Pine Mountain Clinic PSC
NPI 1205054327ActiveOrganization· Internal Medicine· Pineville, KY
Internal Medicine in Pineville, Kentucky, registered in NPPES in April 2007. The authorized official on file is Madhan Mohan, MD, Owner. Enrolled in Medicare as part a provider - rural health clinic.
Overview
| NPI | 1205054327 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 23, 2007 |
| Last updated in NPPES | Jan 7, 2026 |
| Certified by provider | Jan 7, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | 29667 | KY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part A Provider - Rural Health Clinic (KY) |
|---|
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