MOHAN MALLIKARJUNA EDUPUGANTI (M.D.) – Interventional Cardiology Physician, NPI 1164737490

MOHAN MALLIKARJUNA EDUPUGANTI (M.D.) is a healthcare provider. based in Washington, Missouri. specializing in INTERVENTIONAL CARDIOLOGY. They hold the professional credentials M.D.. They hold a License No. E9506 (AR). The NPI Number for MOHAN MALLIKARJUNA EDUPUGANTI (M.D.) is 1164737490

Main info

Male
22 Years Of Experience
Accepts Medicare Assignment
Name
MOHAN MALLIKARJUNA EDUPUGANTI (M.D.)
NPI
1164737490
Phone
(636) 239-2711
Address
901 PATIENTS FIRST DR STE 2500
Enumeration Date
11 August 2010
Last Update Date
2 March 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4052735801
Graduation Year
2004 (22 years ago)
PAC ID
3173830981
Group Practice PAC ID
7012914898
Professional Enrollment ID
I20191031002681
Address ID
OK748049638SH3315XRDXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience82
Completeness85
Years active:15State licenses:3Digital endpointsOther names

204 INTERVENTIONAL CARDIOLOGY in MO

Provider Addresses for MOHAN MALLIKARJUNA EDUPUGANTI (M.D.)

  • 901 PATIENTS FIRST DR STE 2500

    WASHINGTON, MO 630904700

    Phone: (636) 239-2711

    Type: Mailing

  • 840 Montclair Rd

    Suite 340

    Birmingham, AL 352131920

    Phone: (205) 592-5135

    Type: Location

  • 3315 Kethley Street Shawnee

    Shawnee, OK 74804

    Phone: (405) 273-2270

    Fax: (405) 395-5922

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $521.

Total Amount is formed as General ($521) + Research ($0) + Ownership ($0) = $521.

Last reported payment date: 2024-07-25 • Largest payer in this snapshot: ABIOMED ($450).

Total Amount

$521

General + Research + Ownership

Payments

7

Total payment records

General Amount

$521

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-25

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: 2019-10-31

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20170628001371ICardiovascular Disease (Cardiology)ARTBD
I20191031002681IInterventional CardiologyOKTBD

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
93306Ultrasound of heart with color-depicted blood flow, rate, direction and valve function2424$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes1212$0
View full utilization report →

Insurance plans in this area (ZIP 63090)

Loading plans...

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: 7012914898View full group profile
NameSpecialtyState
Nurse PractitionerOK
Internal Medicine, Pediatric MedicineOK
U R O L O G YOK
Clinical Social WorkerOK
Physician AssistantOK
Family PracticeOK
Physician AssistantOK
Orthopedic SurgeryOK
Family PracticeOK
Family PracticeOK

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What is the registry number for MOHAN MALLIKARJUNA EDUPUGANTI (M.D.)?
The registry entry for MOHAN MALLIKARJUNA EDUPUGANTI (M.D.) shows NPI 1164737490.
Is MOHAN MALLIKARJUNA EDUPUGANTI (M.D.) currently accepting referrals based on NPI status?
Registry metadata lists MOHAN MALLIKARJUNA EDUPUGANTI (M.D.) as active.
How should patients interpret MOHAN MALLIKARJUNA EDUPUGANTI (M.D.)'s specialty?
The extract shows Interventional Cardiology Physician for MOHAN MALLIKARJUNA EDUPUGANTI (M.D.). Clinical services aligned with this taxonomy classification.
Can patients visit MOHAN MALLIKARJUNA EDUPUGANTI (M.D.) in Washington, Missouri?
For routing, start with Washington, Missouri for MOHAN MALLIKARJUNA EDUPUGANTI (M.D.), then verify phone and hours locally.
Why is information missing for MOHAN MALLIKARJUNA EDUPUGANTI (M.D.)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

Similar Providers

3460 E Frank Phillips Blvd
NPI: 1447292875

DR. STEPHEN CADE KUEHN (M.D.)

Interventional Cardiology Physician
Springfield Post Office, 830-832, Stratford Road, Springfield, Greet, Birmingham, West Midlands, England, B11 4SH, United Kingdom
NPI: 1750317533

DR. MICHAEL LEONARD WOOD (MD)

Interventional Cardiology Physician
901 PATIENTS FIRST DR
NPI: 1508995150

DR. ROBERTO PACHECO-CORONADO (M.D.)

Interventional Cardiology Physician
901 PATIENTS FIRST DR STE 2500
NPI: 1194982892