P Praxis·MD
● Active Type 1 · Individual

Pradeep S Mohan, MD

Surgery·Cibolo, TX· NPI 1235351610 · Enumerated 2007 · 19 years on NPI
Mohan is 1 of 2 surgery providers in Cibolo and 1 of 548 in Texas.
NPI age
19 years
Enumerated 2007-05-03
Primary specialty
Surgery
Plus 3 subspecialties
Licensed in
TX, IL
2 states
Status
Active
No deactivations on record
Last NPPES update
2017-04-23
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 548 active surgery providers in Texas.

NPI age
19 years
↑ 2 yr above median (17 yr)
State licenses
2 states
Top 85% — 15% of peers are multi-state
Subspecialties
1
In the 40% of peers with subspecialties

NPI lifetime · 2007 → 2026

2007-05Enumerated in NPPES
2007 2026

Where they practice

Practice location
4200 Green Valley Rd
Cibolo, TX 781081900
📞 3256659111
Mailing address
4200 Green Valley Rd
Cibolo, TX 781081900
📞 3256659111

Specialties

  • Surgery Primary
    A surgeon who specializes in plastic and reconstructive surgery.
    TX license #N8956IL license #036116392 taxonomy 2086S0122X
  • Surgery
    A surgeon with expertise in the investigation, preservation and restoration by medical, surgical and rehabilitative means, of all structures of the upper extremity directly affecting the form and function of the hand and wrist.
    IL license #036116392TX license #N8956 taxonomy 2086S0105X

Identifiers

TypeValueNotes
01 (KY) 3581444000 PASSPORT ADVANTAGE
05 (IN) 200922110
05 (KY) 7100067840
01 (KY) 50021605 PASSPORT
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.

Practice context

Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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