Mohan Krishna Bangaru, - Medicare Nephrology in Detroit, MI

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Mohan Krishna Bangaru, is a medicare enrolled "Internal Medicine - Nephrology" physician in Detroit, Michigan. He graduated from medical school in 2009 and has 17 years of diverse experience with area of expertise as Nephrology. He is a member of the group practice Southwest Kidney Institute Plc, Banner Cancer Center Specialists Llc and his current practice location is 4201 Saint Antoine St, Detroit, Michigan. You can reach out to his office (for appointments etc.) via phone at (313) 745-7145.

Mohan Krishna Bangaru is licensed to practice in Michigan (license number 4301119098) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1275932121.

Contact Information

Mohan Krishna Bangaru,
4201 Saint Antoine St,
Detroit, MI 48201-2153
(313) 745-7145
Not Available

Map and Direction




Physician's Profile

Full NameMohan Krishna Bangaru
GenderMale
SpecialityNephrology
Experience17 Years
Location4201 Saint Antoine St, Detroit, Michigan
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mohan Krishna Bangaru graduated from medical school in 2009
  NPI Data:
  • NPI Number: 1275932121
  • Provider Enumeration Date: 08/16/2014
  • Last Update Date: 07/21/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 6709107527
  • Enrollment ID: I20250312002264

Medical Identifiers

Medical identifiers for Mohan Krishna Bangaru such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1275932121NPI-NPPES
B526609478425OtherMIDRIVING LICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RN0300XInternal Medicine - Nephrology 4301119098 (Michigan)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
San Carlos Dialysis (fmc)Peridot, AZDialysis facility
Banner Gateway Medical CenterGilbert, AZHospital
Mountain Vista Medical Center, LpMesa, AZHospital
Banner Ironwood Medical CenterQueen creek, AZHospital
Banner Baywood Medical CenterMesa, AZHospital
Dignity Health Arizona General HospitalMesa, AZHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Southwest Kidney Institute Plc822493098798
Banner Cancer Center Specialists Llc6103097779337

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mohan Krishna Bangaru allows following entities to bill medicare on his behalf.
Entity NameSouthwest Kidney Institute Plc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1659316008
PECOS PAC ID: 8224930987
Enrollment ID: O20040211001069

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mohan Krishna Bangaru is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mohan Krishna Bangaru,
19426 Mayfield Ave Apt 104,
Livonia, MI 48152-4203

Ph: (313) 421-6686		Mohan Krishna Bangaru,
4201 Saint Antoine St,
Detroit, MI 48201-2153

Ph: (313) 745-7145

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.