Active NPI
Mohana Rao Arla, MD
- Internal Medicine Physician
- Louisville, KY
National Provider Identifier
1710085600
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- KY19765
- Practice address
- 170 Dr Arla Way Ste 101
Louisville, KY 40229-5427 - Phone
- (502) 055-4889
- Fax
- (502) 957-1201
- NPI assigned
- Sep 21, 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | KY19765 | KY | Primary |
Addresses
Primary practice location
170 Dr Arla Way Ste 101
Louisville, KY 40229-5427
Mailing address
1402 Hadleigh PL
Louisville, KY 40222-5651
Phone (502) 425-6489
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1101521 | Other | KY | PASSPORT |
| 2442799000 | Other | KY | PASSPORT ADVANTAGE |
| 000000301612 | Other | KY | BLUE CROSS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1973
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
170 Dr Arla Way
Suite 101
Louisville, KY 40229-5427
Phone (502) 955-8480
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| KY19765 | KY | MD | Family Medicine Physician |
Interoperability endpoints
- mohanaarla@bcfp.allscriptsdirect.net
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.
-
- Family Medicine Physician
- Louisville, KY
- NPI 1558459917
Hospital & facility affiliations 38
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Louisville, KY
- NPI 1770767410
-
- General Acute Care Hospital
- Louisville, KY
- NPI 1043348808
-
- General Acute Care Hospital
- Louisville, KY
- NPI 1447388335
-
- General Acute Care Hospital
- Louisville, KY
- NPI 1699514463
-
- General Acute Care Hospital
- Louisville, KY
- NPI 1831195908
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1227052800000",
"number": "1710085600",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1402 HADLEIGH PL",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402225651",
"telephone_number": "502-425-6489",
"fax_number": "502-957-1202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "170 DR ARLA WAY STE 101",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402295427",
"telephone_number": "502-055-4889",
"fax_number": "502-957-1201"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARLA",
"first_name": "MOHANA",
"middle_name": "RAO",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-21",
"last_updated": "2008-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "KY",
"license": "KY19765",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PASSPORT",
"identifier": "1101521",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PASSPORT ADVANTAGE",
"identifier": "2442799000",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "000000301612",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2008; 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.