Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mohan Prabu, MD

Individual provider Neurology Physician · NPI 1104021062

Mohan Prabu, MD is a Neurology in Kokomo, Indiana. Qualified in 1999, 27 years ago. Practices with St Vincent Medical Group Inc, a 727-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Florida, Indiana and Nebraska.

Years since qualifying
27
Licensed in
FL, IN, NE
In the registry since
2007
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2354 W Blvd
Kokomo, IN 46902-6069
Phone: (765) 457-4800
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 841 Prudential Dr Fl 10, Jacksonville, FL 32207-8329 — (904) 398-5404
  • 6901 N 72nd St, Omaha, NE 68122-1709 — (402) 717-0070

Specialties & licences

Neurology Physician (primary) Taxonomy 2084N0400X · Licence ME149732 (FL)
Neurology Physician Taxonomy 2084N0400X · Licence 01072686A (IN)
Neurology Physician Taxonomy 2084N0400X · Licence 27885 (NE)

Record details

NPI number1104021062
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 19, 2007
Last updated in NPPESAugust 9, 2022
Certification dateAugust 9, 2022
Mailing address2354 W Boulevard, Kokomo, IN 46902-6069

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNEUROLOGY
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Group practice St Vincent Medical Group Inc — 727 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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