
Ste 420
Mount Vernon, IL 62864
Phone (618) 899-4000

11476 Space Center Blvd
Ste 100
Houston, TX 77059
Phone (713) 486-6325

11476 Space Center Blvd
Ste 101
Houston, TX 77059

6410 Fannin St
Ste LL135
Houston, TX 77030
Phone (832) 325-6543

6410 Fannin St
Ste 450
Houston, TX 77030
Phone (713) 486-3100

6410 Fannin St
Ste 500
Houston, TX 77030
Phone (713) 500-5714

6431 Fannin St
Ste Msb
Houston, TX 77030
Phone (713) 500-5800

Organizations & group practices 3

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 8

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": "1435795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705449600000",
    "number": "1497138838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3833 DUNLAVY ST APT 339",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770064750",
            "telephone_number": "832-908-1441",
            "fax_number": "713-500-6497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11476 SPACE CENTER BLVD STE 100",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770593656",
            "telephone_number": "713-486-6325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOHAN",
        "first_name": "VISHNU",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-02",
        "last_updated": "2024-01-17",
        "certification_date": "2024-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "TX",
            "license": "S7505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.