Mohan Mallikarjuna Edupuganti, MD - Medicare Interventional Cardiology in Washington, MO

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Mohan Mallikarjuna Edupuganti, MD is a medicare enrolled "Internal Medicine - Interventional Cardiology" physician in Washington, Missouri. He graduated from medical school in 2004 and has 20 years of diverse experience with area of expertise as Interventional Cardiology. He is a member of the group practice Integris Cardiovascular Physicians Llc, Metro Physicians Llc, Ou Health Partners Inc and his current practice location is 901 Patients First Dr Ste 2500, Washington, Missouri. You can reach out to his office (for appointments etc.) via phone at (636) 239-2711.

Mohan Mallikarjuna Edupuganti is licensed to practice in Missouri (license number 2018042912) 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 1164737490.

Contact Information

Mohan Mallikarjuna Edupuganti, MD
901 Patients First Dr Ste 2500,
Washington, MO 63090
(636) 239-2711
Not Available

Map and Direction




Physician's Profile

Full NameMohan Mallikarjuna Edupuganti
GenderMale
SpecialityInterventional Cardiology
Experience20 Years
Location901 Patients First Dr Ste 2500, Washington, Missouri
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 Mallikarjuna Edupuganti graduated from medical school in 2004
  NPI Data:
  • NPI Number: 1164737490
  • Provider Enumeration Date: 08/11/2010
  • Last Update Date: 02/11/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 3173830981
  • Enrollment ID: I20191031002681

Medical Identifiers

Medical identifiers for Mohan Mallikarjuna Edupuganti such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1164737490NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RI0011XInternal Medicine - Interventional Cardiology E9506 (Arkansas)Secondary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary
207RI0011XInternal Medicine - Interventional Cardiology 2018042912 (Missouri)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Integris Bass Baptist Health CenterEnid, OKHospital
Ssm Health St Anthony Hospital - ShawneeShawnee, OKHospital
Ssm Health St Anthony Hospital - Oklahoma CityOklahoma city, OKHospital
Stillwater Medical CenterStillwater, OKHospital
Integris Baptist Medical Center, IncOklahoma city, OKHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Integris Cardiovascular Physicians Llc357773006899
Metro Physicians Llc115379481338
Ou Health Partners Inc5991105876779

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 Mallikarjuna Edupuganti allows following entities to bill medicare on his behalf.
Entity NameBoard Of Regents Of The University Of Oklahoma - Ou Physicians
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801869250
PECOS PAC ID: 2860304334
Enrollment ID: O20031103000607
Entity NameSt John Physicians Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1336194406
PECOS PAC ID: 2567366495
Enrollment ID: O20031121000867
Entity NameSt Marys Physician Associates Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1740302751
PECOS PAC ID: 3678672276
Enrollment ID: O20070622000126
Entity NameIntegris Cardiovascular Physicians Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1306129598
PECOS PAC ID: 3577730068
Enrollment ID: O20120207000415
Entity NameSt. Anthony Shawnee Hospital, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1619260411
PECOS PAC ID: 1052567328
Enrollment ID: O20121015000218
Entity NameOptimum Care Hospitalist Group Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1306396577
PECOS PAC ID: 3779862446
Enrollment ID: O20161121001476
Entity NameMidwest Hospitalist Group Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376011478
PECOS PAC ID: 9133465354
Enrollment ID: O20190109001451
Entity NameOptimum Complete Care, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295359248
PECOS PAC ID: 3678996014
Enrollment ID: O20200702000164
Entity NameOu Health Partners Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1528642642
PECOS PAC ID: 5991105876
Enrollment ID: O20210615000618
Entity NameOptimum Post Acute Care Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1225774227
PECOS PAC ID: 5799162111
Enrollment ID: O20220524001222
Entity NameMetro Physicians Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1588374797
PECOS PAC ID: 1153794813
Enrollment ID: O20230227002752

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 Mallikarjuna Edupuganti 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 Mallikarjuna Edupuganti, MD
901 Patients First Dr Ste 2500,
Washington, MO 63090-4700

Ph: (636) 239-2711		Mohan Mallikarjuna Edupuganti, MD
901 Patients First Dr Ste 2500,
Washington, MO 63090

Ph: (636) 239-2711

Reviews and Comments


Internal Medicine Doctors in Washington, MO

Dr. Isaac I Cohen, MD
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 901 Patients First Drive, Washington, MO 63090
Phone: 636-390-1600    Fax: 636-390-1601
Sudhanshu Gogia, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 901 Patients First Dr, Washington, MO 63090
Phone: 636-239-7344    Fax: 636-239-9436
Dr. Nicholas W Frederickson, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 901 Patients First Drive Suite 3300, Washington, MO 63090
Phone: 636-239-7344    Fax: 636-239-9436
Dr. John R Douglas Peterson, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 901 Patients First Dr Ste 3300, Washington, MO 63090
Phone: 636-239-7344    
Dr. Roberto Pacheco-coronado, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 901 Patients First Dr Ste 2500, Washington, MO 63090
Phone: 636-239-2711    
Lydia Luisa Archuleta, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 901 E 5th St, Washington, MO 63090
Phone: 636-239-8000    

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.