MOHAN MALLIKARJUNA EDUPUGANTI M.D.
NPI 1164737490
Internal Medicine - Interventional Cardiology in Washington, MO

Q: What is Mohan Edupuganti's NPI number?

The NPI number for Mohan Edupuganti is 1164737490. It was assigned to this individual provider in the NPPES registry on August 11, 2010. The provider is also known as Mallik Edupuganti M.D..

Q: What is Mohan Edupuganti's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Q: When was this NPI record last updated?

The NPPES record for Mohan Edupuganti was last updated on March 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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 August 11, 2010PECOS EnrolledAccepts Medicare Assignment

901 PATIENTS FIRST DR STE 2500, WASHINGTON, MO 63090(636) 239-2711 Get Directions Write a Review

NPPES record last updated: March 2, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 2, 2026, Sep 19, 2024, Feb 11, 2019 and 1 more (4 updates tracked since 2017).

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About Mohan Mallikarjuna Edupuganti M.d. NPPES

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

MOHAN MALLIKARJUNA EDUPUGANTI M.D. (NPI 1164737490) is an individual interventional cardiology provider in Washington, Missouri, licensed in Missouri (2018042912) and active in the NPI registry since August 2010. He is enrolled in Medicare PECOS, is affiliated with Jackson County Memorial Hospital Authority, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1164737490

Entity TypeIndividualMale

Primary Taxonomy207RI0011X

Provider Legal NameMOHAN MALLIKARJUNA EDUPUGANTICredential: M.D.

Location Address901 PATIENTS FIRST DR STE 2500Washington, MO 63090

Mailing Address901 Patients First Dr Ste 2500Washington, MO 63090-4700 · (636) 239-2711

Phone(636) 239-2711

Sole ProprietorNo

Medical School CMSOtherGraduated 2004

Enumeration DateAugust 11, 2010

Last NPPES UpdateMarch 2, 20264 updates tracked since enumeration

NPPES CertifiedMarch 2, 2026

✔ NPI 1164737490 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians

Taxonomy Code207RI0011X

Licenses✔ Licensed in MO · 2018042912✔ Licensed in AR · E9506

Definition

An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.

Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License 35133 (OK)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

901 PATIENTS FIRST DR STE 2500, Washington, MO 63090

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Other Names 1

Other Name (5)Mallik Edupuganti M.d.

Secondary Practice Locations 2

Location 13315 Kethley Street ShawneeShawnee, OK 74804 · Phone (405) 273-2270 · Fax (405) 395-5922

Location 2840 Montclair Rd, Suite 340Birmingham, AL 35213-1920 · Phone (205) 592-5135

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma, Medica, Mending Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mohan Mallikarjuna Edupuganti M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3173830981

PECOS Enrollment IDI20191031002681

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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

108 services65 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

33 services33 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Jackson County Memorial Hospital Authority

Acute Care Hospitals · Altus, OK

3/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number370022

Location1200 East Pecan StAltus, OK 73521 · Jackson County

Emergency services Birthing friendly

Ssm Health St Anthony Hospital - Oklahoma City

Acute Care Hospitals · Oklahoma City, OK

2/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number370037

Location1000 North Lee AvenueOklahoma City, OK 73101 · Oklahoma County

Emergency services Birthing friendly

Stillwater Medical Center

Acute Care Hospitals · Stillwater, OK

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number370049

Location1323 West 6th StreetStillwater, OK 74076 · Payne County

Emergency services Birthing friendly

Ssm Health St Anthony Hospital - Midwest

Acute Care Hospitals · Midwest City, OK

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number370094

Location2825 Parklawn DriveMidwest City, OK 73110 · Oklahoma County

Emergency services

Ssm Health St Anthony Hospital - Shawnee

Acute Care Hospitals · Shawnee, OK

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number370149

Location1102 W MacarthurShawnee, OK 74804 · Pottawatomie County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63090 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

$121.96 typical visit price

range $52.28 – $161.24

Typical copayment $30.49 (range $13.07 – $40.31)

Most-billed visit code 99204

Established Patient

$93.24 typical visit price

range $16.30 – $131.05

Typical copayment $23.31 (range $4.07 – $32.76)

Most-billed visit code 99214

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 7

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

DR. ROBERTO PACHECO-CORONADO M.D.

Internal Medicine (Interventional Cardiology)