NPIMap

Individual provider Active NPI

John Mohan, CRNA

  • Certified Registered Nurse Anesthetist
  • Biloxi, MS
National Provider Identifier
1609931930
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
R768946 Issued in MS
Practice address
150 Reynoir St
Biloxi, MS 39530-4130
Phone
(228) 385-1451
NPI assigned
Dec 27, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X R768946 MS Primary

Addresses

Primary practice location

150 Reynoir St
Biloxi, MS 39530-4130

Mailing address

PO Box 4595
Biloxi, MS 39535-4595

Other identifiers 1

IdentifierTypeStateIssuer
00115883MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070509000641 MS Practitioner - Certified Registered Nurse Anesthetist (Crna) 8820194798 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Best Anesthesia PLLCGroup PAC ID 9436521168, 20 clinicians
Memorial Hospital at GulfportGroup PAC ID 2466524012, 473 clinicians

Practice addresses (Care Compare)

150 Reynoir St
Biloxi, MS 39530-4130
Phone (228) 284-2389

1720 A Medical Park Dr
Biloxi, MS 39532-2131
Phone (228) 702-2000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
R768946MSMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Hospital at Gulfport CurrentSince Feb 15, 2021 Accepting new patients
Memorial Hospital at Gulfport Current Accepting new patients
Mississippi Eye Surgery Center UC CurrentSince Jul 1, 2013 Accepting new patients
Etas, PLLC CurrentSince May 3, 2024 Accepting new patients
Best Anesthesia, PLLC CurrentSince Jan 1, 2023 Accepting new patients
Magnolia State Anesthesia Services, PLLC CurrentSince May 1, 2024 Accepting new patients
Memorial Hospital at Gulfport CurrentSince Feb 15, 2021 Accepting new patients
Mississippi Eye Surgery Center Past Accepting new patients

Locations

7956 Vaughn Rd
Ste 165
Montgomery, AL 36116

147 Reynoir St
Ste 306
Biloxi, MS 39530
Phone (228) 432-1116

150 Reynoir St
Biloxi, MS 39530
Phone (228) 284-2389

1720B Medical Park Dr
Biloxi, MS 39532
Phone (228) 396-9161

1340 Broad Ave
Ste 440
Gulfport, MS 39501
Phone (228) 867-4856

4500 13th St
Gulfport, MS 39501
Phone (228) 236-3872

3432 Bienville Blvd
Ocean Springs, MS 39564
Phone (228) 244-0067

2406 Catalpa Ave
Pascagoula, MS 39567
Phone (228) 202-1006

Interoperability endpoints

  • Direct secure messaging: jmohan@direct.mhg.com

Organizations & group practices 9

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.

Hospital & facility affiliations 60

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 60

NPI Registry JSON

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1609931930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4595",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395354595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 REYNOIR ST",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395304130",
            "telephone_number": "228-385-1451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOHAN",
        "first_name": "JOHN",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MS",
            "license": "R768946",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00115883",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Biloxi, MS

Sources for this page

  • 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.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.