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MOHAN KRISHNA BANGARU
NPI 1275932121
Internal Medicine - Nephrology in Detroit, MI

Active since August 16, 2014PECOS EnrolledAccepts Medicare Assignment
4201 SAINT ANTOINE ST, DETROIT, MI 48201(313) 745-7145 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 21, 2022, Nov 21, 2019, Mar 17, 2018 and 1 more (4 updates tracked since 2017).

About Mohan Krishna Bangaru NPPES

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

MOHAN KRISHNA BANGARU (NPI 1275932121) is an individual nephrology provider in Detroit, Michigan, licensed in Michigan (4301119098) and active in the NPI registry since August 2014. He is enrolled in Medicare PECOS, maintains a secondary practice location in Livonia, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1275932121
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameMOHAN KRISHNA BANGARU
Location Address4201 SAINT ANTOINE STDetroit, MI 48201-2153
Mailing Address19426 Mayfield Ave Apt 104Livonia, MI 48152-4203 · (313) 421-6686
Phone(313) 745-7145
Sole ProprietorYes
Medical School CMSOtherGraduated 2009
Enumeration DateAugust 16, 2014
Last NPPES UpdateJuly 21, 20224 updates tracked since enumeration
✔ NPI 1275932121 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in MI · 4301119098
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
4201 SAINT ANTOINE ST, Detroit, MI 48201
Open in Google Maps ↗

Secondary Practice Location 1

Location 137595 7 Mile Rd, suite 340Livonia, MI 48152-1003 · Phone (734) 793-2470 · Fax (734) 793-2471

Other Identifiers 1

OtherB526609478425MI · Driving License

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter Health, Blue Cross Blue Shield of Arizona and more.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 Krishna Bangaru 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 ID6709107527
PECOS Enrollment IDI20250312002264
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

4

Medicare enrollment records show Mohan Krishna Bangaru reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Southwest Kidney Institute, Plc
402 mi
Nephrology
629 N. HIGHWAY #90 BYP, SUITE 6
Sierra Vista, AZ 85635
  • Reassigned Medicare billing, Arizona enrollment
  • 117 clinicians in this Medicare group
NPI 1891933560 (520) 623-2642
Atlanta Kidney Specialists LLC
613 mi
End-Stage Renal Disease (ESRD) Treatment
130 MEDICAL WAY STE D
Stockbridge, GA 30281
  • Reassigned Medicare billing, Georgia enrollment
  • 2 clinicians in this Medicare group
NPI 1558814459 (470) 419-4000
Akdhc, LLC
1,529 mi
Nephrology
HIGHWAY 264
Polacca, AZ 86042
  • Reassigned Medicare billing, Arizona enrollment
  • 155 clinicians in this Medicare group
NPI 1427246081 (928) 737-6109
Banner Cancer Center Specialists LLC
1,626 mi
Oncology
807 S PONDEROSA ST
Payson, AZ 85541
  • Reassigned Medicare billing, Arizona enrollment
  • 470 clinicians in this Medicare group
NPI 1588158448 (928) 471-3222

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 8

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 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
557 services165 patients
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.
231 services103 patients
Home dialysis services per month (20 years or older) 90966
Home dialysis services provide kidney treatment for patients aged 20 or older right in their own homes. This service includes necessary equipment, supplies, and support for performing dialysis. It's a convenient option that allows patients to maintain their daily routines while receiving essential care.
139 services43 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
88 services74 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.
61 services57 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
46 services38 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48201 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
$134.28 typical visit price
range $58.04 – $177.36
Typical copayment $33.57 (range $14.51 – $44.34)
Most-billed visit code 99204
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
3 suppliers19 claims21 services$12.00 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

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

DR. ZOHA NIZAMI
Pediatrics (Pediatric Emergency Medicine)
4201 SAINT ANTOINE ST
DETROIT, MI 48201
Wayne County (313) 745-5146
DR. PUJA LAROIA DO
Anesthesiology
4201 SAINT ANTOINE ST
DETROIT, MI 48201
Wayne County (313) 745-5146
ELIZABETH ANNE RANELLA CRNA
Nurse Anesthetist, Certified Registered
4201 SAINT ANTOINE ST
DETROIT, MI 48201
Wayne County (952) 442-9770
GERARD LANCASTER MD
Orthopaedic Surgery
4201 SAINT ANTOINE ST
DETROIT, MI 48201
Wayne County (313) 745-3000
SARAH ZHANG
Emergency Medicine
4201 SAINT ANTOINE ST, UHC-6G
DETROIT, MI 48201
Wayne County (313) 993-2529
DAVID BURKHOLDER
Student in an Organized Health Care Education/Training Program
4201 SAINT ANTOINE ST, 6G UHC
DETROIT, MI 48201
Wayne County (313) 993-2530
DR. DANIEL RAY CAVAZOS MD
Orthopaedic Surgery
4201 SAINT ANTOINE ST
DETROIT, MI 48201
Wayne County (313) 745-3000
WAHAJUDDIN MOHAMMAD DO
Student in an Organized Health Care Education/Training Program
4201 SAINT ANTOINE ST
DETROIT, MI 48201
Wayne County (313) 745-5146

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 Krishna Bangaru's NPI number?

The NPI number for Mohan Krishna Bangaru is 1275932121. It was assigned to this individual provider in the NPPES registry on August 16, 2014.

Where is Mohan Krishna Bangaru located?

Mohan Krishna Bangaru practices at 4201 Saint Antoine St, Detroit, MI 48201. The listed phone number is (313) 745-7145.

What is Mohan Krishna Bangaru's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Mohan Krishna Bangaru enrolled in Medicare?

Yes. Mohan Krishna Bangaru 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 Krishna Bangaru's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mohan Krishna Bangaru reassigns Medicare benefits to 4 organizations: Southwest Kidney Institute, Plc (Sierra Vista, AZ), Atlanta Kidney Specialists LLC (Stockbridge, GA), Akdhc, LLC (Polacca, AZ) and Banner Cancer Center Specialists LLC (Payson, AZ). 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 Krishna Bangaru's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mohan Krishna Bangaru accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Cigna HealthCare of Arizona, Inc and Oscar Health Plan, Inc. and 1 other insurer list Mohan Krishna Bangaru 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 Mohan Krishna Bangaru was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.