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

Q: 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.

Q: 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.

Q: 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.

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: August 02, 2026.

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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

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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 Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

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)