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DR. JOHN MOGANNAM
NPI 1205561859
Internal Medicine - Hospice and Palliative Medicine in Sacramento, CA

Active since July 19, 2022PECOS EnrolledAccepts Medicare Assignment
4900 BROADWAY STE 2700, SACRAMENTO, CA 95820(916) 734-9913 Get Directions Write a Review

NPPES record last updated: March 12, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Mar 12, 2026, Jun 23, 2025, Jun 4, 2025 and 2 more (5 updates tracked since 2022).

About Dr. John Mogannam NPPES

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

DR. JOHN MOGANNAM (NPI 1205561859) is an individual hospice and palliative medicine provider in Sacramento, California, licensed in California (20A22102) and active in the NPI registry since July 2022. He is enrolled in Medicare PECOS, maintains a secondary practice location in Oakland, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1205561859
Entity TypeIndividualMale
Primary Taxonomy207RH0002X
Provider Legal NameDR. JOHN MOGANNAM
Location Address4900 BROADWAY STE 2700Sacramento, CA 95820-1536
Mailing Address378 Embarcadero W Unit 419Oakland, CA 94607-4534
Phone(916) 734-9913
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateJuly 19, 2022
Last NPPES UpdateMarch 12, 20265 updates tracked since enumeration
NPPES CertifiedMarch 12, 2026
✔ NPI 1205561859 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Hospice and Palliative MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RH0002X
License✔ Licensed in CA · 20A22102
Definition
An internal medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care.
Also ListedInternal MedicineTaxonomy 207R00000X · License 20A22102 (CA)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
4900 BROADWAY STE 2700, Sacramento, CA 95820
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Secondary Practice Location 1

Location 11411 E 31st StOakland, CA 94602-1018 · Phone (510) 437-4800

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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

Dr. John Mogannam 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 ID7416460274
PECOS Enrollment IDI20250703001339
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 Reassignment

Medicare enrollment records show John Mogannam reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Alameda Health System
67 mi
Federally Qualified Health Center (FQHC)
6955 FOOTHILL BLVD STE 200
Oakland, CA 94605
  • Reassigned Medicare billing, California enrollment
  • 900 clinicians in this Medicare group
NPI 1932300738 (510) 567-5704

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

Other Providers at the Same Location NPPES

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

TEMUR SAID MD
Internal Medicine (Hospice and Palliative Medicine)
4900 BROADWAY STE 2700
SACRAMENTO, CA 95820
Sacramento County (916) 734-9302

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 John Mogannam's NPI number?

The NPI number for John Mogannam is 1205561859. It was assigned to this individual provider in the NPPES registry on July 19, 2022.

Where is John Mogannam located?

John Mogannam practices at 4900 Broadway Ste 2700, Sacramento, CA 95820. The listed phone number is (916) 734-9913.

What is John Mogannam's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hospice and Palliative Medicine, with taxonomy code 207RH0002X.

Is John Mogannam enrolled in Medicare?

Yes. John Mogannam 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 organization bills Medicare for John Mogannam's services?

According to the CMS Revalidation Reassignment List (October 2026 release), John Mogannam reassigns Medicare benefits to Alameda Health System (Oakland, CA). The 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 John Mogannam's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for John Mogannam was last updated on March 12, 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.