Active NPI
Suyash Mohan, MD
- Neuroradiology Physician
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neuroradiology Physician
- License
- MD4411230
- Practice address
- 3400 Spruce St.
Philadelphia, PA 19104-4206 - Phone
- (215) 662-3005
- NPI assigned
- Jul 28, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neuroradiology Physician | 2085N0700X | 4301093730 | MI | |
| Neuroradiology Physician | 2085N0700X | MD4411230 | PA | Primary |
| Diagnostic Radiology Physician | 2085R0202X | 4301093730 | MI |
Addresses
Primary practice location
3400 Spruce St.
Philadelphia, PA 19104-4206
Mailing address
3400 Spruce St.
Philadelphia, PA 19104-4206
Phone (215) 662-3005
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Clinical Health Care Associates of New Jersey PC
Practice addresses (Care Compare)
1001 Chesterbrook Blvd
Berwyn, PA 19312-3805
1001 Chesterbrook Blvd 3Rd FL W
Pain Medicine Valley Forge
Berwyn, PA 19312-3805
Phone (215) 893-7246
1001 Chesterbrook Blvd 3Rd Floor
Berwyn, PA 19312-3805
Phone (610) 576-7500
1006 Mantua Pike
Woodbury, NJ 08097-1221
Phone (856) 686-8282
105 Vineyard Way
101 Penn Orthopaedics Southern Chester Coun
West Grove, PA 19390-8849
Phone (610) 869-4830
145 King of Prussia Rd
Radnor, PA 19087-4557
145 King of Prussia Rd 201
Radnor, PA 19087-4557
145 King of Prussia Rd 203
Radnor, PA 19087-4557
145 King of Prussia Rd 302
GYN/Onc Radnor
Radnor, PA 19087-4557
Phone (610) 902-2500
145 King of Prussia Rd N
G102 Oto Surgery Radnor
Philadelphia, PA 19087-4557
Phone (610) 902-5500
145 King of Prussia Rd N G
1 Rad Onc Rdanor
Radnor, PA 19087-4557
Phone (610) 902-4580
145 King of Prussia Road G-103
Oral/Maxillo Surg Radnor
Radnor, PA 19087-4557
Phone (610) 902-2100
1865 Route 70 E 130
Rad Cherry Hill
Cherry Hill, NJ 08003-2013
Phone (856) 433-2535
3400 Civic Ctr Blvd
Philadelphia, PA 19104-5127
3400 Civic Ctr Blvd 1
Abram Cancer Ctr Pacam 1 FLR
Philadelphia, PA 19104-5127
Phone (215) 893-2600
3400 Civic Ctr Blvd 3Rd Floor Sout
Penn Medicine Otorhinolaryngology Head and N
Philadelphia, PA 19104-5127
Phone (215) 662-2777
3400 Civic Ctr Blvd 4TH
Philadelphia, PA 19104-5127
Phone (215) 662-2626
3400 Civic Ctr Blvd 4TH Floor
Advanced Wound Healing and Lower Extremity Re
Philadelphia, PA 19104-5127
Phone (215) 662-7300
3400 Civic Ctr Blvd 4TH Floor Per
Gi Surgery Pcam
Philadelphia, PA 19104-5127
Phone (215) 662-2626
3400 Civic Ctr Blvd 4TH Floor S
Oral/Maxill Surgery Pcam
Philadelphia, PA 19104-5127
Phone (215) 662-3580
3400 Spruce St
Philadelphia, PA 19104-4206
3400 Spruce Street 5 White BLDG
Oral and Maxillofacial Surgery Hup
Philadelphia, PA 19104-4206
Phone (215) 829-6079
402 McFarlan Rd
Suite 201
Kennett Square, PA 19348-2453
Phone (610) 444-2665
501 S 54TH St
Philadelphia, PA 19143-1900
51 N 39TH St
Philadelphia, PA 19104-2640
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301093730 | MI | MD | Neuroradiology Physician |
| MD4411230 | PA | MD | Neuroradiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clinical Health Care Associates of New Jersey, PC | Current | Accepting new patients | |
| University of Penn-Medical Group | Current | Accepting new patients | |
| University of Penn-Medical Group | Current | Accepting new patients | |
| Clinical Health Care Associates of New Jersey, P.C. | Diagnostic Radiology | Current | Accepting new patients |
| Clinical Health Care Associates of New Jersey, PC | Current | Accepting new patients | |
| Trustees of the University of Pennsylvania | Past | Accepting new patients |
Locations
1865 Route 70 E
Ste 130
Cherry Hill, NJ 08003
Phone (856) 433-2535
3205 Fire Rd
Egg Hbr Twp, NJ 08234
Phone (609) 407-1113
1006 Mantua Pike
Woodbury Hts, NJ 08097
Phone (856) 845-6880
3400 Spruce St
Fl 1
Philadelphia, PA 19104
Phone (215) 662-3005
250 King of Prussia Rd
Radnor, PA 19087
Phone (610) 902-1800
250 King of Prussia Rd
Ste 3
Radnor, PA 19087
Phone (610) 902-1800
Organizations & group practices 6
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.
-
- Gynecologic Oncology Physician
- Philadelphia, PA
- NPI 1235527342
-
- Family Medicine Physician
- Cherry Hill, NJ
- NPI 1447260435
Diagnostic Radiology
-
- Pulmonary Disease Physician
- Cherry Hill, NJ
- NPI 1508019241
-
- Neurology Physician
- Philadelphia, PA
- NPI 1164810271
-
- Gastroenterology Physician
- Cherry Hill, NJ
- NPI 1992935688
-
- Internal Medicine Physician
- Philadelphia, PA
- NPI 1124882949
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- West Chester, PA
- NPI 1356333579
-
- General Acute Care Hospital
- Philadelphia, PA
- NPI 1245207521
-
- General Acute Care Hospital
- Phila, PA
- NPI 1063489342
-
- General Acute Care Hospital
- Philadelphia, PA
- NPI 1851370910
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1248739200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1322438400000",
"number": "1821229691",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3400 SPRUCE ST.",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191044206",
"telephone_number": "215-662-3005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3400 SPRUCE ST.",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191044206",
"telephone_number": "215-662-3005"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOHAN",
"first_name": "SUYASH",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-07-28",
"last_updated": "2011-11-28",
"status": "A"
},
"taxonomies": [
{
"code": "2085N0700X",
"taxonomy_group": "",
"desc": "Radiology, Neuroradiology",
"state": "MI",
"license": "4301093730",
"primary": false
},
{
"code": "2085N0700X",
"taxonomy_group": "",
"desc": "Radiology, Neuroradiology",
"state": "PA",
"license": "MD4411230",
"primary": true
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MI",
"license": "4301093730",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2011; 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.