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DR. MANEESH MOHAN DMD
NPI 1154310985
Dentist - Oral and Maxillofacial Surgery in Louisville, KY

Active since October 14, 2005PECOS Enrolled
5100 OUTER LOOP, SUITE B, LOUISVILLE, KY 40219(502) 966-8660(502) 969-8444 Get Directions Write a Review

NPPES record last updated: June 12, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Maneesh Mohan Dmd NPPES

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

DR. MANEESH MOHAN DMD (NPI 1154310985) is an individual oral and maxillofacial surgery provider in Louisville, Kentucky, licensed in Kentucky (8191) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154310985
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. MANEESH MOHANCredential: DMD
Location Address5100 OUTER LOOP, SUITE BLouisville, KY 40219-3201
Mailing Address2441 State StNew Albany, IN 47150-4962 · (812) 944-7200 · Fax (812) 945-3260
Phone(502) 966-8660
Fax(502) 969-8444
Sole ProprietorYes
Enumeration DateOctober 14, 2005
Last NPPES UpdateJune 12, 2014
✔ NPI 1154310985 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
Licenses✔ Licensed in KY · 8191✔ Licensed in IN · 12011030A
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Also ListedOral & Maxillofacial SurgeryTaxonomy 204E00000X · License 8181 (KY)
5100 OUTER LOOP, Louisville, KY 40219
Open in Google Maps ↗

Other Identifiers 5

Medicaid6411381400KY
Medicaid200872180IN
Medicaid204E0000XKY
Other50007575KY · Passport
Other9179239KY · Doral

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.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. Maneesh Mohan Dmd 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 Maneesh Mohan reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Oral Surgery Group Of Middletown, PLLC
11 mi
Oral and Maxillofacial Surgery
134 EVERGREEN RD
Middletown, KY 40243
  • Reassigned Medicare billing, Kentucky enrollment
  • 5 clinicians in this Medicare group
NPI 1497070148 (502) 410-1702
Oral Surgery Group Of Southern Indiana, LLC
15 mi
Dental
2441 STATE ST
New Albany, IN 47150
  • Reassigned Medicare billing, Indiana enrollment
  • 3 clinicians in this Medicare group
NPI 1831377712 (812) 944-7200
Oral Surgery Group Of Frankfort, PLLC
40 mi
Oral and Maxillofacial Surgery
103 C MICHAEL DAVENPORT BLVD
Frankfort, KY 40601
  • Reassigned Medicare billing, Kentucky enrollment
  • 5 clinicians in this Medicare group
NPI 1568768224 (502) 352-2510

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40219 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 11

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

SPECIALIZED DENTAL SERVICES-JEFFERSON MALL, PLLC
Clinic/Center (Dental)
5100 OUTER LOOP, SUITE B
LOUISVILLE, KY 40219
Jefferson County (502) 410-1702
ALEXANDER MUSSER
Dentist (Oral and Maxillofacial Surgery)
5100 OUTER LOOP
LOUISVILLE, KY 40219
Jefferson County (502) 966-8660
LISA KING M.D.
Family Medicine
5100 OUTER LOOP
LOUISVILLE, KY 40219
Jefferson County (502) 968-6226
MRS. CHARLA J FROMAN GLOVER ARNP
Nurse Practitioner (Family)
5100 OUTER LOOP
LOUISVILLE, KY 40219
Jefferson County (502) 968-6226
MARCELO ENRIQUE VENEGAS A.P.R.N.
Nurse Practitioner (Family)
5100 OUTER LOOP
LOUISVILLE, KY 40219
Jefferson County (502) 968-6226
MINA BEAR APRN-NP
Nurse Practitioner (Family)
5100 OUTER LOOP
LOUISVILLE, KY 40219
Jefferson County (502) 968-6226
PERIODONTIC & ENDODONTIC SERVICES-JEFFERSON MALL, PLLC
Clinic/Center (Dental)
5100 OUTER LOOP, STE B
LOUISVILLE, KY 40219
Jefferson County (502) 966-8660
KIDS DENTISTRY-JEFFERSON MALL,PLLC
Clinic/Center (Dental)
5100 OUTER LOOP, SUITE C
LOUISVILLE, KY 40219
Jefferson County (502) 969-9266

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 Maneesh Mohan's NPI number?

The NPI number for Maneesh Mohan is 1154310985. It was assigned to this individual provider in the NPPES registry on October 14, 2005.

Where is Maneesh Mohan located?

Maneesh Mohan practices at 5100 Outer Loop Suite B, Louisville, KY 40219. The listed phone number is (502) 966-8660.

What is Maneesh Mohan's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Maneesh Mohan enrolled in Medicare?

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

Which organizations bill Medicare for Maneesh Mohan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Maneesh Mohan reassigns Medicare benefits to 3 organizations: Oral Surgery Group Of Middletown, PLLC (Middletown, KY), Oral Surgery Group Of Southern Indiana, LLC (New Albany, IN) and Oral Surgery Group Of Frankfort, PLLC (Frankfort, KY). 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 Maneesh Mohan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Maneesh Mohan accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 9 other insurers list Maneesh Mohan 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 Maneesh Mohan was last updated on June 12, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.