Active NPI
Ajwad Bajwa, M.D.
- Diagnostic Radiology Physician
- Royal Oak, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 036.142851
- Practice address
- 3601 W 13 Mile Rd
Royal Oak, MI 48073-6712 - Phone
- (248) 551-0424
- NPI assigned
- May 28, 2012
- Last updated
- Apr 6, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 4301100590 | MI | |
| Diagnostic Radiology Physician | 2085R0202X | 036.142851 | IL | Primary |
Addresses
Primary practice location
3601 W 13 Mile Rd
Royal Oak, MI 48073-6712
Mailing address
1740 W Taylor St
Chicago, IL 60612-7232
Phone (866) 600-2273
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, IN, OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Northwestern University Feinberg Medical School, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1035 W Wayne St
Paulding, OH 45879-1544
Phone (419) 399-4080
3707 New Vision Dr
Fort Wayne, IN 46845-1702
Phone (260) 969-1124
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036.142851 | IL | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fort Wayne Radiology Associates LLC | Diagnostic Radiology | Current | Accepting new patients |
| Community Hospitals and Wellness Centers | Current | Accepting new patients | |
| Community Hospitals and Wellness Centers | Current | Accepting new patients | |
| Integrated Imaging Consultants LLC | Diagnostic Radiology | Current | Accepting new patients |
| Rockford Radiology Assoc | Diagnostic Radiology | Current | Accepting new patients |
| Breast Diagnostic Center, LLC | Diagnostic Radiology | Current | Accepting new patients |
| P E T Imaging Services LLC | Diagnostic Radiology | Current | Accepting new patients |
Locations
1420 Renaissance Dr
Ste 307
Park Ridge, IL 60068
Phone (847) 803-1000
1775 W Dempster St
Park Ridge, IL 60068
Phone (847) 723-5150
5666 E State St
Rockford, IL 61108
Phone (815) 226-2000
1818 Carew St
Ste 30
Fort Wayne, IN 46805
Phone (260) 425-5900
2110 Carew St
Fort Wayne, IN 46805
Phone (219) 432-6710
2200 Randallia Dr
Fort Wayne, IN 46805
Phone (260) 373-4000
3707 New Vision Dr
Fort Wayne, IN 46845
Phone (260) 373-4000
1355 Mariners Dr
Warsaw, IN 46582
Phone (574) 267-6778
121 Westfield Dr
Archbold, OH 43502
Phone (419) 445-2015
433 W High St
Bryan, OH 43506
Phone (419) 636-1131
909 E Snyder Ave
Montpelier, OH 43543
Phone (419) 485-3154
1035 W Wayne St
Paulding, OH 45879
Phone (419) 399-4080
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Breast Diagnostic Screening Center, LLC
- Diagnostic Radiology Physician
- Fort Wayne, IN
- NPI 1790748499
-
dba Dexa Diagnostics
- Diagnostic Radiology Physician
- Fort Wayne, IN
- NPI 1063475861
OH
-
- Diagnostic Radiology Physician
- Park Ridge, IL
- NPI 1700285335
-
dba P.E.T. Fusion
- Diagnostic Radiology Physician
- Fort Wayne, IN
- NPI 1992768691
-
- Diagnostic Radiology Physician
- Rockford, IL
- NPI 1740247535
-
- General Practice Physician
- Bryan, OH
- NPI 1225167893
-
- Medicare Defined Swing Bed Hospital Unit
- Montpelier, OH
- NPI 1386687218
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Parkview Noble Hospital
- General Acute Care Hospital
- Kendallville, IN
- NPI 1457366189
-
dba Parkview Dekalb Hospital
- General Acute Care Hospital
- Auburn, IN
- NPI 1902897937
-
dba Parkview Regional Medical Center
- General Acute Care Hospital
- Fort Wayne, IN
- NPI 1366407603
-
dba Parkview Wabash Hospital
- Critical Access Hospital
- Wabash, IN
- NPI 1245259878
-
dba Parkview Whitley Hospital
- General Acute Care Hospital
- Columbia City, IN
- NPI 1205844495
-
dba Parkview Whitley Hospital
- Land Ambulance
- Columbia City, IN
- NPI 1497764450
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1338163200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1491436800000",
"number": "1023378767",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1740 W TAYLOR ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606127232",
"telephone_number": "866-600-2273"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3601 W 13 MILE RD",
"city": "ROYAL OAK",
"state": "MI",
"postal_code": "480736712",
"telephone_number": "248-551-0424"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAJWA",
"first_name": "AJWAD",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-05-28",
"last_updated": "2017-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MI",
"license": "4301100590",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "IL",
"license": "036.142851",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Royal Oak, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.