Mohit Alex Dewan, M.D.

Primary specialty

Ophthalmic Plastic and Reconstructive Surgery PhysicianTaxonomy code 207WX0200X

License

53792 Issued in MN

Practice address

635 Bielenberg Dr Ste 220
Woodbury, MN 55125-2625

Phone

(651) 998-9048

NPI assigned

Oct 4, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MN

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

Specialty

Ophthalmology

Education

University of Minnesota Medical School, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Eye Plastic Surgery of Minnesota PLLC

  • Ophthalmic Plastic and Reconstructive Surgery Physician
  • Woodbury, MN
  • NPI 1154887131

  MN, Ophthalmic Plastic and Reconstructive Surgery

  Medicare reassignment NPD Authorized official
• Glaucoma Consultants of the Capital Region,PLLC

  • Ophthalmology Physician
  • Slingerlands, NY
  • NPI 1073530952

  Ophthalmology

  NPD (past)

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

{
    "created_epoch": "1191456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562803200000",
    "number": "1851589709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "635 BIELENBERG DR STE 220",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551252625",
            "telephone_number": "651-998-9048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "635 BIELENBERG DR STE 220",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551252625",
            "telephone_number": "651-998-9048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEWAN",
        "first_name": "MOHIT",
        "middle_name": "ALEX",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-10-04",
        "last_updated": "2019-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MN",
            "license": "53792",
            "primary": false
        },
        {
            "code": "207WX0200X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery",
            "state": "MN",
            "license": "53792",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MEDICAL LICENSE",
            "identifier": "251592",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dermatology Consultants, PA
• Brenda Lynn Destache, MSLP
• Kaylee Alexus Deutsch, PHARMD
• Rachel Devries, MD
• Jessica Rebecca Dewald
• Patrick Conlin Dewitt, PA-C, MSPAS
• Nene Aissatou Diallo
• John S Dickhudt, MD
• Braden Diebold
• Beth Ann Dierkhising, RD

• Ophthalmic Plastic and Reconstructive Surgery Physician in Woodbury, MN
• Providers in Woodbury, MN by specialty
• Ophthalmic Plastic and Reconstructive Surgery Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2019; 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.

Verify at the official NPI Registry.