AKHILA MOHAN (MD) – Student in an Organized Health Care Education/Training Program, NPI 1104389600
Student in an Organized Health Care Education/Training Program
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
198 RHEUMATOLOGY in MD
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Provider Addresses for AKHILA MOHAN (MD)
Saint Agnes Hospital, 900, South Caton Avenue, Violetville, Baltimore, Maryland, 21229, United States
BALTIMORE, MD 212295201
Phone: (667) 234-5724
Fax: (667) 234-3525
Type: Mailing
900 S Caton Ave
Baltimore, MD 212295201
Phone: (667) 234-5724
Fax: (667) 234-3525
Type: Location
973 UNIVERSITY AVE
LOS GATOS, CA 950327636
Phone: (408) 871-3200
Fax: (408) 871-3201
Type: Mailing
227 N JACKSON AVE STE 100
SAN JOSE, CA 951161633
Phone: (408) 871-3448
Fax: (408) 871-5215
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2024-11-25
PECOS data refreshed: 2026-06-15
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20241125004119 | I | Rheumatology | CA | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 21229)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | MI | |
| - | CA | |
| - | CA | |
| Internal Medicine | CA | |
| Internal Medicine | CA | |
| Family Practice | CA | |
| General Surgery | CA | |
| Orthopedic Surgery | MT | |
| Internal Medicine | CA | |
| General Surgery | CA |
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