DR. CHANDLER VIMAL MOHAN M.D. NPI 1629239561

NPI Information

  • NPI: 1629239561
  • Provider Name: DR. CHANDLER VIMAL MOHAN, M.D.
  • Classification: Obstetrics & Gynecology - 207VG0400X
  • Specialization: Gynecology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 4812 W US HIGHWAY 90
    LAKE CITY, FL
    ZIP 32055
  • Phone: (386) 466-1106

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NPI Details

DR. Chandler Vimal Mohan, M.D. is a gynecology obstetrics gynecology in Lake City, FL with 26 years of experience. The provider is a physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee DR. Chandler Vimal Mohan, M.D. NPI is 1629239561. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4812 W US HIGHWAY 90
LAKE CITY, FL
ZIP 32055-126
Phone: (386) 466-1106
Fax: (386) 466-1821

The NPI 1629239561 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina (HCPCS:76830)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Complex measurement of pressure of urine flow in bladder with urethra pressure and voiding pressure studies (HCPCS:51729)
  • Electronic assessment of bladder emptying (HCPCS:51741)
  • Assessment of muscle signal of pelvic nerves (HCPCS:51792)
  • Insertion of device into abdomen with pressure and urine flow rate study (HCPCS:51797)
  • Biopsy of lining of uterus (HCPCS:58100)
  • Cervical or vaginal cancer screening; pelvic and clinical breast examination (HCPCS:G0101)

The enumeration date for this NPI number is 6/23/2008 and was last updated on 11/4/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208D00000XGeneral Practice0101243179VIRGINIANo
2207VG0400XObstetrics & GynecologyGynecologyME101708FLORIDANo
3207VX0000XObstetrics & GynecologyObstetricsME101708FLORIDANo
4207VG0400XObstetrics & GynecologyGynecology0101243179VIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1MC10587MEDICARE PINVIRGINIA
21629239561MEDICAIDVIRGINIA
3002878500MEDICAIDFLORIDA
4EN375ZMEDICARE PINFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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