DR. MOHAN NUTHAKKI MD
NPI 1336331388
Internal Medicine - Hematology & Oncology in Rockport, ME

Active since August 14, 2007PECOS Enrolled
85.59/100
CMS Quality Rating
6 GLEN COVE DR, ROCKPORT, ME 04856(207) 301-8000 Get Directions Write a Review

NPPES record last updated: June 11, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 11, 2021, Jan 30, 2019, Dec 7, 2017 and 2 more (5 updates tracked since 2015).

About Dr. Mohan Nuthakki Md NPPES

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

DR. MOHAN NUTHAKKI MD (NPI 1336331388) is an individual hematology & oncology provider in Rockport, Maine, licensed in Ohio (060174) and active in the NPI registry since August 2007. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1336331388
Entity TypeIndividualMale
Primary Taxonomy207RH0003X
Provider Legal NameDR. MOHAN NUTHAKKICredential: MD
Location Address6 GLEN COVE DRRockport, ME 04856-4272
Mailing Address6680 Poe Ave, Suite 200Dayton, OH 45414-2854 · (937) 280-8400 · Fax (937) 280-8373
Sole ProprietorNo
Enumeration DateAugust 14, 2007
Last NPPES UpdateJune 11, 20215 updates tracked since enumeration
NPPES CertifiedJune 11, 2021
NPI 1336331388 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
Licenses Licensed in OH · 060174 Licensed in ME · MD24746
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
6 GLEN COVE DR, Rockport, ME 04856

Secondary Practice Locations 2

Location 13130 N Dixie Hwy, Suite107Troy, OH 45373 · Phone (937) 293-1622 · Fax (937) 245-6308
Location 23130 N Dixie Hwy Ste 107Troy, OH 45373-1337 · Phone (937) 293-1622 · Fax (937) 245-6308

Other Identifiers 3

Other000000756487OH · Anthem
Medicaid0167555OH
Medicaid0795797OH

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Mohan Nuthakki Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04856 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
$162.77 typical visit price
range $53.26 – $162.77
Typical copayment $40.69 (range $13.31 – $40.69)
Most-billed visit code 99205
Established Patient
$94.60 typical visit price
range $16.90 – $132.79
Typical copayment $23.65 (range $4.22 – $33.19)
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.

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.

85.59/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality82.96
Promoting Interoperability100
Improvement Activities40
Cost69

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.

Internal Medicine (Pulmonary Disease)
6 GLEN COVE DR
ROCKPORT, ME 04856
Emergency Medicine
6 GLEN COVE DR
ROCKPORT, ME 04856
Registered Nurse
6 GLEN COVE DR
ROCKPORT, ME 04856
Nurse Anesthetist, Certified Registered
6 GLEN COVE DR
ROCKPORT, ME 04856
Radiology (Diagnostic Radiology)
6 GLEN COVE DR
ROCKPORT, ME 04856
Dietitian, Registered
6 GLEN COVE DR, PEN BAY MEDICAL CENTER
ROCKPORT, ME 04856
Psychiatry & Neurology (Psychiatry)
6 GLEN COVE DR
ROCKPORT, ME 04856
Psychiatry & Neurology (Psychiatry)
6 GLEN COVE DR
ROCKPORT, ME 04856

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 Nuthakki's NPI number?

The NPI number for Mohan Nuthakki is 1336331388. It was assigned to this individual provider in the NPPES registry on August 14, 2007.

Where is Mohan Nuthakki located?

Mohan Nuthakki practices at 6 Glen Cove Dr, Rockport, ME 04856. The listed phone number is (207) 301-8000.

What is Mohan Nuthakki's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Mohan Nuthakki enrolled in Medicare?

Yes. Mohan Nuthakki is registered in the Medicare PECOS enrollment system.

What insurance does Mohan Nuthakki accept?

Health plans from CareSource list Mohan Nuthakki 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 Nuthakki was last updated on June 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.