PRABHA MOHAN MD
NPI 1336443621
Clinic/Center - Primary Care in Kaufman, TX
About Prabha Mohan Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PRABHA MOHAN MD (NPI 1336443621) is a healthcare organization registered as a primary care in Kaufman, Texas and active in the NPI registry since January 2011. The organization holds a CLIA Waiver certificate valid through March 5, 2028 and lists Rich Mohan, Office Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 3
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Prabha Mohan Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Prabha Mohan MD, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 45D0942156
Prabha Mohan MD · Kaufman, TXFrequently 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 Prabha Mohan MD PA's NPI number?
The NPI number for Prabha Mohan MD PA is 1336443621. It was assigned to this organization in the NPPES registry on January 1, 2011. The provider is also known as Prabha Mohan MD.
Where is Prabha Mohan MD PA located?
Prabha Mohan MD PA is located at 709 Ed Hall Dr Suite C, Kaufman, TX 75142. The listed phone number is (972) 932-2000.
What is Prabha Mohan MD PA's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Prabha Mohan MD PA enrolled in Medicare?
Yes. Prabha Mohan MD PA is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Prabha Mohan MD PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Prabha Mohan MD PA. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Prabha Mohan MD PA hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 45D0942156) is associated with this NPI, valid through March 5, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Prabha Mohan MD PA was last updated on January 1, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Prabha Mohan Md · NPI 1336443621
Primary Care organization in Kaufman, Texas. Organization record, active in the CMS NPPES registry since January 1, 2011.
## Identity
- **NPI:** 1336443621 (Entity type: Organization)
- **Enumerated:** January 1, 2011
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Legal business name:** Prabha Mohan Md Pa
- **Organization subpart:** No
- **Authorized official:** Rich Mohan, OFFICE MANAGER
## Practice location
- **Address:** 709 ED HALL DR, SUITE C, Kaufman, TX 75142-1860
- **Phone:** (972) 932-2000 · **Fax:** (972) 932-0316
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Internal Medicine) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 1, 2011
- **Other identifiers:** Medicare PIN 0018AV (TX); Medicaid 029765701 (TX); Medicare UPIN F79107 (TX)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1336443621) · Data from the CMS NPPES public registry.