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

Q: What is the provider's specialty?

The provider's specialty is Pediatrics with taxonomy code 2080P0210X and a focus in Pediatric Nephrology.

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: July 19, 2026.

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

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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.

AARON PAUL JOHNSON LMSW

Social Worker (Clinical)