Mohan Raj Obilisundar, M.D.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

165023 Issued in NY

Practice address

Beth Israel Medical Center/Petrie Division
1St Avenue at 16TH St.
New York, NY 10003

Phone

(212) 420-2385

NPI assigned

Oct 25, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Anesthesiology

Education

State University of New York Downstate Medical Center, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

York Anesthesiologists, PLLCGroup PAC ID 3072404805, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• York Anesthesiologists PLLC

  • Anesthesiology Physician
  • New York, NY
  • NPI 1508947441
  Medicare reassignment Care Compare group NPD
• Yorkville Endoscopy, LLC

  • Ambulatory Surgical Clinic/Center
  • New York, NY
  • NPI 1174873780
  Medicare reassignment NPD

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280966400000",
    "number": "1962587535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 270",
            "city": "MASSAPEQUA PARK",
            "state": "NY",
            "postal_code": "117620270",
            "telephone_number": "631-264-2035",
            "fax_number": "631-264-1418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BETH ISRAEL MEDICAL CENTER/PETRIE DIVISION",
            "address_2": "1ST AVENUE AT 16TH ST.",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10003",
            "telephone_number": "212-420-2385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBILISUNDAR",
        "first_name": "MOHAN",
        "middle_name": "RAJ",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2010-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "165023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Uchechukwu Obiajulu, MD
• Ngozi Obicheta, B.S PHARMACY
• Laziza Obidova
• Marissa Obiedzinski, DMD
• Cecilia C Obijuru, R.PH.
• Shirley Chinyere Obioha, M.D.
• Jaime Obletz, OTR/L
• Lara S Oboler, MD
• Sheila Obonaga, NP
• Sabina Oboukova, OD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2010; 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.