NPIMap

Individual provider Active NPI

Mohan Sengodan, MD

  • Hospitalist Physician
  • Fort Worth, TX
National Provider Identifier
1760529515
Registry record updated Feb 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
51673-20 Issued in WI
Practice address
909 9TH Ave Ste 400
Fort Worth, TX 76104-3932
Phone
(817) 725-7880
NPI assigned
Jan 31, 2007
Last updated
Feb 9, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 51673-20 WI
Internal Medicine Physician 207R00000X R3749 TX
Hospitalist Physician 208M00000X 51673-20 WI Primary

Addresses

Primary practice location

909 9TH Ave Ste 400
Fort Worth, TX 76104-3932

Mailing address

200 1St St SW
Rochester, MN 55905-1510
Phone (715) 838-5222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171030000924 TX Practitioner - Internal Medicine 5890863161 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
PPG Health PAGroup PAC ID 7113904657, 32 clinicians

Practice addresses (Care Compare)

1001 12TH Ave
Fort Worth, TX 76104-3926
Phone (817) 725-7880

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
PPG Health, PA Internal Medicine CurrentSince Nov 1, 2017 Accepting new patients
Columbia North Hills Hospital Subsidiary LP Past Accepting new patients
Columbia Plaza Medical Center of Fort Worth Subsidiary LP Past Accepting new patients

Locations

3301 Matlock Rd
Arlington, TX 76015
Phone (682) 509-6200

265 SE John Jones Dr
Ste 102
Burleson, TX 76028
Phone (817) 284-9225

1001 12th Ave
Ste 102
Fort Worth, TX 76104
Phone (817) 725-7880

3848 North Tarrant Pkwy
Ste 160
Fort Worth, TX 76244
Phone (817) 725-7880

909 9th Ave
Ste 400
Fort Worth, TX 76104
Phone (817) 338-9291

1000 W Cannon St
Ft Worth, TX 76104
Phone (817) 725-7900

9947 N MacArthur Blvd
Ste 150
Irving, TX 75063
Phone (817) 406-2064

Organizations & group practices 3

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.

Hospital & facility affiliations 5

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": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707436800000",
    "number": "1760529515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 1ST ST SW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559051510",
            "telephone_number": "715-838-5222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 9TH AVE STE 400",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761043932",
            "telephone_number": "817-725-7880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SENGODAN",
        "first_name": "MOHAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-31",
        "last_updated": "2024-02-09",
        "certification_date": "2024-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WI",
            "license": "51673-20",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "R3749",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "WI",
            "license": "51673-20",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.