DR. PREM LATA MEHANDRU MD
NPI 1124080049
Pediatrics - Neonatal-Perinatal Medicine in Cincinnati, OH

Q: What is Prem Mehandru's NPI number?

The NPI number for Prem Mehandru is 1124080049. It was assigned to this individual provider in the NPPES registry on April 5, 2006.

Q: What is Prem Mehandru's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Prem Mehandru was last updated on September 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since April 05, 2006PECOS Enrolled

3333 BURNET AVE, CINCINNATI, OH 45229(513) 636-4830(513) 636-7868 Get Directions Write a Review

NPPES record last updated: September 14, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 14, 2021, Sep 29, 2020, Jul 8, 2020 and 1 more (4 updates tracked since 2016).

On this page

About Dr. Prem Lata Mehandru Md NPPES

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

DR. PREM LATA MEHANDRU MD (NPI 1124080049) is an individual neonatal-perinatal medicine provider in Cincinnati, Ohio, licensed in Ohio (35-058587) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS and maintains a secondary practice location in Jacksonville.

NPPES Registry Identity

NPI1124080049

Entity TypeIndividualFemale

Primary Taxonomy2080N0001X

Provider Legal NameDR. PREM LATA MEHANDRUCredential: MD

Location Address3333 BURNET AVECincinnati, OH 45229-3026

Mailing Address120 Memorial DrJacksonville, NC 28546-6328 · (910) 353-0581 · Fax (910) 353-1536

Phone(513) 636-4830

Fax(513) 636-7868

Sole ProprietorNo

Enumeration DateApril 5, 2006

Last NPPES UpdateSeptember 14, 20214 updates tracked since enumeration

NPPES CertifiedSeptember 14, 2021

✔ NPI 1124080049 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080N0001X

Licenses✔ Licensed in OH · 35-058587✔ Licensed in WV · 30006✔ Licensed in FL · ME124923

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.

3333 BURNET AVE, Cincinnati, OH 45229

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Secondary Practice Location 1

Location 1120 Memorial DrJacksonville, NC 28546-6328 · Phone (910) 353-0581 · Fax (910) 353-1536

Other Identifiers 4

Other000000027600OH · Anthem

Other3980958OH · United Healthcare

Medicaid0894028OH

Other71422OH · Qualchoice

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Prem Lata Mehandru Md 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 Reassignment

Medicare enrollment records show Prem Mehandru reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

University Hospitals Medical Group Inc

224 mi

Multi-Specialty

11100 EUCLID AVE
Cleveland, OH 44106

Reassigned Medicare billing, Ohio enrollment
3,958 clinicians in this Medicare group

NPI 1669499414 (216) 844-1000

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 20

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

PREEYACHA PACHARN M.D.

Radiology (Pediatric Radiology)

3333 BURNET AVE, ML 5031
CINCINNATI, OH 45229

Hamilton County (513) 636-4251

BRIAN KEITH TURPIN D.O.

Pediatrics (Pediatric Hematology-Oncology)

3333 BURNET AVE
CINCINNATI, OH 45229

Hamilton County (513) 636-3381

ETHAN J MUSGRAVE M.D.

Psychiatry & Neurology (Child & Adolescent Psychiatry)

3333 BURNET AVE, ML 3014
CINCINNATI, OH 45229

Hamilton County (513) 636-4788

KATHRYN WEAVER M.D.

Medical Genetics (Clinical Genetics (M.D.))

3333 BURNET AVE, ML 4006
CINCINNATI, OH 45229

Hamilton County (513) 636-4760

ROBIN T COTTON, MD, INC

Otolaryngology (Pediatric Otolaryngology)

3333 BURNET AVE, MLC 2018
CINCINNATI, OH 45229

Hamilton County (513) 636-7138

ELIZABETH ANN MOORE CNP

Nurse Practitioner (Acute Care)

3333 BURNET AVE, ML 2003
CINCINNATI, OH 45229

Hamilton County (513) 636-4432

CONSTANCE MARIE MARTIN CNP

Nurse Practitioner (Primary Care)

3333 BURNET AVE, ML 2018
CINCINNATI, OH 45229

Hamilton County (513) 636-4355

EMILY RENAE LY LSW

Case Manager/Care Coordinator

3333 BURNET AVE
CINCINNATI, OH 45229

Hamilton County (513) 803-6316

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 Prem Mehandru's NPI number?

The NPI number for Prem Mehandru is 1124080049. It was assigned to this individual provider in the NPPES registry on April 5, 2006.

Where is Prem Mehandru located?

Prem Mehandru practices at 3333 Burnet Ave, Cincinnati, OH 45229. The listed phone number is (513) 636-4830.

What is Prem Mehandru's specialty?

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

Is Prem Mehandru enrolled in Medicare?

Yes. Prem Mehandru is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Prem Mehandru's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Prem Mehandru reassigns Medicare benefits to University Hospitals Medical Group Inc (Cleveland, OH). The 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 Prem Mehandru's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Prem Mehandru accept?

Health plans from CareSource list Prem Mehandru as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Prem Mehandru was last updated on September 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.