KANNAPPAN MOHAN (MD) – Internal Medicine Physician, NPI 1700949872

KANNAPPAN MOHAN (MD) is a healthcare provider. based in Porterville, California. specializing in GASTROENTEROLOGY, INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. C42107 (CA). The NPI Number for KANNAPPAN MOHAN (MD) is 1700949872

Main info

Male
53 Years Of Experience
Accepts Medicare Assignment
Name
KANNAPPAN MOHAN (MD)
NPI
1700949872
Phone
(559) 781-6655
Address
583 WEST PUTNAM AVENUE
Enumeration Date
19 December 2006
Last Update Date
11 September 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5597822259
Graduation Year
1973 (53 years ago)
PAC ID
0143236711
Group Practice PAC ID
4082788732
Professional Enrollment ID
I20060306000808
Address ID
CA932579109PO26501AVEX201
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness85
Years active:19State licenses:1Digital endpointsOther names

1,981 GASTROENTEROLOGY in CA

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Provider Addresses for KANNAPPAN MOHAN (MD)

  • 583, West Putnam Avenue, Porterville, Tulare County, California, 93257, United States

    PORTERVILLE, CA 932573260

    Phone: (559) 781-6655

    Fax: (559) 781-7876

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $192.

Total Amount is formed as General ($192) + Research ($0) + Ownership ($0) = $192.

Last reported payment date: 2024-12-12 • Largest payer in this snapshot: Alkermes, Inc. ($84).

Total Amount

$192

General + Research + Ownership

Payments

7

Total payment records

General Amount

$192

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-12

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: 2006-03-06

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
I20060306000808IGastroenterologyCATBD

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
99307Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes7214$0
View full utilization report →

Insurance plans in this area (ZIP 93257)

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Provider's Procedures

KANNAPPAN MOHAN (MD) performs procedures in GASTROENTEROLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
GASTROENTEROLOGYCA43235Diagnostic examination of esophagus, stomach, and/or upper small bowel using an endoscope5047

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: 4082788732View full group profile

Reviews

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Frequently asked questions

Does KANNAPPAN MOHAN (MD) have a public NPI I can cite?
Public records show KANNAPPAN MOHAN (MD) under NPI 1700949872.
Is KANNAPPAN MOHAN (MD) currently accepting referrals based on NPI status?
Registry metadata lists KANNAPPAN MOHAN (MD) as active.
How should patients interpret KANNAPPAN MOHAN (MD)'s specialty?
The extract shows Internal Medicine Physician for KANNAPPAN MOHAN (MD). Clinical services aligned with this taxonomy classification.
Can patients visit KANNAPPAN MOHAN (MD) in Porterville, California?
For routing, start with Porterville, California for KANNAPPAN MOHAN (MD), then verify phone and hours locally.
Can I export KANNAPPAN MOHAN (MD)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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