DR. VENTRAPRAGADA S MOHAN M.D. NPI 1649321183

NPI Information

NPI: 1649321183
Provider Name: DR. VENTRAPRAGADA S MOHAN, M.D.
Classification: Internal Medicine - 207RP1001X
Entity Type: Individual

Specialization: Pulmonary Disease

PECOS Registration: Yes

Address:
340 W LINCOLN ST STE 300
BELLEVILLE, IL
ZIP 62220
Phone: (618) 235-4883
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DR. Ventrapragada S Mohan, M.D. is a pulmonary disease internal medicine in Belleville, IL. The provider is an internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. DR. Ventrapragada S Mohan, M.D. NPI is 1649321183. 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:

340 W LINCOLN ST STE 300
BELLEVILLE, IL
ZIP 62220-900
Phone: (618) 235-4883
Fax: (618) 235-9573

The NPI 1649321183 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 enumeration date for this NPI number is 1/12/2007 and was last updated on 9/23/2016.

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
1	207RC0200X	Internal Medicine	Critical Care Medicine	36056737	ILLINOIS	No
2	207RS0012X	Internal Medicine	Sleep Medicine	36056737	ILLINOIS	No
3	207R00000X	Internal Medicine		35338	MISSOURI	No
4	207RP1001X	Internal Medicine	Pulmonary Disease	36056737	ILLINOIS	Yes

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
1	HEALTH ALLIANCE	OTHER	ILLINOIS	88170
2	C45541	MEDICARE UPIN	ILLINOIS
3	08215136	OTHER	ILLINOIS	FEDERAL BLUE CROSS
4	HEALTH PARTNERS	OTHER	ILLINOIS	300172
5	8215136	OTHER	ILLINOIS	BC BS OF IL
6	371067092002	OTHER	ILLINOIS	PRUDENTIAL
7	HARMONY	OTHER	ILLINOIS	235930
8	682250	MEDICARE ID-TYPE UNSPECIFIED	ILLINOIS
9	P05919	MEDICARE ID-TYPE UNSPECIFIED	ILLINOIS
10	L013062	OTHER	ILLINOIS	TRICARE
11	4469353002	OTHER	ILLINOIS	CIGNA
12	4606572	OTHER	ILLINOIS	AETNA
13	166028	OTHER	ILLINOIS	HEALTHLINK
14	4809004	OTHER	ILLINOIS	UNITED HEALTHCARE
15	CF6007	OTHER	ILLINOIS	RAILROAD MEDICARE
16	28568	OTHER	MISSOURI	ANTHEM
17	BLC21725	OTHER	MISSOURI	BLUE CHOICE OF MISSOURI
18	36056737	MEDICAID	ILLINOIS

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: 4/28/2024

NPI Synchronization or Removal

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