Mohan Vodapally, M.D.,DABPM

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

039595 Issued in CT

Practice address

2447 Whitney Ave, Suite 1
Hamden, CT 06511-3211

Phone

(203) 624-4400

Fax

(203) 624-4402

NPI assigned

Jun 6, 2006

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 8

Medicare fee-for-service enrollment

Enrolled in CT

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

Interventional Pain ManagementAlso: Anesthesiology, Pain Management

Education

Other, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Connecticut Regional Pain Specialists,LLCGroup PAC ID 9638228109, 2 clinicians

Rehabilitation Associates IncGroup PAC ID 8022905322, shared by 2 NPIs, 525 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Yale-New Haven Hospital Hospital, New Haven, CT, CCN 070022

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: vodapally.mohan.011.0070007@crps.meditab.direct-ci.com
• Direct secure messaging: vodapally.mohan.014.0070007@crps.meditab.direct-ci.com
• Direct secure messaging: vodapally.mohan.012.0070007@crps.meditab.direct-ci.com
• Direct secure messaging: vodapally.mohan.003.0070007@crps.meditab.direct-ci.com

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.

• Connecticut Regional Pain Specialists,LLC

  • Interventional Pain Medicine Physician
  • Hamden, CT
  • NPI 1245472604
  Medicare reassignment Care Compare group NPD Authorized official
• Anesthesiology Associates of Eastern Connecticut, P.C

  • Anesthesiology Physician
  • Manchester, CT
  • NPI 1730154196
  NPD (past)
• Springfield Anesthesia Service, Inc.

  • Anesthesiology Physician
  • Springfield, MA
  • NPI 1093768830
  NPD (past)
• Umass Memorial Medical Group Inc

  • Internal Medicine Physician
  • Worcester, MA
  • NPI 1760445373

  Anesthesiology

  NPD (past)

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

• Yale New Haven Hospital

  • General Acute Care Hospital
  • New Haven, CT
  • NPI 1336139500
  Care Compare affiliation
• Yale New Haven Hospital

  • General Acute Care Hospital
  • New Haven, CT
  • NPI 1578778726
  Care Compare affiliation

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580774400000",
    "number": "1952340887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2447 WHITNEY AVE, SUITE1",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065183211",
            "telephone_number": "203-624-4400",
            "fax_number": "203-624-4402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2447 WHITNEY AVE, SUITE 1",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065113211",
            "telephone_number": "203-624-4400",
            "fax_number": "203-624-4402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VODAPALLY",
        "first_name": "MOHAN",
        "name_prefix": "Dr.",
        "credential": "M.D.,DABPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2020-02-04",
        "certification_date": "2020-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CT",
            "license": "039595",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "CT",
            "license": "039595",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7070292",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "A752119",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONNECTICARE",
            "identifier": "039595",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "223514271",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "5061151001",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMC/PPO",
            "identifier": "223514271",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECARE FAMILY PLAN",
            "identifier": "00139595500",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "010039595CT01",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Visiting Nurse Services Inc. of Southern Connecticut
• Lisa Sue Visscher, MD
• Vna Services Inc
• Vna Services, Inc.
• Vocational Development Group, LLC
• Michael B Vollmar, MD
• Diane Volz, CRNA
• Allyson Voytek
• Marian E Vulpe, MD
• Joyce Marie Wade, CRNA

• Interventional Pain Medicine Physician in Hamden, CT
• Providers in Hamden, CT by specialty
• Interventional Pain Medicine Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2020; 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.