MITHUN MOHANA SHENOI (MD) – Colon & Rectal Surgery Physician, NPI 1336482496
Colon & Rectal Surgery Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
64 COLORECTAL SURGERY (PROCTOLOGY) in IN
Provider Addresses for MITHUN MOHANA SHENOI (MD)
3702 NEW VISION DR BLDG B
FORT WAYNE, IN 468451703
Phone:
Type: Mailing
11104 PARKVIEW CIRCLE DRIVE SUITE 320
FORT WAYNE, IN 46845
Phone: (260) 266-5300
Fax: (260) 266-5314
Type: Location
2301 Erwin Rd
Durham, NC 27710
Phone: (919) 684-8111
Type: Location
1215 Hadley Rd Ste 201
Mooresville, IN 461582907
Phone: (317) 834-2020
Fax: (317) 831-9292
Type: Location
121 Westfield Dr
Archbold, OH 435021056
Phone: (260) 266-5300
Fax: (260) 266-5314
Type: Location
11109 PARKVIEW PLAZA DR # 117
FORT WAYNE, IN 468451701
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 15 Open Payments records for all available years, with a total value of $1,302.
Total Amount is formed as General ($1,302) + Research ($0) + Ownership ($0) = $1,302.
Last reported payment date: 2024-09-26 • Largest payer in this snapshot: Medtronic, Inc. ($1,024).
Total Amount
$1,302
General + Research + Ownership
Payments
15
Total payment records
General Amount
$1,302
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-26
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medtronic, Inc. | $1,024 |
| Axonics, Inc. | $178 |
| Merck Sharp & Dohme LLC | $60 |
| Braintree Laboratories, Inc. | $22 |
| Janssen Pharmaceuticals, Inc | $18 |
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: 2021-10-29
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20180703000484 | I | Colorectal Surgery (Proctology) | IN | TBD |
| I20211029000352 | I | Colorectal Surgery (Proctology) | OH | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 106 | 106 | $0 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 57 | 57 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 49 | 43 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 47 | 47 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 41 | 41 | $0 |
Insurance plans in this area (ZIP 46845)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | IN | |
| Nurse Practitioner | NM | |
| - | IN | |
| Nurse Practitioner | IN | |
| Family Practice | IN | |
| - | IN | |
| - | IN | |
| Infectious Disease | IN | |
| Internal Medicine | IN | |
| - | IN |
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