Active NPI
Manoj Mohan, D.O.
- Allergy & Immunology Physician
- Okemos, MI
National Provider Identifier
1821295213
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology Physician
- License
- MM018049
- Practice address
- 3955 Okemos Rd
Ste A1
Okemos, MI 48864-4208 - Phone
- (517) 349-0027
- NPI assigned
- Jun 28, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy & Immunology Physician | 207K00000X | MM018049 | MI | Primary |
Addresses
Primary practice location
3955 Okemos Rd
Ste A1
Okemos, MI 48864-4208
Mailing address
3955 Okemos Rd
Ste A1
Okemos, MI 48864-4208
Phone (517) 349-0027
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 002434 | Other | GA | RESIDENT- FELLOW |
| 5101018049 | Other | MI | STATE OF MICHIGAN LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- 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
- Allergy/Immunology
- Education
- Mid West Medical College, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
3955 Okemos Rd
Suite A1
Okemos, MI 48864-3797
Phone (517) 349-0027
Hospital & facility affiliations
- Edward W Sparrow Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MM018049 | MI | MD | Allergy & Immunology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Okemos Allergy Center, P.C. | Current | Accepting new patients |
Locations
3955 Okemos Rd
Ste A1
Okemos, MI 48864
Phone (517) 349-0027
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.
-
- Allergy Physician
- Okemos, MI
- NPI 1326048885
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lansing, MI
- NPI 1073588711
-
- General Acute Care Hospital
- Lansing, MI
- NPI 1760710719
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1380672000000",
"number": "1821295213",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3955 OKEMOS RD",
"address_2": "STE A1",
"city": "OKEMOS",
"state": "MI",
"postal_code": "488644208",
"telephone_number": "517-349-0027"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3955 OKEMOS RD",
"address_2": "STE A1",
"city": "OKEMOS",
"state": "MI",
"postal_code": "488644208",
"telephone_number": "517-349-0027"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOHAN",
"first_name": "MANOJ",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-28",
"last_updated": "2013-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "207K00000X",
"taxonomy_group": "",
"desc": "Allergy & Immunology",
"state": "MI",
"license": "MM018049",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RESIDENT- FELLOW",
"identifier": "002434",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF MICHIGAN LICENSE",
"identifier": "5101018049",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Okemos, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2013; 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.