PRADEEP S MOHAN MD
NPI 1235351610
Surgery - Plastic and Reconstructive Surgery in Live Oak, TX

Active since May 03, 2007PECOS EnrolledAccepts Medicare Assignment
12315 JUDSON RD STE 110, LIVE OAK, TX 78233(325) 665-9111 Get Directions Write a Review

NPPES record last updated: September 1, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 1, 2026, Aug 13, 2026, Apr 23, 2017 (3 updates tracked since 2017).

About Pradeep S Mohan Md NPPES

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

PRADEEP S MOHAN MD (NPI 1235351610) is an individual plastic and reconstructive surgery provider in Live Oak, Texas, licensed in Texas (N8956) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS and is a graduate of Other (1999).

NPPES Registry Identity

NPI1235351610
Entity TypeIndividualMale
Primary Taxonomy2086S0122X
Provider Legal NamePRADEEP S MOHANCredential: MD
Location Address12315 JUDSON RD STE 110Live Oak, TX 78233-3263
Mailing Address12315 Judson Rd Ste 110Live Oak, TX 78233-3263 · (210) 566-8332 · Fax (210) 682-9151
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateMay 3, 2007
Last NPPES UpdateSeptember 1, 20263 updates tracked since enumeration
NPPES CertifiedSeptember 1, 2026
✔ NPI 1235351610 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0122X
Licenses✔ Licensed in TX · N8956✔ Licensed in IL · 036116392
Definition
A surgeon who specializes in plastic and reconstructive surgery.
Also ListedSurgery · Surgery of the HandTaxonomy 2086S0105X · License N8956 (TX), 036116392 (IL)
12315 JUDSON RD STE 110, Live Oak, TX 78233

Other Identifiers 4

Other3581444000KY · Passport Advantage
Medicaid200922110IN
Medicaid7100067840KY
Other50021605KY · Passport

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

Pradeep S Mohan Md 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 ID9931267820
PECOS Enrollment IDI20100827000058
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 Reassignments

2

Medicare enrollment records show Pradeep Mohan reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Plastic and Reconstructive Surgery
12315 JUDSON RD STE 110
Live Oak, TX 78233
  • Reassigned Medicare billing, Texas enrollment
  • 4 clinicians in this Medicare group
Plastic and Reconstructive Surgery
4200 GREEN VALLEY RD
Cibolo, TX 78108
  • Reassigned Medicare billing, Texas enrollment
  • 2 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 4

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
207 services53 patients
Removal of skin and tissue, 20.0 sq cm or less 11042
This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.
100 services18 patients
Deep biopsy of muscle 20205
A deep biopsy of muscle is a procedure where a small piece of muscle tissue is removed for examination. This helps in diagnosing muscle disorders or infections. The process involves a needle or a small incision. It's generally safe with slight discomfort post-procedure.
43 services11 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
36 services36 patients

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
95%512 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
23%173 patients1/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 99% · 84 patients
93%84 patients4/55-star benchmark: 98%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 3

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

Nurse Practitioner (Adult Health)
12315 JUDSON RD STE 110
LIVE OAK, TX 78233
Surgery (Plastic and Reconstructive Surgery)
12315 JUDSON RD STE 110
LIVE OAK, TX 78233
Family Medicine
12315 JUDSON RD STE 110
LIVE OAK, TX 78233

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 Pradeep Mohan's NPI number?

The NPI number for Pradeep Mohan is 1235351610. It was assigned to this individual provider in the NPPES registry on May 3, 2007.

Where is Pradeep Mohan located?

Pradeep Mohan practices at 12315 Judson Rd Ste 110, Live Oak, TX 78233. The listed phone number is (325) 665-9111.

What is Pradeep Mohan's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

Is Pradeep Mohan enrolled in Medicare?

Yes. Pradeep Mohan 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 Pradeep Mohan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Pradeep Mohan reassigns Medicare benefits to 2 organizations: Texas Multispecialty Clinics PLLC (Live Oak, TX) and Veda Medical, LLC (Cibolo, TX). 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 Pradeep Mohan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Pradeep Mohan accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 4 other insurers list Pradeep Mohan 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.

When was this NPI record last updated?

The NPPES record for Pradeep Mohan was last updated on September 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.