Individual provider Active NPI

Veena Mohan, M.D.

  • Internal Medicine Physician
  • Memphis, TN
National Provider Identifier
1942201710
Registry record updated Dec 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
39021 Issued in TN
Practice address
4066 Summer Ave Ste. 102
Memphis, TN 38122
Phone
(901) 767-1100
Fax
(901) 682-3192
NPI assigned
Aug 3, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 39021 TN Primary

Addresses

Primary practice location

4066 Summer Ave Ste. 102
Memphis, TN 38122

Mailing address

PO Box 172327
Memphis, TN 38187-2327
Phone (901) 767-1100

Other practice location 1

6025 Walnut Grove Road
Suite 311
Memphis, TN 38120
Phone (901) 767-1100

Other identifiers 1

IdentifierTypeStateIssuer
3895430MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20041021001070 TN Practitioner - Internal Medicine 7618938713 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Laambda Healthcare, Inc.Group PAC ID 6002895620, 2 clinicians

Practice addresses (Care Compare)

2986 Kate Bond Rd
Bartlett, TN 38133-4003
Phone (901) 820-7000

4066 Summer Ave
Suite 102
Memphis, TN 38122-5225

Hospital & facility affiliations

  • Baptist Memorial Hospital Hospital, Memphis, TN, CCN 440048
  • Methodist Hospitals of Memphis Hospital, Memphis, TN, CCN 440049

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Laambda Healthcare, Inc. Internal Medicine CurrentSince Jul 1, 2004 Accepting new patients

Locations

2986 Kate Bond Rd
Bartlett, TN 38133
Phone (901) 765-1000

6025 Walnut Grove Rd
Ste 311
Memphis, TN 38120
Phone (901) 683-6166

4066 Summer Ave
Ste 102
Memphis, TN 38122
Phone (901) 767-1100

Interoperability endpoints

  • Direct secure messaging: veena.mohan.1@10524.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/10524/brand/1/csg/1/fhir/r4
  • Direct secure messaging: vmohan34770@mlh.direct-ci.com

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.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1123027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701820800000",
    "number": "1942201710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 172327",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381872327",
            "telephone_number": "901-767-1100",
            "fax_number": "901-761-9703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4066 SUMMER AVE STE. 102",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "38122",
            "telephone_number": "901-767-1100",
            "fax_number": "901-682-3192"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6025 Walnut Grove Road",
            "address_2": "Suite 311",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "38120",
            "country_code": "US",
            "telephone_number": "901-767-1100",
            "fax_number": "901-761-9703",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOHAN",
        "first_name": "VEENA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-03",
        "last_updated": "2023-12-06",
        "certification_date": "2023-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "39021",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3895430",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.