T. Murali Mohan, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

11102 Issued in AL

Practice address

230 Kentucky Ave
Stevenson, AL 35772-3102

Phone

(256) 437-2431

Fax

(256) 437-8303

NPI assigned

Jan 26, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in AL

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Laxmi LLC

  dba M & M Diagnostics & WalkIn

  • Family Medicine Physician
  • Bridgeport, AL
  • NPI 1124174917
  NPD Authorized official
• Bridgeport Family Practice OBGYN Clinic

  dba Mohan & Mohan Medical - West

  • Family Medicine Physician
  • Stevenson, AL
  • NPI 1255487039
  Authorized official Same address or phone
• Home Medical Express, LLC

  • Durable Medical Equipment & Medical Supplies
  • Scottsboro, AL
  • NPI 1558613950
  NPD (past)

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1609922467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 920",
            "city": "BRIDGEPORT",
            "state": "AL",
            "postal_code": "357400920",
            "telephone_number": "256-437-2431",
            "fax_number": "256-437-8303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 KENTUCKY AVE",
            "city": "STEVENSON",
            "state": "AL",
            "postal_code": "357723102",
            "telephone_number": "256-437-2431",
            "fax_number": "256-437-8303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOHAN",
        "first_name": "T.",
        "middle_name": "MURALI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "11102",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "16197",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCTN",
            "identifier": "0029459",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "4513628",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mylan Hutchins
• JM Holder
• Kilgore Express Pharmacy Inc (North Jackson Pharmacy)
• Ma Mira Inc
• Asha P Mohan, M.D.
• Amanda Michelle Moore, RESPIRATORY THERAPIS
• William Dywayne Moore, EMT
• North Jackson Dental Care (Stephen Scott Shepherd DMD)
• North Jackson Primary Care
• North Jackson Urgent Care LLC

• Family Medicine Physician in Stevenson, AL
• Providers in Stevenson, AL by specialty
• Family Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.