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Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Mohan Kumar Bangalore Puttaiah, MD

Family Medicine Physician in Lovington, NM · enumerated 2007.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1619007697

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Registry record

Entity type Individual (Type 1)
Name Mohan Kumar Bangalore Puttaiah
Credential MD
Sex Male
Practice address 1600 N Main Ave, Lovington, NM, 88260
Enumeration date Mar 7, 2007
Last updated in NPPES Dec 4, 2024

Taxonomy & licenses

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License M-8828 (ID) Secondary
207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License 35196 (SC) Secondary
207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License 49480 (MN) Secondary
207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License MD2019-0994 (NM) Primary
MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier Type State Issuer
0-569-979-8 Other ID ECFMG CERTIFICATION #
00010145533 Other ID BLUESHIELD OF IDAHO GF #
000010145534 Other ID BLUESHIELD OF IDAHO MH #
000010145537 Other ID BLUESHIELD OF IDAHO GV #
58826 Other ID BLUE CROSS OF IDAHO
539004052 08 Other ID I-94 # CLASS H1B1
806780500 Medicaid ID -
0007241559 Other ID AETNA ID #
284867 Other ID ALTIUS HEALTH PLAN BILL #
CS10257 Other ID IDAHO CONTROLLED SUBST. #
M-8828 Other ID IDAHO MEDICAL LICENSE #
P00161243 Other ID RAILROAD MEDICARE BILL #

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Is NPI 1619007697 active?
Yes, as of the latest NPPES snapshot, NPI 1619007697 is active (record last updated 2024-12-04).
How do I verify Mohan Bangalore Puttaiah's NPI record?
Cross-check NPI 1619007697 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-12-04.