Mohan Kumar Bangalore Puttaiah, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD2019-0994 Issued in NM

Practice address

1600 N Main Ave
Lovington, NM 88260-2830

Phone

(575) 396-6611

NPI assigned

Mar 7, 2007

Last updated

Dec 4, 2024By 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 4

Addresses

Other names 1

• Mohan Kumar Other name

Medicare fee-for-service enrollment

Enrolled in MN, SC, NM3 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 3

Specialty

Family Practice

Education

Other, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fedko Emergency Physicians New Mexico, LLCGroup PAC ID 4880934389, 53 clinicians

Prisma Health Urgent Care of South Carolina PCGroup PAC ID 1254703788, 158 clinicians

Otero County Hospital AssociationGroup PAC ID 3173516606, 245 clinicians

Curry Emergency Group LLCGroup PAC ID 1759687064, 12 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Dr Dan C Trigg Memorial Hospital Hospital, Tucumcari, NM, CCN 321302
• Roosevelt General Hospital Hospital, Portales, NM, CCN 320084
• Christus Southern New Mexico Hospital, Alamogordo, NM, CCN 320004

Merit-based Incentive Payment System (MIPS)

Final score

90.35 of 100Reported as group

Quality

80.04

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mbangaloreputtaiah824861@direct.ghs.myhfn.org

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.

• Curry Emergency Group LLC

  • Emergency Medicine Physician
  • Clovis, NM
  • NPI 1508223082
  Medicare reassignment Care Compare group NPD
• Fedko Emergency Physicians New Mexico LLC

  • Emergency Medicine Physician
  • Grants, NM
  • NPI 1770047441
  Medicare reassignment Care Compare group NPD
• Otero County Hospital Association

  dba CHRISTUS Southern New Mexico

  • General Acute Care Hospital
  • Alamogordo, NM
  • NPI 1861450579
  Medicare reassignment Care Compare group NPD
• Prisma Health Urgent Care of South Carolina, PC

  dba Prisma Health Urgent Care

  • Urgent Care Clinic/Center
  • Greenville, SC
  • NPI 1851000855
  Medicare reassignment Care Compare group NPD
• Four Corners Emergency Physicians PLLC

  • Emergency Medicine Physician
  • Alamogordo, NM
  • NPI 1144793464
  Medicare reassignment NPD
• Musc Community Physicians

  dba MUSC Community Physicians Specialty

  • Internal Medicine Physician
  • Bamberg, SC
  • NPI 1841878006
  Medicare reassignment NPD
• Lakewood Health Center

  dba CHI Lakewood Health

  • Critical Access Hospital
  • Baudette, MN
  • NPI 1922072776
  Medicare reassignment
• Otero County Hospital Association

  dba CHRISTUS Pharmacy (Downtown)

  • Community/Retail Pharmacy
  • Alamogordo, NM
  • NPI 1235948803
  NPD
• Musc Community Physicians

  dba MUSC Health Primary Care - Bowman

  • Rural Health Clinic/Center
  • Bowman, SC
  • NPI 1225735772
  NPD
• Michael a Rowley MD PA

  • Diagnostic Radiology Physician
  • Clovis, NM
  • NPI 1174716781
  NPD (past)
• Glenns Ferry Health Center, Inc.

  dba Desert Sage Health Centers

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Mountain Home, ID
  • NPI 1881252344
  NPD (past)

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

• Otero County Hospital Association

  dba CHRISTUS Southern New Mexico

  • General Acute Care Hospital
  • Alamogordo, NM
  • NPI 1861450579
  Care Compare affiliation
• Presbyterian Healthcare Services

  dba Dr Dan C Trigg Memorial Hospital

  • Critical Access Hospital
  • Tucumcari, NM
  • NPI 1962488304
  Care Compare affiliation
• Roosevelt County Special Hospital District

  dba Roosevelt General Hospital

  • General Acute Care Hospital
  • Portales, NM
  • NPI 1073517058
  Care Compare affiliation

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733270400000",
    "number": "1619007697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 N MAIN AVE",
            "city": "LOVINGTON",
            "state": "NM",
            "postal_code": "882602830",
            "telephone_number": "575-396-6611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 N MAIN AVE",
            "city": "LOVINGTON",
            "state": "NM",
            "postal_code": "882602830",
            "telephone_number": "575-396-6611"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10040 Two Notch Rd",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "292234396",
            "country_code": "US",
            "telephone_number": "208-788-1153",
            "fax_number": "803-736-3243",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "131 Harbison Blvd Ste A",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "292122226",
            "country_code": "US",
            "telephone_number": "803-485-1400",
            "fax_number": "803-485-1405",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BANGALORE PUTTAIAH",
        "first_name": "MOHAN",
        "middle_name": "KUMAR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-07",
        "last_updated": "2024-12-04",
        "certification_date": "2024-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ID",
            "license": "M-8828",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "35196",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "49480",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "MD2019-0994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MOHAN",
            "last_name": "KUMAR",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Family Medicine Physician in Lovington, NM
• Providers in Lovington, NM by specialty
• Family Medicine Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2024; 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.
• 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.