Individual provider Active NPI

Mohan Amlani, M.D.

  • Specialist
  • Ellicott City, MD
National Provider Identifier
1720068968
Registry record updated Mar 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
D0056600 Issued in MD
Practice address
11336 Willow Ridge LN
Ellicott City, MD 21042-2467
Phone
(410) 730-0682
NPI assigned
Jan 21, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X D0056600 MD Primary

Addresses

Primary practice location

11336 Willow Ridge LN
Ellicott City, MD 21042-2467

Mailing address

11336 Willow Ridge LN
Ellicott City, MD 21042-2467
Phone (443) 794-8929

Other names 1

  • Mohankumar Amlani Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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 1

Enrollment IDStateProvider typePAC IDDetails
I20070213000361 MD Practitioner - Infectious DiseasePractitioner - Internal Medicine 8628070109 Reassigns benefits to 2 organizations
Practice locations: Glen Burnie, MD

Care Compare profile

Medicare Care Compare
Specialty
Infectious DiseaseAlso: Internal Medicine
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2000 W Baltimore St
Baltimore, MD 21223-1558

7801 Elvaton CT
Glen Burnie, MD 21061-6763
Phone (410) 787-4300

Hospital & facility affiliations

  • University of MD Baltimore Washington Medical Center Hospital, Glen Burnie, MD, CCN 210043
  • University of Maryland Medical Center Hospital, Baltimore, MD, CCN 210002

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
100
Improvement activities
40
Cost
89.41

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D0056600MDMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Grace Medical Center, Inc. Current Accepting new patients
Grace Medical Center, Inc. CurrentSince Feb 23, 2021 Accepting new patients
Grace Medical Center, Inc. CurrentSince Jul 2, 2021 Accepting new patients
Grace Medical Center, Inc. CurrentSince Feb 23, 2021 Accepting new patients
Maryland Infectious Disease Clinic, LLC Past Accepting new patients

Locations

2000 W Baltimore St
Baltimore, MD 21223
Phone (410) 362-3075

2401 W Baltimore St
#C
Baltimore, MD 21223
Phone (410) 945-7706

Interoperability endpoints

  • Direct secure messaging: mamlani20109@direct.umm.edu
  • Direct secure messaging: mohan.amlani.p1@direct.mcg-hhs.nextgenshare.com

Organizations & group practices 5

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 2

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": "1137801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583280000000",
    "number": "1720068968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11336 WILLOW RIDGE LN",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210422467",
            "telephone_number": "443-794-8929",
            "fax_number": "443-296-9510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11336 WILLOW RIDGE LN",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210422467",
            "telephone_number": "410-730-0682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMLANI",
        "first_name": "MOHAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-21",
        "last_updated": "2020-03-04",
        "certification_date": "2020-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MD",
            "license": "D0056600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MOHANKUMAR",
            "last_name": "AMLANI",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Ellicott City, MD

Sources for this page

Verify at the official NPI Registry.