Individual provider Active NPI

Arvind Chintagumpala Mohan, MD, MBA

  • Neurological Surgery Physician
  • Georgetown, TX
National Provider Identifier
1689168650
Registry record updated Jan 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
ME170946 Issued in FL
Practice address
1502 Blue Ridge Dr Ste 301
Georgetown, TX 78626-1002
Phone
(512) 409-9903
NPI assigned
Jun 21, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X ME170946 FL Primary

Addresses

Primary practice location

1502 Blue Ridge Dr Ste 301
Georgetown, TX 78626-1002

Mailing address

6130 E 81St St
Tulsa, OK 74137-2125
Phone (512) 409-9903

Other practice location 1

5615 Kyle Center Dr
Kyle, TX 78640-6553
Phone (512) 409-9903

Other practice location 2

4207 James Casey St Ste 111
Austin, TX 78745-3362
Phone (512) 409-9903

Other practice location 3

1401 Medical Parkway Bldg B, Ste 412
Cedar Park, TX 78613
Phone (512) 409-9903

Other practice location 4

1600 SW Archer Rd
Gainesville, FL 32610-3003
Phone (352) 273-9000

Other practice location 5

1505 SW Archer Rd
Gainesville, FL 32608-1134
Phone (352) 273-6990

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, 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
I20250306003802 FL Practitioner - Neurosurgery 4688928468 Reassigns benefits to 1 organization
I20251001004935 TX Practitioner - Neurosurgery 4688928468 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Baylor College of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clinton J Baird PLCGroup PAC ID 7911242961, 15 clinicians

Practice addresses (Care Compare)

1505 SW Archer Rd
Gainesville, FL 32608-1134

1600 SW Archer
Gainesville, FL 32610-3003

1600 SW Archer Rd
Gainesville, FL 32610-3003

1600 SW Archer Rd RM
1191 Uf Health Surgical Specialists Shands
Gainesville, FL 32610-3003
Phone (352) 265-0535

2000 SW Archer Rd
Uf Health Congenital Heart Center Medical P
Gainesville, FL 32610-3003
Phone (352) 265-8250

2001 SW 13TH St
Gainesville, FL 32608-1532
Phone (352) 265-8990

4207 James Casey St
Suite 111
Austin, TX 78745-3362
Phone (512) 409-9903

Uf Health Test Site Pop Up 1600 SW Ar
Gainesville, FL 32610-3003
Phone (352) 392-1161

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Business Administration, Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Clinical Practice Association Inc Neurological Surgery CurrentSince Feb 22, 2025 Accepting new patients
Florida Clinical Practice Association Inc CurrentSince Feb 22, 2025 Accepting new patients
Clinton J Baird PLC Neurological Surgery CurrentSince Sep 1, 2025 Accepting new patients
Clinton J Baird PLC Neurological Surgery CurrentSince Sep 1, 2025 Accepting new patients

Locations

1505 SW Archer Rd
Gainesville, FL 32608
Phone (352) 265-5470

1600 SW Archer Rd
Gainesville, FL 32610
Phone (352) 265-0077

2001 SW 13th St
Gainesville, FL 32608
Phone (352) 265-8990

6130 E 81st St
Tulsa, OK 74137
Phone (918) 401-1002

4207 James Casey St
Ste 111
Austin, TX 78745
Phone (512) 409-9903

1401 Medical Pkwy
Ste 412
Cedar Park, TX 78613
Phone (512) 260-6050

1502 Blue Ridge Dr
Ste 301
Georgetown, TX 78626
Phone (512) 409-9903

5615 Kyle Center Dr
Kyle, TX 78640
Phone (512) 409-9903

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: amohan333254@direct.shands.ufl.edu

Organizations & group practices 4

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.

Hospital & facility affiliations 9

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

NPI Registry JSON

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

{
    "created_epoch": "1529539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768176000000",
    "number": "1689168650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6130 E 81ST ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741372125",
            "telephone_number": "512-409-9903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1502 BLUE RIDGE DR STE 301",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786261002",
            "telephone_number": "512-409-9903"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5615 Kyle Center Dr",
            "address_purpose": "LOCATION",
            "city": "Kyle",
            "state": "TX",
            "postal_code": "786406553",
            "country_code": "US",
            "telephone_number": "512-409-9903",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4207 James Casey St Ste 111",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787453362",
            "country_code": "US",
            "telephone_number": "512-409-9903",
            "fax_number": "918-493-3304",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1401 Medical Parkway Bldg B, Ste 412",
            "address_purpose": "LOCATION",
            "city": "Cedar Park",
            "state": "TX",
            "postal_code": "78613",
            "country_code": "US",
            "telephone_number": "512-409-9903",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1600 SW Archer Rd",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "FL",
            "postal_code": "326103003",
            "country_code": "US",
            "telephone_number": "352-273-9000",
            "fax_number": "352-392-8413",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1505 SW Archer Rd",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "FL",
            "postal_code": "326081134",
            "country_code": "US",
            "telephone_number": "352-273-6990",
            "fax_number": "352-392-2443",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOHAN",
        "first_name": "ARVIND",
        "middle_name": "CHINTAGUMPALA",
        "name_prefix": "Dr.",
        "credential": "MD, MBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-21",
        "last_updated": "2026-01-12",
        "certification_date": "2026-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "FL",
            "license": "ME170946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Georgetown, TX

Sources for this page

Verify at the official NPI Registry.