JOHN DONALD MAHAN (MD) – Pediatric Nephrology Physician, NPI 1023002417

JOHN DONALD MAHAN (MD) is a healthcare provider. based in Columbus, Ohio. specializing in Pediatric Nephrology Physician. They hold the professional credentials MD. They hold a License No. 35050467 (OH). The NPI Number for JOHN DONALD MAHAN (MD) is 1023002417

Main info

Male
49 Years Of Experience
Accepts Medicare Assignment
Name
JOHN DONALD MAHAN (MD)
NPI
1023002417
Phone
(614) 722-4362
Address
555 S 18TH ST
Enumeration Date
31 August 2005
Last Update Date
20 February 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6147224579
Graduation Year
1977 (49 years ago)
PAC ID
4486787181
Group Practice PAC ID
2961306774
Professional Enrollment ID
I20100802000623
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for JOHN DONALD MAHAN (MD)

  • 555, 18th Street, Columbus, Muscogee County, Georgia, 31901, United States

    COLUMBUS, OH 432052654

    Phone: (614) 722-4362

    Fax: (614) 722-6482

    Type: Location

  • 5675 Venture Dr

    Dublin, OH 430172159

    Phone: (614) 722-6200

    Type: Location

  • 740 Adair Ave

    Zanesville, OH 437012838

    Phone: (614) 722-2000

    Type: Location

  • 536 S Trimble Rd

    Mansfield, OH 449063418

    Phone: (614) 722-2000

    Type: Location

  • 700 CHILDRENS DR

    COLUMBUS, OH 432052664

    Phone: (614) 722-2000

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 25 Open Payments records for all available years, with a total value of $24,330.

Total Amount is formed as General ($24,330) + Research ($0) + Ownership ($0) = $24,330.

Last reported payment date: 2024-10-15 • Largest payer in this snapshot: Kyowa Kirin, Inc. ($22,627).

Total Amount

$24,330

General + Research + Ownership

Payments

25

Total payment records

General Amount

$24,330

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-15

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: 2010-08-02

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
I20100802000623INephrologyOHTBD

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 43205)

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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: 2961306774View full group profile
NameSpecialtyState
-OH
Critical Care (Intensivists), Pediatric MedicineOH
Nurse PractitionerOH
Nurse PractitionerOH
-OH
-OH
Pulmonary Disease, Pediatric MedicineOH
-OH
-OH
Pulmonary Disease, Pediatric MedicineOH

Reviews

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Frequently asked questions

What federal number belongs to JOHN DONALD MAHAN (MD)?
The federal identifier for JOHN DONALD MAHAN (MD) is NPI 1023002417.
Is JOHN DONALD MAHAN (MD)'s NPI currently valid?
The extract we use shows JOHN DONALD MAHAN (MD) as active.
What kind of provider is JOHN DONALD MAHAN (MD)?
The page reflects Pediatric Nephrology Physician for JOHN DONALD MAHAN (MD). Clinical services aligned with this taxonomy classification.
Does JOHN DONALD MAHAN (MD) practice in Ohio?
You will see Columbus, Ohio on file for JOHN DONALD MAHAN (MD) alongside any extra practice locations.
What if Columbus, Ohio seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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