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DR. SHRUTHI MOHAN MD
NPI 1548720220
Pediatrics - Pediatric Nephrology in Grand Rapids, MI

Active since March 20, 2019PECOS EnrolledAccepts Medicare Assignment
35 MICHIGAN ST NE STE 5201, GRAND RAPIDS, MI 49503(616) 267-2400 Get Directions Write a Review

NPPES record last updated: August 25, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 11, 2025, Mar 20, 2019 (2 updates tracked since 2019).

About Dr. Shruthi Mohan Md NPPES

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

DR. SHRUTHI MOHAN MD (NPI 1548720220) is an individual pediatric nephrology provider in Grand Rapids, Michigan, licensed in Michigan (4301514268) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS, is affiliated with Spectrum Health, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1548720220
Entity TypeIndividualFemale
Primary Taxonomy2080P0210X
Provider Legal NameDR. SHRUTHI MOHANCredential: MD
Location Address35 MICHIGAN ST NE STE 5201Grand Rapids, MI 49503-2530
Mailing Address100 Michigan St Ne # Mc845Grand Rapids, MI 49503-2560
Phone(616) 267-2400
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateMarch 20, 2019
Last NPPES UpdateAugust 25, 20252 updates tracked since enumeration
NPPES CertifiedAugust 25, 2025
✔ NPI 1548720220 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0210X
License✔ Licensed in MI · 4301514268
Definition
A pediatrician who deals with the normal and abnormal development and maturation of the kidney and urinary tract, the mechanisms by which the kidney can be damaged, the evaluation and treatment of renal diseases, fluid and electrolyte abnormalities, hypertension and renal replacement therapy.
Also ListedPediatricsTaxonomy 208000000X · License 4301514268 (MI)
35 MICHIGAN ST NE STE 5201, Grand Rapids, MI 49503
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Shruthi 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 ID4486153681
PECOS Enrollment IDI20250815001035
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Spectrum Health

Acute Care Hospitals · Grand Rapids, MI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230038
Location100 Michigan St NEGrand Rapids, MI 49503 · Kent County
Emergency services Birthing friendly

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.

MRS. AMY E PUGH PSYD
Psychologist (Clinical Child & Adolescent)
35 MICHIGAN ST NE STE 5201
GRAND RAPIDS, MI 49503
Kent County (616) 267-2830
DR. THOMAS ANTHONY DUDA PH.D., ABPP-CN
Clinical Neuropsychologist
35 MICHIGAN ST NE STE 5201
GRAND RAPIDS, MI 49503
Kent County (616) 267-2500
JENNA KRISTINE SCHWARTZ PHD, MA, LP, NCSP
Psychologist (Clinical)
35 MICHIGAN ST NE STE 5201
GRAND RAPIDS, MI 49503
Kent County (616) 267-2500
DR. JASON PETER THOMAS M.D.
Pediatrics (Pediatric Nephrology)
35 MICHIGAN ST NE STE 5201
GRAND RAPIDS, MI 49503
Kent County (616) 267-2400
LARA DE STEFANO MD
Psychiatry & Neurology (Psychiatry)
35 MICHIGAN ST NE STE 5201
GRAND RAPIDS, MI 49503
Kent County (616) 267-2830
SARAH LYN SPENCER MS, RDN
Dietitian, Registered
35 MICHIGAN ST NE STE 5201
GRAND RAPIDS, MI 49503
Kent County (616) 267-2400
CAROLINE GONYNOR PHD, MPH
Psychologist (Clinical)
35 MICHIGAN ST NE STE 5201
GRAND RAPIDS, MI 49503
Kent County (616) 267-2830
DR. KATHERINE LOUSIE FOSTER D.O.
Dermatology (Pediatric Dermatology)
35 MICHIGAN ST NE STE 5201
GRAND RAPIDS, MI 49503
Kent County (616) 486-5885

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 Shruthi Mohan's NPI number?

The NPI number for Shruthi Mohan is 1548720220. It was assigned to this individual provider in the NPPES registry on March 20, 2019.

Where is Shruthi Mohan located?

Shruthi Mohan practices at 35 Michigan St NE Ste 5201, Grand Rapids, MI 49503. The listed phone number is (616) 267-2400.

What is Shruthi Mohan's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Nephrology, with taxonomy code 2080P0210X.

Is Shruthi Mohan enrolled in Medicare?

Yes. Shruthi 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.

What insurance does Shruthi Mohan accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list Shruthi 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.

Is Shruthi Mohan affiliated with any hospitals?

According to CMS data, Shruthi Mohan is affiliated with Spectrum Health.

When was this NPI record last updated?

The NPPES record for Shruthi Mohan was last updated on August 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.