Individual provider Active NPI

Sowmya S Mohan, MD

  • Neonatal-Perinatal Medicine Physician
  • San Antonio, TX
National Provider Identifier
1508811340
Registry record updated Jan 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neonatal-Perinatal Medicine PhysicianTaxonomy code 2080N0001X
License
S4193 Issued in TX
Practice address
5430 Fredericksburg Rd Ste 508
San Antonio, TX 78229-3561
Phone
(210) 541-8281
Fax
(210) 541-9123
NPI assigned
May 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 23084 OK
Neonatal-Perinatal Medicine Physician 2080N0001X 65146 GA
Neonatal-Perinatal Medicine Physician 2080N0001X S4193 TX Primary

Addresses

Primary practice location

5430 Fredericksburg Rd Ste 508
San Antonio, TX 78229-3561

Mailing address

208 Lenox Way NE
Atlanta, GA 30324-2862
Phone (404) 357-9898

Other practice location 1

201 Dowman Drive
Atlanta, GA 30322-0001
Phone (404) 357-9898

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20110818000933 GA Practitioner - Pediatric Medicine 8820093370 Reassigns benefits to 1 organization
I20200219002337 TX Practitioner - Pediatric Medicine 8820093370 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
65146GAMDNeonatal-Perinatal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Magella Medical Associates Billing, Inc. Neonatal-Perinatal Medicine CurrentSince Jan 1, 2020 Accepting new patients
Emory Medical Care Foundation Inc CurrentSince Aug 1, 2011 Accepting new patients
Emory Medical Care Foundation Inc CurrentSince Aug 1, 2011 Accepting new patients
VHS San Antonio Partners, LLC Past Accepting new patients
Methodist Healthcare System of San Antonio, LTD., L.L.P. Past Accepting new patients
Christus Santa Rosa Health Care Corporation Past Accepting new patients
Methodist Healthcare System of San Antonio LTD LLP Past Accepting new patients

Locations

35 Jesse Hill Jr Dr SE
Atlanta, GA 30303
Phone (404) 785-9500

80 Jesse Hill Jr Dr SE
Atlanta, GA 30303
Phone (404) 616-4370

101 W Ponce de Leon Ave
Ste 300
Decatur, GA 30030
Phone (404) 778-4889

600 N Union Ave
New Braunfels, TX 78130
Phone (830) 606-9111

555 Creekside Xing
New Braunfels, TX 78130
Phone (830) 387-4660

3901 W 15th St
Plano, TX 75075
Phone (972) 519-1115

333 N Santa Rosa
San Antonio, TX 78207
Phone (210) 704-2190

7700 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 575-5564

520 Madison Oak Dr
San Antonio, TX 78258
Phone (210) 297-0412

5430 Fredericksburg Rd
Ste 508
San Antonio, TX 78229
Phone (210) 541-8281

7930 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 297-5000

3333 Research Plz
San Antonio, TX 78235
Phone (210) 297-3000

1310 McCullough Ave
San Antonio, TX 78212
Phone (210) 208-2200

11212 State Highway 151
San Antonio, TX 78251
Phone (210) 281-5066

1139 E Sonterra Blvd
San Antonio, TX 78258
Phone (210) 638-2000

5106 W Loop 1604 N
San Antonio, TX 78251
Phone (210) 575-0355

3011 W Loop 1604 N
San Antonio, TX 78251
Phone (726) 266-7081

Organizations & group practices 7

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": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579219200000",
    "number": "1508811340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 LENOX WAY NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303242862",
            "telephone_number": "404-357-9898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5430 FREDERICKSBURG RD STE 508",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293561",
            "telephone_number": "210-541-8281",
            "fax_number": "210-541-9123"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 Dowman Drive",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303220001",
            "country_code": "US",
            "telephone_number": "404-357-9898",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOHAN",
        "first_name": "SOWMYA",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-23",
        "last_updated": "2020-01-17",
        "certification_date": "2020-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OK",
            "license": "23084",
            "primary": false
        },
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "GA",
            "license": "65146",
            "primary": false
        },
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "TX",
            "license": "S4193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.