Individual provider Active NPI

Kinila T Mohan, M.D.

  • Critical Care Medicine (Internal Medicine) Physician
  • Lexington, KY
National Provider Identifier
1790739720
Registry record updated Jun 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
49334 Issued in KY
Practice address
800 Rose St
Lexington, KY 40536
Phone
(859) 257-1000
Fax
(859) 257-3347
NPI assigned
May 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X C1-0005395 DE
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 49334 KY Primary

Addresses

Primary practice location

800 Rose St
Lexington, KY 40536

Mailing address

850 S Coastal Hwy
Bethany Beach, DE 19930-9203
Phone (302) 537-1100

Other practice location 1

850 S Coastal Hwy
Bethany Beach, DE 19930-9203
Phone (302) 537-1100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, CO2 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
I20210528001779 KY Practitioner - Critical Care (Intensivists) 3678515616 Reassigns benefits to 1 organization
I20260226004455 CO Practitioner - Internal Medicine 3678515616 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1906 Blake Ave
Glenwood SPGS, CO 81601-4259

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of Kentucky Internal Medicine CurrentSince Jun 1, 2021 Accepting new patients
Valley View Hospital Association CurrentSince Mar 1, 2026 Accepting new patients
Bethany Primary Care Internal Medicine CurrentSince May 31, 2005 Accepting new patients
Valley View Hospital Association CurrentSince Mar 1, 2026 Accepting new patients
Valley View Hospital Association Past Accepting new patients
Sussex Emergency Associates LLC Past Accepting new patients

Locations

1906 Blake Ave
Glenwood Springs, CO 81601
Phone (970) 384-7033

1830 Blake Ave
Ste 101
Glenwood Springs, CO 81601
Phone (970) 384-7144

33188 Coastal Hwy
Unit 4
Bethany Beach, DE 19930
Phone (302) 537-1100

800 Rose St
Lexington, KY 40536
Phone (859) 257-8562

Interoperability endpoints

  • Direct secure messaging: kmohan390347@direct.centracare.com
  • Direct secure messaging: kmohan407882@direct.ochsner.org
  • Direct secure messaging: kmohanmd200162@direct.froedtert.com

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623110400000",
    "number": "1790739720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 S COASTAL HWY",
            "city": "BETHANY BEACH",
            "state": "DE",
            "postal_code": "199309203",
            "telephone_number": "302-537-1100",
            "fax_number": "302-537-0921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 ROSE ST",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "40536",
            "telephone_number": "859-257-1000",
            "fax_number": "859-257-3347"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "850 S Coastal Hwy",
            "address_purpose": "LOCATION",
            "city": "Bethany Beach",
            "state": "DE",
            "postal_code": "199309203",
            "country_code": "US",
            "telephone_number": "302-537-1100",
            "fax_number": "302-537-0921",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOHAN",
        "first_name": "KINILA",
        "middle_name": "T",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-22",
        "last_updated": "2021-06-08",
        "certification_date": "2021-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "DE",
            "license": "C1-0005395",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "KY",
            "license": "49334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.