Sanjay Mohindra, MD

Primary specialty

Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X

License

01060957A Issued in IN

Practice address

1701 S Creasy LN
Lafayette, IN 47905-4972

Phone

(765) 446-4819

Fax

(765) 446-4859

NPI assigned

May 24, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in IN

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Dialysis Vascular Specialists of Indiana LLC

  • Vascular & Interventional Radiology Physician
  • Indianapolis, IN
  • NPI 1770220972
  Medicare reassignment NPD Authorized official
• Indiana Vascular Surgery Center LLC

  • Ambulatory Surgical Clinic/Center
  • Indianapolis, IN
  • NPI 1053058255
  Medicare reassignment NPD Authorized official
• Lafayette Radiology LLC

  • Diagnostic Radiology Physician
  • Lafayette, IN
  • NPI 1891840062
  NPD (past)
• Major Hospital

  • General Acute Care Hospital
  • Shelbyville, IN
  • NPI 1174555692
  NPD (past)
• Nufinity, LLC

  • Vascular & Interventional Radiology Physician
  • Lafayette, IN
  • NPI 1477506319

  Diagnostic Radiology

  NPD (past)
• X-Ray Consultants Inc

  • Diagnostic Radiology Physician
  • South Bend, IN
  • NPI 1770536815
  NPD (past)

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1881649176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 NORTH ILLINOIS ST",
            "address_2": "16TH FLOOR - SOUTH TOWER",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462044218",
            "telephone_number": "765-446-4819",
            "fax_number": "765-446-4859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 S CREASY LN",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479054972",
            "telephone_number": "765-446-4819",
            "fax_number": "765-446-4859"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 North Illinois St",
            "address_2": "16th Floor - South Tower",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462044218",
            "country_code": "US",
            "telephone_number": "206-915-5173",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOHINDRA",
        "first_name": "SANJAY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-24",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IN",
            "license": "01060957A",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "IN",
            "license": "01060957A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200542580",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000520644",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00414277",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Charles S Modlin, MD
• Laura Marie Moffat, MSN, RN, AGCNS-BC
• Michelle Renea Mogenros
• Ahmed Omar Mohamed, MD
• Doaa Mohammed
• Omar Mohtadi, MD
• Patricia C Moisan Thomas, PHD
• Andrey Yureivich Moiseyev III, M.A.
• Siany J Molina, RPA
• Elizabeth Moller, BCBA

• Vascular & Interventional Radiology Physician in Lafayette, IN
• Providers in Lafayette, IN by specialty
• Vascular & Interventional Radiology Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.