DR. BABU PAPPU MOHAN MD
NPI 1619232139
Internal Medicine - Gastroenterology in Orlando, FL

Active since July 10, 2012PECOS EnrolledAccepts Medicare Assignment
87.39/100
CMS Quality Rating
1507 S HIAWASSEE RD STE 105, ORLANDO, FL 32835(407) 445-9224 Get Directions Write a Review

NPPES record last updated: September 7, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 7, 2023, Jun 6, 2023, Jun 2, 2020 (3 updates tracked since 2020).

About Dr. Babu Pappu Mohan Md NPPES

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

DR. BABU PAPPU MOHAN MD (NPI 1619232139) is an individual gastroenterology provider in Orlando, Florida, licensed in Florida (ME157973) and active in the NPI registry since July 2012. He is enrolled in Medicare PECOS, is affiliated with Orlando Health, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1619232139
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameDR. BABU PAPPU MOHANCredential: MD
Location Address1507 S HIAWASSEE RD STE 105Orlando, FL 32835-5706
Mailing Address1507 S Hiawassee Rd Ste 105Orlando, FL 32835-5706 · (407) 445-9224
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateJuly 10, 2012
Last NPPES UpdateSeptember 7, 20233 updates tracked since enumeration
NPPES CertifiedAugust 23, 2023
NPI 1619232139 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License Licensed in FL · ME157973
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
1507 S HIAWASSEE RD STE 105, Orlando, FL 32835

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

Dr. Babu Pappu 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 ID4385964501
PECOS Enrollment IDI20230531001254
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.

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
49 services48 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
38 services36 patients
Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
31 services13 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
25 services24 patients
Colorectal cancer screening; colonoscopy on individual at high risk G0105
Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.
12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Orlando Health

Acute Care Hospitals · Orlando, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100006
Location52 W Underwood StOrlando, FL 32806 · Orange County
Emergency services Birthing friendly

Orlando Health-Health Central Hospital

Acute Care Hospitals · Ocoee, FL
2/5 CMS rating
OwnershipGovernment - State
CMS Certification Number100030
Location10000 W Colonial DrOcoee, FL 34761 · Orange County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32835 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

87.39/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality72.01
Improvement Activities40
Cost95.3

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Gastroenterology)
1507 S HIAWASSEE RD STE 105
ORLANDO, FL 32835
Nurse Practitioner (Primary Care)
1507 S HIAWASSEE RD STE 105
ORLANDO, FL 32835
Pain Medicine (Interventional Pain Medicine)
1507 S HIAWASSEE RD STE 105
ORLANDO, FL 32835
Anesthesiology (Pain Medicine)
1507 S HIAWASSEE RD STE 105
ORLANDO, FL 32835
Nurse Practitioner (Family)
1507 S HIAWASSEE RD STE 105
ORLANDO, FL 32835

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 Babu Pappu Mohan's NPI number?

The NPI number for Babu Pappu Mohan is 1619232139. It was assigned to this individual provider in the NPPES registry on July 10, 2012.

Where is Babu Pappu Mohan located?

Babu Pappu Mohan practices at 1507 S Hiawassee Rd Ste 105, Orlando, FL 32835. The listed phone number is (407) 445-9224.

What is Babu Pappu Mohan's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Babu Pappu Mohan enrolled in Medicare?

Yes. Babu Pappu 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 Babu Pappu Mohan accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Health First Commercial Plans, Inc. and Oscar Health Maintenance Organization of Florida list Babu Pappu 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 Babu Pappu Mohan affiliated with any hospitals?

According to CMS data, Babu Pappu Mohan is affiliated with Orlando Health and Orlando Health-Health Central Hospital.

When was this NPI record last updated?

The NPPES record for Babu Pappu Mohan was last updated on September 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.