Individual provider Active NPI

Kochunni Mohan, MD

  • Cardiovascular Disease Physician
  • Bay City, MI
National Provider Identifier
1841269164
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
KM037321 Issued in MI
Practice address
714 S Trumbull St
Ste 2
Bay City, MI 48708-4217
Phone
(989) 892-8456
Fax
(898) 892-4692
NPI assigned
Mar 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X KM037321 MI Primary

Addresses

Primary practice location

714 S Trumbull St
Ste 2
Bay City, MI 48708-4217

Mailing address

714 S Trumbull St
Ste 2
Bay City, MI 48708-4217
Phone (989) 892-8456

Other identifiers 2

IdentifierTypeStateIssuer
0600901571OtherMIBCBS PROVIDER ID
4347665MedicaidMI

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100525000397 MI Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 0941112478 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 1971
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1900 Columbus Ave
Bay City, MI 48708-6831
Phone (989) 894-3000

2615 McLeod Dr N
Saginaw, MI 48604-2816
Phone (989) 892-8456

714 S Trumbull St
Bay City, MI 48708-4217
Phone (989) 892-8456

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting60
Pacemaker insertion or repair30
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
KM037321MIMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
K Mohan MD PC Cardiovascular Disease CurrentSince Oct 1, 2001 Accepting new patients
Japhet Joseph, MD PC Cardiovascular Disease Past Accepting new patients
McLaren Bay Region Past Accepting new patients

Locations

1900 Columbus Ave
Bay City, MI 48708
Phone (989) 894-3000

714 S Trumbull St
Ste 2
Bay City, MI 48708
Phone (989) 892-8456

714 S Trumbull St
Bay City, MI 48708
Phone (989) 893-5541

2615 McLeod Dr N
Saginaw, MI 48604
Phone (517) 790-3910

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 and National Provider Directory roles.

Hospital & facility affiliations 17

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1841269164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "714 S TRUMBULL ST",
            "address_2": "STE 2",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487084217",
            "telephone_number": "989-892-8456",
            "fax_number": "898-892-4692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "714 S TRUMBULL ST",
            "address_2": "STE 2",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487084217",
            "telephone_number": "989-892-8456",
            "fax_number": "898-892-4692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOHAN",
        "first_name": "KOCHUNNI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-17",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MI",
            "license": "KM037321",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER ID",
            "identifier": "0600901571",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4347665",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay City, MI

Sources for this page

Verify at the official NPI Registry.