Krishna M Mohan, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

126596 Issued in NY

Practice address

4700 Broadway Apt 1a
New York, NY 10040-1549

Phone

(212) 567-2222

Fax

(212) 567-2345

NPI assigned

Sep 22, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Krishna M Mohan Professional name

Medicare fee-for-service enrollment

Enrolled in NY

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

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Krishna M Mohan M.D.P.C.

  • Surgery Physician
  • New York, NY
  • NPI 1215255245
  Authorized official Same address or phone

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1881793917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 BROADWAY APT 1A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100401549",
            "telephone_number": "212-567-2222",
            "fax_number": "212-567-2345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 BROADWAY APT 1A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100401549",
            "telephone_number": "212-567-2222",
            "fax_number": "212-567-2345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOHAN",
        "first_name": "KRISHNA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "126596",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "126596",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID-M.D.P.C",
            "identifier": "22-2851771",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "#00374034",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISHNA",
            "last_name": "MOHAN",
            "middle_name": "M",
            "credential": "M.D.P.C.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Victoria Elaine Mohammed, CRT
• Christine Mohan, LMSW
• Kanwal Shiraj Mohan, M.D., FRCPC
• Katherine T Mohan, RN
• Kathleen Mohan
• Prithvi Mrinalini Mohan
• Rajani Mohan, D.O.
• Ranjitha Mohan, DPT
• Sanjay Mohan, M.D.
• Subbulakshmi Mohan, MD

• Surgery Physician in New York, NY
• Providers in New York, NY by specialty
• Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.