MOHAN KUMAR BANGALORE PUTTAIAH MD
NPI 1619007697
Family Medicine in Lovington, NM

Active since March 07, 2007PECOS EnrolledAccepts Medicare Assignment
1600 N MAIN AVE, LOVINGTON, NM 88260(575) 396-6611 Get Directions Write a Review

NPPES record last updated: December 4, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 4, 2024, Mar 7, 2023, Mar 2, 2023 and 1 more (4 updates tracked since 2020).

About Mohan Kumar Bangalore Puttaiah Md NPPES

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

MOHAN KUMAR BANGALORE PUTTAIAH MD (NPI 1619007697) is an individual family medicine provider in Lovington, New Mexico, licensed in New Mexico (MD2019-0994) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS, is affiliated with Gerald Champion Regional Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1619007697
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMOHAN KUMAR BANGALORE PUTTAIAHCredential: MD
Location Address1600 N MAIN AVELovington, NM 88260-2830
Mailing Address1600 N Main AveLovington, NM 88260-2830 · (575) 396-6611
Sole ProprietorNo
Medical School CMSOtherGraduated 1993
Enumeration DateMarch 7, 2007
Last NPPES UpdateDecember 4, 20244 updates tracked since enumeration
NPPES CertifiedDecember 4, 2024
NPI 1619007697 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in NM · MD2019-0994 Licensed in ID · M-8828 Licensed in SC · 35196 Licensed in MN · 49480
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1600 N MAIN AVE, Lovington, NM 88260

Other Names 1

Other Name (5)Mohan Kumar Md

Secondary Practice Locations 2

Location 110040 Two Notch RdColumbia, SC 29223-4396 · Phone (208) 788-1153 · Fax (803) 736-3243
Location 2131 Harbison Blvd Ste AColumbia, SC 29212-2226 · Phone (803) 485-1400 · Fax (803) 485-1405

Other Identifiers 12

Other0-569-979-8ID · Ecfmg Certification #
Other00010145533ID · Blueshield Of Idaho Gf #
Other000010145534ID · Blueshield Of Idaho Mh #
Other000010145537ID · Blueshield Of Idaho Gv #
Other58826ID · Blue Cross Of Idaho
Other539004052 08ID · I-94 # Class H1b1
Medicaid806780500ID
Other0007241559ID · Aetna Id #
Other284867ID · Altius Health Plan Bill #
OtherCS10257ID · Idaho Controlled Subst. #
OtherM-8828ID · Idaho Medical License #
OtherP00161243ID · Railroad Medicare Bill #

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 and accepts Medicare assignment

Mohan Kumar Bangalore Puttaiah 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 ID8123098738
PECOS Enrollment IDI20130311000388, I20200131001530
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.

Areas of Expertise CMS Part B claims 5

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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
151 services142 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
133 services129 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
85 services76 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
21 services20 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
16 services16 patients

Hospital Affiliations CMS Care Compare 3

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

Gerald Champion Regional Medical Center

Acute Care Hospitals · Alamogordo, NM
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number320004
Location2669 Scenic DriveAlamogordo, NM 88310 · Otero County
Emergency services Birthing friendly

Roosevelt General Hospital

Acute Care Hospitals · Portales, NM
OwnershipGovernment - Hospital District or Authority
CMS Certification Number320084
Location42121 Us Highway 70Portales, NM 88130 · Roosevelt County
Emergency services

Dr Dan C Trigg Memorial Hospital

Critical Access Hospitals · Tucumcari, NM
OwnershipVoluntary non-profit - Private
CMS Certification Number321302
Location301 East Miel De Luna AvenueTucumcari, NM 88401 · Quay County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 88260 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
$84.79 typical visit price
range $54.26 – $166.80
Typical copayment $21.19 (range $13.56 – $41.70)
Most-billed visit code 99203
Established Patient
$96.38 typical visit price
range $17.00 – $135.35
Typical copayment $24.09 (range $4.25 – $33.83)
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.

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 (Cardiovascular Disease)
1600 N MAIN AVE
LOVINGTON, NM 88260
Family Medicine
1600 N MAIN AVE
LOVINGTON, NM 88260
Nurse Practitioner (Family)
1600 N MAIN AVE
LOVINGTON, NM 88260
Physical Therapist
1600 N MAIN AVE
LOVINGTON, NM 88260
Counselor (Professional)
1600 N MAIN AVE
LOVINGTON, NM 88260
Pediatrics
1600 N MAIN AVE
LOVINGTON, NM 88260
Internal Medicine
1600 N MAIN AVE
LOVINGTON, NM 88260
Social Worker (Clinical)
1600 N MAIN AVE
LOVINGTON, NM 88260

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 Bangalore Puttaiah's NPI number?

The NPI number for Mohan Bangalore Puttaiah is 1619007697. It was assigned to this individual provider in the NPPES registry on March 7, 2007. The provider is also known as Mohan Kumar MD.

Where is Mohan Bangalore Puttaiah located?

Mohan Bangalore Puttaiah practices at 1600 N Main Ave, Lovington, NM 88260. The listed phone number is (575) 396-6611.

What is Mohan Bangalore Puttaiah's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Mohan Bangalore Puttaiah enrolled in Medicare?

Yes. Mohan Bangalore Puttaiah 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 Mohan Bangalore Puttaiah accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Superior HealthPlan, Ambetter of Oklahoma, Blue Cross and Blue Shield of Texas and Molina Healthcare list Mohan Bangalore Puttaiah 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 Mohan Bangalore Puttaiah affiliated with any hospitals?

According to CMS data, Mohan Bangalore Puttaiah is affiliated with Gerald Champion Regional Medical Center, Roosevelt General Hospital and Dr Dan C Trigg Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Mohan Bangalore Puttaiah was last updated on December 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.