MOHANA HEALTH CARE LTD
NPI 1083803902
Family Medicine in Chicago, IL

Active since October 16, 2007
3641 E 108TH ST, CHICAGO, IL 60617(773) 731-5466(773) 731-5461 Get Directions Write a Review

NPPES record last updated: July 9, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 9, 2024, Dec 22, 2021 (2 updates tracked since 2021).

About Mohana Health Care Ltd NPPES

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

MOHANA HEALTH CARE LTD (NPI 1083803902) is a healthcare organization registered as a family medicine in Chicago, Illinois and active in the NPI registry since October 2007. The organization lists Bhargavi Nettem, President, as its authorized official.

NPPES Registry Identity

NPI1083803902
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMOHANA HEALTH CARE LTD
Location Address3641 E 108TH STChicago, IL 60617-6951
Mailing Address5843 N Saint Johns CtChicago, IL 60646-6048
Fax(773) 731-5461
Organization SubpartNo
Authorized OfficialBhargavi NettemPresident · (773) 731-5466
Enumeration DateOctober 16, 2007
Last NPPES UpdateJuly 9, 20242 updates tracked since enumeration
NPPES CertifiedJuly 9, 2024
✔ NPI 1083803902 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IL · 036103788
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
3641 E 108TH ST, Chicago, IL 60617

Other Identifiers 1

Medicaid036103788IL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mohana Health Care Ltd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Mohana Health Care Ltd, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Family Practice
NPI 1811098783
3641 E 108TH STREET
Chicago, IL 60617
(773) 731-5466
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1457461576
2075 INDIANAPOLIS BLVD
Whiting, IN 46394
(219) 659-7000
✔ PECOS✔ Accepts Medicare2.6 mi

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

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 Mohana Health Care Ltd's NPI number?

The NPI number for Mohana Health Care Ltd is 1083803902. It was assigned to this organization in the NPPES registry on October 16, 2007.

Where is Mohana Health Care Ltd located?

Mohana Health Care Ltd is located at 3641 E 108th St, Chicago, IL 60617. The listed phone number is (773) 731-5466.

What is Mohana Health Care Ltd's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Mohana Health Care Ltd enrolled in Medicare?

Yes. Mohana Health Care Ltd is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mohana Health Care Ltd?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Mohana Health Care Ltd, in Family Practice and Internal Medicine. A 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 the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Mohana Health Care Ltd was last updated on July 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.