DR. MANEESH MOHAN (DMD) – Oral and Maxillofacial Surgery (Dentist), NPI 1154310985
Oral and Maxillofacial Surgery (Dentist)
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for DR. MANEESH MOHAN (DMD)
2441, State Street, New Albany, Floyd County, Indiana, 47150, United States
NEW ALBANY, IN 471504962
Phone: (812) 944-7200
Fax: (812) 945-3260
Type: Mailing
5100, Outer Loop, Louisville, Jefferson County, Kentucky, 40219, United States
SUITE B
LOUISVILLE, KY 402193201
Phone: (502) 966-8660
Fax: (502) 969-8444
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 6 Open Payments records for all available years, with a total value of $557.
Total Amount is formed as General ($557) + Research ($0) + Ownership ($0) = $557.
Last reported payment date: 2024-10-14 • Largest payer in this snapshot: Straumann USA LLC ($557).
Total Amount
$557
General + Research + Ownership
Payments
6
Total payment records
General Amount
$557
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-14
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Straumann USA LLC | $557 |
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: 2013-10-23
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20130401000160 | I | Oral Surgery | KY | TBD |
| I20131023001297 | I | Oral Surgery | IN | 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 47150)
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Reviews
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