MOHAN MALLIKARJUNA EDUPUGANTI M.D.
NPI 1164737490
Internal Medicine - Interventional Cardiology in Washington, MO
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
Specialties & Licenses 3
Other Names 1
Secondary Practice Locations 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
13Medicare enrollment records show Mohan Edupuganti reassigns Medicare billing to 13 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Conway, AR 72032
- Reassigned Medicare billing, Arkansas enrollment
- 33 clinicians in this Medicare group
Conway, AR 72032
- Reassigned Medicare billing, Arkansas enrollment
- Also billed through NPI 1578593067 (Arkansas)
- 62 clinicians in this Medicare group
Barnsdall, OK 74002
- Reassigned Medicare billing, Oklahoma enrollment
- 820 clinicians in this Medicare group
Enid, OK 73701
- Reassigned Medicare billing, Oklahoma enrollment
- Medicare enrollment name: St Marys Physician Associates LLC
- 34 clinicians in this Medicare group
Edmond, OK 73013
- Reassigned Medicare billing, Oklahoma enrollment
- 75 clinicians in this Medicare group
Edmond, OK 73013
- Reassigned Medicare billing, Oklahoma enrollment
- 72 clinicians in this Medicare group
Edmond, OK 73013
- Reassigned Medicare billing, Oklahoma enrollment
- 55 clinicians in this Medicare group
Oklahoma City, OK 73116
- Reassigned Medicare billing, Oklahoma enrollment
- 507 clinicians in this Medicare group
Oklahoma City, OK 73104
- Reassigned Medicare billing, Oklahoma enrollment
- 1,795 clinicians in this Medicare group
Oklahoma City, OK 73104
- Reassigned Medicare billing, Oklahoma enrollment
- 845 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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, OKSsm Health St Anthony Hospital - Oklahoma City
Acute Care Hospitals · Oklahoma City, OKStillwater Medical Center
Acute Care Hospitals · Stillwater, OKSsm Health St Anthony Hospital - Midwest
Acute Care Hospitals · Midwest City, OKSsm Health St Anthony Hospital - Shawnee
Acute Care Hospitals · Shawnee, OKPhysician 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.
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.
WASHINGTON, MO 63090
WASHINGTON, MO 63090
WASHINGTON, MO 63090
WASHINGTON, MO 63090
WASHINGTON, MO 63090
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 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..
Where is Mohan Edupuganti located?
Mohan Edupuganti practices at 901 Patients First Dr Ste 2500, Washington, MO 63090. The listed phone number is (636) 239-2711.
What is Mohan Edupuganti's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.
Is Mohan Edupuganti enrolled in Medicare?
Yes. Mohan Edupuganti is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Mohan Edupuganti's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mohan Edupuganti reassigns Medicare benefits to 13 organizations: Conway Community Services (Conway, AR), Baptist Health (Conway, AR), St. John Physicians, Inc (Barnsdall, OK), St. Mary's Physician Associates, LLC (Enid, OK), Midwest Hospitalist Group PLLC (Edmond, OK) and 8 more organizations, listed in the Medicare section above. 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 Mohan Edupuganti's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mohan Edupuganti accept?
Health plans from Blue Cross and Blue Shield of Oklahoma, Mending Health and Oscar Insurance Company list Mohan Edupuganti 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.
Is Mohan Edupuganti affiliated with any hospitals?
According to CMS data, Mohan Edupuganti is affiliated with Jackson County Memorial Hospital Authority, Ssm Health St Anthony Hospital - Oklahoma City, Stillwater Medical Center, Ssm Health St Anthony Hospital - Midwest and Ssm Health St Anthony Hospital - Shawnee.
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 8 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.
# Mohan Mallikarjuna Edupuganti, M.D. · NPI 1164737490
Interventional Cardiology physician in Washington, Missouri. Individual provider, active in the CMS NPPES registry since August 11, 2010.
## Identity
- **NPI:** 1164737490 (Entity type: Individual)
- **Enumerated:** August 11, 2010
- **Primary specialty:** Internal Medicine - Interventional Cardiology · taxonomy 207RI0011X
- **State license:** 2018042912 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 901 PATIENTS FIRST DR STE 2500, Washington, MO 63090
- **Phone:** (636) 239-2711
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 13 organizations under Medicare reassignment (form CMS-855R): Conway Community Services (NPI 1275084188, Conway, AR); Baptist Health (NPI 1083160899, Conway, AR); St. John Physicians, Inc (NPI 1033176367, Barnsdall, OK); St. Mary's Physician Associates, LLC (NPI 1740302751, Enid, OK); Midwest Hospitalist Group PLLC (NPI 1376011478, Edmond, OK); and 8 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2004
## Record status
- **NPPES last updated:** March 2, 2026
---
Source: [NPI Profile](https://npiprofile.com/npi/1164737490) · Data from the CMS NPPES public registry.