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DR. PETAIAH MOHAN M.D
NPI 1033295324
Pediatrics - Neonatal-Perinatal Medicine in Beckley, WV

Active since October 28, 2006PECOS Enrolled
194 CARRIAGE DR, BECKLEY, WV 25801(304) 255-6051(304) 255-6051 Get Directions Write a Review

NPPES record last updated: December 14, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Petaiah Mohan M.d NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. PETAIAH MOHAN M.D (NPI 1033295324) is an individual neonatal-perinatal medicine provider in Beckley, West Virginia, licensed in West Virginia (18400) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1033295324
Entity TypeIndividualMale
Primary Taxonomy2080N0001X
Provider Legal NameDR. PETAIAH MOHANCredential: M.D
Location Address194 CARRIAGE DRBeckley, WV 25801-2804
Mailing Address1710 Harper RdBeckley, WV 25801-3357 · (304) 255-6051 · Fax (304) 255-6051
Phone(304) 255-6051
Fax(304) 255-6051
Sole ProprietorYes
Enumeration DateOctober 28, 2006
Last NPPES UpdateDecember 14, 2018
✔ NPI 1033295324 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080N0001X
License✔ Licensed in WV · 18400
Definition
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
194 CARRIAGE DR, Beckley, WV 25801
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Other Identifiers 1

Medicaid0110044000WV

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Petaiah Mohan M.d is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show Petaiah Mohan reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Raleigh General Hospital LLC
Same address
Foot & Ankle Surgery
194 CARRIAGE DR
Beckley, WV 25801
  • Reassigned Medicare billing, West Virginia enrollment
  • 61 clinicians in this Medicare group
NPI 1528441011 (304) 461-3914
Appalachian Regional Healthcare, Inc
1.8 mi
Family Medicine
250 STANAFORD RD
Beckley, WV 25801
  • Reassigned Medicare billing, West Virginia enrollment
  • 108 clinicians in this Medicare group
NPI 1477510162 (304) 254-2604
Appalachian Mountains Medical, LLC
32 mi
Emergency Medicine
454 MCDOWELL ST
Welch, WV 24801
  • Reassigned Medicare billing, West Virginia enrollment
  • 77 clinicians in this Medicare group
NPI 1881023117 (304) 436-8685

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

COMMUNITY HEALTH SYSTEMS INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
194 CARRIAGE DR
BECKLEY, WV 25801
Raleigh County (304) 255-6051
RALEIGH GENERAL HOSPITAL LLC
Podiatrist (Foot & Ankle Surgery)
194 CARRIAGE DR
BECKLEY, WV 25801
Raleigh County (304) 461-3914
DR. SARASWATHI MOHAN M.D.
Pediatrics
194 CARRIAGE DR
BECKLEY, WV 25801
Raleigh County (304) 255-6051

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Petaiah Mohan's NPI number?

The NPI number for Petaiah Mohan is 1033295324. It was assigned to this individual provider in the NPPES registry on October 28, 2006.

Where is Petaiah Mohan located?

Petaiah Mohan practices at 194 Carriage Dr, Beckley, WV 25801. The listed phone number is (304) 255-6051.

What is Petaiah Mohan's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Is Petaiah Mohan enrolled in Medicare?

Yes. Petaiah Mohan is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Petaiah Mohan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Petaiah Mohan reassigns Medicare benefits to 3 organizations: Raleigh General Hospital LLC (Beckley, WV), Appalachian Regional Healthcare, Inc (Beckley, WV) and Appalachian Mountains Medical, LLC (Welch, WV). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Petaiah Mohan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Petaiah Mohan was last updated on December 14, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.