DEEPA MOHAN (APRN) – Licensed Practical Nurse, NPI 1336537083

DEEPA MOHAN (APRN) is a healthcare provider. based in Dallas, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. AP126355 (TX). The NPI Number for DEEPA MOHAN (APRN) is 1336537083

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
DEEPA MOHAN (APRN)
NPI
1336537083
Phone
(214) 456-7343
Address
1935 MEDICAL DISTRICT DR
Enumeration Date
5 January 2015
Last Update Date
27 August 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2144569250
Graduation Year
2014 (12 years ago)
PAC ID
7416263116
Group Practice PAC ID
1759607906
Professional Enrollment ID
I20150826000184
Address ID
TX752357701DA1935XDRXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience51
Completeness75
Years active:11State licenses:1Digital endpointsOther names

22,209 NURSE PRACTITIONER in TX

Provider Addresses for DEEPA MOHAN (APRN)

  • 1935 MEDICAL DISTRICT DR

    DALLAS, TX 752357701

    Phone: (214) 456-7343

    Mailing address matches the actual address.

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: 2015-08-26

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
I20150826000184INurse PractitionerTXTBD

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 75235)

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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: 1759607906View full group profile
NameSpecialtyState
Anesthesiology, Pediatric MedicineTX
A N E S T H E S I O L O G YTX
A N E S T H E S I O L O G YTX
A N E S T H E S I O L O G YTX
A N E S T H E S I O L O G YWI
A N E S T H E S I O L O G YTX
Anesthesiology AssistantTX
Anesthesiology, Critical Care (Intensivists), Pediatric MedicineTX
Physician AssistantTX
A N E S T H E S I O L O G YTX

Reviews

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Frequently asked questions

How do I look up DEEPA MOHAN (APRN) by NPI?
Use NPI 1336537083 when you need to reference DEEPA MOHAN (APRN) in forms, claims, or directories.
Is DEEPA MOHAN (APRN)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize DEEPA MOHAN (APRN)'s specialty in plain language?
Clinically, the directory lists DEEPA MOHAN (APRN) with Licensed Practical Nurse. Clinical services aligned with this taxonomy classification.
What location metadata exists for DEEPA MOHAN (APRN)?
The page summarizes Dallas, Texas for DEEPA MOHAN (APRN); expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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