Active NPI
Mohsen Ehsan, M.D.
- Rheumatology Physician
- New Albany, IN
National Provider Identifier
1669560215
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- License
- 31757
- Practice address
- 1919 State St Ste 244
New Albany, IN 47150-6804 - Phone
- (812) 948-5010
- Fax
- (812) 944-4661
- NPI assigned
- Oct 10, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rheumatology Physician | 207RR0500X | 31757 | IN | Primary |
Addresses
Primary practice location
1919 State St Ste 244
New Albany, IN 47150-6804
Mailing address
1919 State St Ste 244
New Albany, IN 47150-6804
Phone (812) 948-5010
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100115900A | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31757 | IN | MD | Rheumatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Daviess County Hospital | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Skilled Nursing Facility
- New Albany, IN
- NPI 1841625662
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1191888000000",
"number": "1669560215",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1919 STATE ST STE 244",
"city": "NEW ALBANY",
"state": "IN",
"postal_code": "471506804",
"telephone_number": "812-948-5010",
"fax_number": "812-944-4661"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1919 STATE ST STE 244",
"city": "NEW ALBANY",
"state": "IN",
"postal_code": "471506804",
"telephone_number": "812-948-5010",
"fax_number": "812-944-4661"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EHSAN",
"first_name": "MOHSEN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-10",
"last_updated": "2007-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "207RR0500X",
"taxonomy_group": "",
"desc": "Internal Medicine, Rheumatology",
"state": "IN",
"license": "31757",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100115900A",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}Other providers in New Albany, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.