DR. SHANNON NARESH MOHABIR (DO) – Internal Medicine Physician, NPI 1376162826

DR. SHANNON NARESH MOHABIR (DO) is a healthcare provider. based in Bridgeport, Connecticut. specializing in INTERNAL MEDICINE. They hold the professional credentials DO. They hold a License No. 75806 (CT). The NPI Number for DR. SHANNON NARESH MOHABIR (DO) is 1376162826

Main info

Male
6 Years Of Experience
Accepts Medicare Assignment
Name
DR. SHANNON NARESH MOHABIR (DO)
NPI
1376162826
Phone
(203) 334-2100
Address
439 MILL HILL AVE
Enumeration Date
14 April 2020
Last Update Date
22 November 2023

Doctor Profile

Medical School Name
NOVA SOUTHEASTERN COLLEGE OF OSTEO MEDICINE
Secondary Phone
2033342100
Graduation Year
2020 (6 years ago)
PAC ID
6901228469
Group Practice PAC ID
4880678846
Professional Enrollment ID
I20231107003796
Address ID
CT066102866BR439XXAVEX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:6State licenses:1Digital endpointsOther names

3,448 INTERNAL MEDICINE in CT

Provider Addresses for DR. SHANNON NARESH MOHABIR (DO)

  • 439 MILL HILL AVE

    BRIDGEPORT, CT 066102866

    Phone: (203) 334-2100

    Type: Location

  • 2001 W 68th St Ste 202

    Hialeah, FL 330161801

    Phone: (305) 364-2107

    Type: Location

  • 4909 NW 115TH WAY

    CORAL SPRINGS, FL 330763208

    Phone: (954) 621-6745

    Type: Mailing

  • 2001 W 68TH ST STE 202

    HIALEAH, FL 330161801

    Phone: (305) 364-2107

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 170 Open Payments records for all available years, with a total value of $4,852.

Total Amount is formed as General ($4,852) + Research ($0) + Ownership ($0) = $4,852.

Last reported payment date: 2024-12-30 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($858).

Total Amount

$4,852

General + Research + Ownership

Payments

170

Total payment records

General Amount

$4,852

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-30

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: 2023-11-07

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
I20231107003796IInternal MedicineCTTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 06610)

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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: 4880678846View full group profile
NameSpecialtyState
Cardiovascular Disease (Cardiology)RI
Nurse PractitionerCT
Nurse PractitionerCT
Internal MedicineCT
Nurse PractitionerCT
Cardiovascular Disease (Cardiology)CT
Nurse PractitionerCT
Nurse PractitionerCT
Internal Medicine, Hospitalist, Internal MedicineFL

Reviews

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Frequently asked questions

Does DR. SHANNON NARESH MOHABIR (DO) have a public NPI I can cite?
Public records show DR. SHANNON NARESH MOHABIR (DO) under NPI 1376162826.
Is DR. SHANNON NARESH MOHABIR (DO) currently accepting referrals based on NPI status?
Registry metadata lists DR. SHANNON NARESH MOHABIR (DO) as active.
What does the directory say DR. SHANNON NARESH MOHABIR (DO) does?
Insurance directories may phrase it differently, but here DR. SHANNON NARESH MOHABIR (DO) maps to Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to DR. SHANNON NARESH MOHABIR (DO)?
DR. SHANNON NARESH MOHABIR (DO) is associated with Bridgeport, Connecticut in the same public data insurers reference.
Who maintains DR. SHANNON NARESH MOHABIR (DO)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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