DR. MOHAN NUTHAKKI (MD) – Hematology & Oncology Physician, NPI 1336331388
Hematology & Oncology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DR. MOHAN NUTHAKKI (MD)
3130 N DIXIE HWY STE 107
TROY, OH 453731337
Phone: (937) 293-1622
Fax: (937) 245-6308
Type: Location
6680 POE AVE
SUITE 200
DAYTON, OH 454142854
Phone: (937) 280-8400
Fax: (937) 280-8373
Type: Mailing
3130 N Dixie Hwy
Suite107
Troy, OH 45373
Phone: (937) 293-1622
Fax: (937) 245-6308
Type: Location
3130 N Dixie Hwy Ste 107
Troy, OH 453731337
Phone: (937) 293-1622
Fax: (937) 245-6308
Type: Location
6 GLEN COVE DR
ROCKPORT, ME 048564272
Phone: (207) 301-8000
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $32.
Total Amount is formed as General ($32) + Research ($0) + Ownership ($0) = $32.
Last reported payment date: 2024-03-27 • Largest payer in this snapshot: Daiichi Sankyo Inc. ($18).
Total Amount
$32
General + Research + Ownership
Payments
2
Total payment records
General Amount
$32
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-03-27
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Daiichi Sankyo Inc. | $18 |
| PFIZER INC. | $14 |
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: 2022-10-13
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20221013001943 | I | Medical Oncology | HI | 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 45373)
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Provider's Procedures
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