SAI SANJEEVANI MEDICAL GROUP LLC
NPI 1871361121
Internal Medicine in Clarksdale, MS

Q: What is Sai Sanjeevani Medical Group LLC's NPI number?

The NPI number for Sai Sanjeevani Medical Group LLC is 1871361121. It was assigned to this organization in the NPPES registry on December 15, 2023.

Q: What is Sai Sanjeevani Medical Group LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since December 15, 2023

785 OHIO AVE, CLARKSDALE, MS 38614(662) 351-0702 Get Directions Write a Review

NPPES record last updated: February 7, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 7, 2024, Dec 15, 2023 (2 updates tracked since 2023).

On this page

About Sai Sanjeevani Medical Group Llc NPPES

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

SAI SANJEEVANI MEDICAL GROUP LLC (NPI 1871361121) is a healthcare organization registered as an internal medicine in Clarksdale, Mississippi and active in the NPI registry since December 2023. The organization lists Gowdhami Mohan, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1871361121

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business NameSAI SANJEEVANI MEDICAL GROUP LLC

Location Address785 OHIO AVEClarksdale, MS 38614-6217

Mailing Address785 Ohio AveClarksdale, MS 38614-6217

Phone(662) 351-0702

Organization SubpartNo

Authorized OfficialGowdhami MohanMedical Director · (662) 351-0702

Enumeration DateDecember 15, 2023

Last NPPES UpdateFebruary 7, 20242 updates tracked since enumeration

NPPES CertifiedFebruary 7, 2024

✔ NPI 1871361121 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

785 OHIO AVE, Clarksdale, MS 38614

Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sai Sanjeevani Medical Group Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 5 clinicians reassign Medicare billing to Sai Sanjeevani Medical Group LLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.

Clinicians, nearest first (5)

Jeanne Lilly, PHD

Clinical Psychologist

NPI 1457120545

785 OHIO AVE STE 3E
Clarksdale, MS 38614

(662) 351-0702

✔ PECOSSame address

Chitra Mani, MD

Pediatric Medicine

NPI 1811006901

785 OHIO AVE STE 3E
Clarksdale, MS 38614

(662) 351-0702

✔ PECOS✔ Accepts MedicareSame address

Gowdhami Mohan, MD

Sleep Medicine

NPI 1114921806

785 OHIO AVE STE 3E
Clarksdale, MS 38614

(662) 351-0702

✔ PECOS✔ Accepts MedicareSame address

Raj Dave, MD

Cardiovascular Disease (Cardiology)

NPI 1508851510

4901 RALEIGH COMMON DRIVE SUITE 100
Memphis, TN 38128

(901) 371-9040

✔ PECOS✔ Accepts Medicare80 mi

Yamuna Ekambaram, MD

Pediatric Medicine

NPI 1699740381

4100 GOSS RD FOX ARMY HEALTH CENTER, PEDIATRIC CLINIC
Redstone, AL 35809

(256) 955-8888

✔ PECOS233 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Sai Sanjeevani Medical Group LLC's NPI number?

The NPI number for Sai Sanjeevani Medical Group LLC is 1871361121. It was assigned to this organization in the NPPES registry on December 15, 2023.

Where is Sai Sanjeevani Medical Group LLC located?

Sai Sanjeevani Medical Group LLC is located at 785 Ohio Ave, Clarksdale, MS 38614. The listed phone number is (662) 351-0702.

What is Sai Sanjeevani Medical Group LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Sai Sanjeevani Medical Group LLC enrolled in Medicare?

Yes. Sai Sanjeevani Medical Group LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Sai Sanjeevani Medical Group LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians reassign their Medicare billing to Sai Sanjeevani Medical Group LLC, in Cardiovascular Disease (Cardiology), Clinical Psychologist, Pediatric Medicine and Sleep Medicine. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Sai Sanjeevani Medical Group LLC accept?

Health plans from Molina Healthcare list Sai Sanjeevani Medical Group LLC 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.

When was this NPI record last updated?

The NPPES record for Sai Sanjeevani Medical Group LLC was last updated on February 7, 2024. 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.