KAMINI MOHAN
NPI 1205255080
Physician Assistant - Medical in New Port Richey, FL

Q: What is the provider's specialty?

The provider's specialty is Physician Assistant with taxonomy code 363AM0700X and a focus in Medical.

Active since April 09, 2014PECOS EnrolledAccepts Medicare Assignment

6804 CECELIA DR, NEW PORT RICHEY, FL 34653(727) 232-0644(855) 546-0488 Get Directions Write a Review

NPPES record last updated: May 9, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Kamini Mohan NPPES

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

KAMINI MOHAN (NPI 1205255080) is an individual medical provider in New Port Richey, Florida, licensed in Florida (PA9119780) and active in the NPI registry since April 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1205255080

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameKAMINI MOHAN

Location Address6804 CECELIA DRNew Port Richey, FL 34653-4935

Mailing Address1056 Bluegrass DrGroveland, FL 34736-8812 · (617) 645-3853

Phone(727) 232-0644

Fax(855) 546-0488

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateApril 9, 2014

Last NPPES UpdateMay 9, 2025

NPPES CertifiedMay 9, 2025

✔ NPI 1205255080 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

Licenses✔ Licensed in FL · PA9119780✔ Licensed in NY · 017195-1

6804 CECELIA DR, New Port Richey, FL 34653

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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

Kamini Mohan 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 ID6507384955

PECOS Enrollment IDI20250519003272

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.