DR. PONNAIAH C. MOHAN (MD) – Nephrology Physician, NPI 1487646295

DR. PONNAIAH C. MOHAN (MD) is a healthcare provider. based in Shannon, Alabama. specializing in NEPHROLOGY, INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. M1245 (TX). The NPI Number for DR. PONNAIAH C. MOHAN (MD) is 1487646295

Main info

Male
33 Years Of Experience
Accepts Medicare Assignment
Name
DR. PONNAIAH C. MOHAN (MD)
NPI
1487646295
Phone
(888) 212-4243
Address
PO BOX 92
Enumeration Date
17 August 2005
Last Update Date
21 June 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8882124243
Graduation Year
1993 (33 years ago)
PAC ID
8224074497
Group Practice PAC ID
0446597850
Professional Enrollment ID
I20050628001462
Address ID
TX760152908AR3301XRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,168 NEPHROLOGY in TX

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Provider Addresses for DR. PONNAIAH C. MOHAN (MD)

  • 92, Springs Road, Moutoa, Shannon, Horowhenua District, Manawatu-Whanganui, 4821, New Zealand

    SHANNON, AL 351420092

    Phone: (888) 212-4243

    Fax: (888) 878-5157

    Type: Mailing

  • Matlock Road, Arlington, Tarrant County, Texas, 76063, United States

    ARLINGTON, TX 760152905

    Phone: (817) 899-8109

    Fax: (888) 878-5157

    Type: Location

  • 2605 Highland Park Ct

    Colleyville, TX 76034

    Phone: (888) 212-4243

    Fax: (888) 878-5157

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $139.

Total Amount is formed as General ($139) + Research ($0) + Ownership ($0) = $139.

Last reported payment date: 2024-11-22 • Largest payer in this snapshot: AKEBIA THERAPEUTICS INC ($63).

Total Amount

$139

General + Research + Ownership

Payments

6

Total payment records

General Amount

$139

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-22

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-06-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050628001462INephrologyTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes1,583322$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes1,155326$0
90960Dialysis services, 4 or more physician visits per month (20 years or older)51567$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes231218$0
99214Established patient office or other outpatient visit, 30-39 minutes21796$0
View full utilization report →

Insurance plans in this area (ZIP 35142)

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Provider's Procedures

DR. PONNAIAH C. MOHAN (MD) performs procedures in NEPHROLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
NEPHROLOGYTX90935Hemodialysis procedure with one physician evaluation567124
NEPHROLOGYTX90961Dialysis services (2-3 physician visits per month), patient 20 years of age and older3125

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0446597850View full group profile
NameSpecialtyState
Nephrology, Internal MedicineTX
Nurse PractitionerTX

Reviews

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Frequently asked questions

How do I look up DR. PONNAIAH C. MOHAN (MD) by NPI?
Use NPI 1487646295 when you need to reference DR. PONNAIAH C. MOHAN (MD) in forms, claims, or directories.
Is DR. PONNAIAH C. MOHAN (MD) active in the national directory?
DR. PONNAIAH C. MOHAN (MD)'s public NPI profile is in an active state.
Can you summarize DR. PONNAIAH C. MOHAN (MD)'s specialty in plain language?
Clinically, the directory lists DR. PONNAIAH C. MOHAN (MD) with Nephrology Physician. Clinical services aligned with this taxonomy classification.
Where does public data place DR. PONNAIAH C. MOHAN (MD)?
The snapshot lists Shannon, Alabama for DR. PONNAIAH C. MOHAN (MD); download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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