MANOJ MOHOLKAR (M.D.) – Occupational Medicine Physician, NPI 1366493983

MANOJ MOHOLKAR (M.D.) is a healthcare provider. based in Boston, Massachusetts. specializing in PREVENTIVE MEDICINE. They hold the professional credentials M.D.. They hold a License No. 157492 (MA). The NPI Number for MANOJ MOHOLKAR (M.D.) is 1366493983

Main info

Male
38 Years Of Experience
Accepts Medicare Assignment
Name
MANOJ MOHOLKAR (M.D.)
NPI
1366493983
Phone
(617) 559-8374
Address
147 MILK ST
Enumeration Date
16 May 2006
Last Update Date
17 March 2011

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9783230302
Graduation Year
1988 (38 years ago)
PAC ID
3375537905
Group Practice PAC ID
4486976792
Professional Enrollment ID
I20040414001111
Address ID
MA018863429WE198XXRDXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:20State licenses:1Digital endpointsOther names

31 PREVENTIVE MEDICINE in MA

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Provider Addresses for MANOJ MOHOLKAR (M.D.)

  • Harvard Vanguard, 147, Milk Street, Dock Square, Financial District, Boston, Suffolk County, Massachusetts, 02110, United States

    PROVIDER ENROLLMENT - 9TH FLOOR

    BOSTON, MA 021094806

    Phone: (617) 559-8374

    Fax: (617) 421-3487

    Type: Mailing

  • Harvard Vanguard Medical Associates, Chelmsford, 228, Billerica Road, Chelmsford, Middlesex County, Massachusetts, 01824, United States

    ADULT URGENT CARE

    CHELMSFORD, MA 018243604

    Phone: (978) 250-6000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $350.

Total Amount is formed as General ($350) + Research ($0) + Ownership ($0) = $350.

Last reported payment date: 2024-01-31 • Largest payer in this snapshot: ABBVIE INC. ($350).

Total Amount

$350

General + Research + Ownership

Payments

1

Total payment records

General Amount

$350

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-01-31

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABBVIE INC.$350
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: 2004-04-14

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
I20040414001111IPreventive MedicineMATBD

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
99214Established patient office or other outpatient visit, 30-39 minutes2121$0
View full utilization report →

Insurance plans in this area (ZIP 02109)

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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: 4486976792View full group profile
NameSpecialtyState
Physician AssistantNH
Physician AssistantMA
Family PracticeOK
Family PracticeMA
-MA
Family PracticeFL
Nurse PractitionerMA
Emergency MedicineMA
Physician AssistantNH
-MA

Reviews

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Frequently asked questions

What is the 10-digit NPI for MANOJ MOHOLKAR (M.D.)?
MANOJ MOHOLKAR (M.D.) — NPI 1366493983 — is the standard way to identify this listing.
Does CMS list MANOJ MOHOLKAR (M.D.) as active?
Yes — MANOJ MOHOLKAR (M.D.) is active in the NPI listing used on this page.
What is MANOJ MOHOLKAR (M.D.)'s specialty?
The listing groups MANOJ MOHOLKAR (M.D.) with Occupational Medicine Physician. Clinical services aligned with this taxonomy classification.
Where is MANOJ MOHOLKAR (M.D.) based?
MANOJ MOHOLKAR (M.D.) is tied to Boston, Massachusetts in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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