MOHAN M MENON M.D.
NPI 1851491377
Allergy & Immunology in Fort Wayne, IN

Q: What is Mohan Menon's NPI number?

The NPI number for Mohan Menon is 1851491377. It was assigned to this individual provider in the NPPES registry on September 24, 2006.

Q: What is Mohan Menon's specialty?

The primary specialty registered for this NPI is Allergy & Immunology with taxonomy code 207K00000X.

Q: When was this NPI record last updated?

The NPPES record for Mohan Menon was last updated on August 13, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since September 24, 2006PECOS Enrolled

3030 LAKE AVE, SUITE 27, FORT WAYNE, IN 46805(260) 422-5569(260) 422-6086 Get Directions Write a Review

NPPES record last updated: August 13, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mohan M Menon M.d. NPPES

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

MOHAN M MENON M.D. (NPI 1851491377) is an individual allergy & immunology provider in Fort Wayne, Indiana, licensed in Indiana (01028503A) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1851491377

Entity TypeIndividualMale

Primary Taxonomy207K00000X

Provider Legal NameMOHAN M MENONCredential: M.D.

Location Address3030 LAKE AVE, SUITE 27Fort Wayne, IN 46805-5428

Mailing Address1234 E. Dupont Rd., Suite 1Fort Wayne, IN 46825-1545 · (260) 373-9728 · Fax (260) 458-5664

Phone(260) 422-5569

Fax(260) 422-6086

Sole ProprietorNo

Enumeration DateSeptember 24, 2006

Last NPPES UpdateAugust 13, 2012

✔ NPI 1851491377 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAllergy & ImmunologyAllopathic & Osteopathic Physicians

Taxonomy Code207K00000X

License✔ Licensed in IN · 01028503A

Definition

An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system.

3030 LAKE AVE, Fort Wayne, IN 46805

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Other Identifiers 3

Medicare ID-Type Unspecified057960

Medicaid100054450IN

Medicare UPINE61083

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mohan M Menon M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Injection, immune globulin (privigen), intravenous, non-lyophilized (e.g., liquid), 500 mg J1459

Treatment-Injections and Infusions (nononcologic) · category RI008N

1 supplier13 claims1,170 services$36.14 avg. paid by Medicare

Services, supplies and accessories used in the home under the medicare intravenous immune globulin (ivig) demonstration Q2052

Treatment-Chemotherapy · category RH012N

1 supplier13 claims13 services$309.69 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 19

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

JAMES A SHUPE JR. DDS

Dentist (Pediatric Dentistry)

3030 LAKE AVE, SUITE 15
FORT WAYNE, IN 46805

Allen County (260) 422-8419

THOMAS P VAN DEN DRIESSCHE M.D.

Family Medicine

3030 LAKE AVE, SUITE32
FORT WAYNE, IN 46805

Allen County (260) 424-3134

LITTLE TURTLE PEDIATRICS, P.C.

Pediatrics (Adolescent Medicine)

3030 LAKE AVE, SUITE 10
FORT WAYNE, IN 46805

Allen County (260) 422-2448

INTERDISCIPLINARY DIAGNOSTIC AND EVALUATION CENTER, INC.

Clinic/Center (Developmental Disabilities)

3030 LAKE AVE, SUITE 7
FORT WAYNE, IN 46805

Allen County (260) 422-2838

JAMES A SHUPE DDS, DENTISTRY FOR CHILDREN, INC

Dentist (Pediatric Dentistry)

3030 LAKE AVE, SUITE 15
FORT WAYNE, IN 46805

Allen County (260) 422-8419

MICHAEL FELIX BARILE D.C.,P.T.

Physical Therapist

3030 LAKE AVE, 26
FORT WAYNE, IN 46805

Allen County (260) 420-4400

JENNIFER A CHAPMAN P.T.

Physical Therapist

3030 LAKE AVE, SUITE 24
FORT WAYNE, IN 46805

Allen County (260) 424-8830

DRS. NELSON & MENON

Allergy & Immunology

3030 LAKE AVE, SUITE 27
FORT WAYNE, IN 46805

Allen County (260) 422-5569

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 Menon's NPI number?

The NPI number for Mohan Menon is 1851491377. It was assigned to this individual provider in the NPPES registry on September 24, 2006.

Where is Mohan Menon located?

Mohan Menon practices at 3030 Lake Ave Suite 27, Fort Wayne, IN 46805. The listed phone number is (260) 422-5569.

What is Mohan Menon's specialty?

The primary specialty registered for this NPI is Allergy & Immunology with taxonomy code 207K00000X.

Is Mohan Menon enrolled in Medicare?

Yes. Mohan Menon is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mohan Menon was last updated on August 13, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.