Active NPI
Ajaz Umerani, M.D. Inc
- Internal Medicine Physician
- Springfield, OH
National Provider Identifier
1043587470
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 35071757
- Legal business name
- AJAZ UMERANI, M.D. INC
- Practice address
- 2121 E High St
Springfield, OH 45505-1368 - Phone
- (937) 325-3830
- Fax
- (937) 325-3780
- NPI assigned
- Nov 30, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ajaz Umerani, M.D.
- Title
- Owner
- Phone
- (937) 325-3830
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 35071757 | OH | Primary |
Addresses
Primary practice location
2121 E High St
Springfield, OH 45505-1368
Mailing address
2121 E High St
Springfield, OH 45505-1368
Phone (937) 325-3830
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2010693 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120723000582 | OH | Part B Supplier - Clinic/Group Practice | 8729244587 |
Receives reassigned benefits from 1 practitioner Practice locations: Springfield, OH |
National Provider Directory
National Provider DirectoryLocations
2121 E High St
Springfield, OH 45505
Phone (937) 323-6865
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/IIHBBA
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1322611200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1340928000000",
"number": "1043587470",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2121 E HIGH ST",
"city": "SPRINGFIELD",
"state": "OH",
"postal_code": "455051368",
"telephone_number": "937-325-3830",
"fax_number": "937-325-3780"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2121 E HIGH ST",
"city": "SPRINGFIELD",
"state": "OH",
"postal_code": "455051368",
"telephone_number": "937-325-3830",
"fax_number": "937-325-3780"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AJAZ UMERANI, M.D. INC",
"organizational_subpart": "NO",
"enumeration_date": "2011-11-30",
"last_updated": "2012-06-29",
"status": "A",
"authorized_official_last_name": "UMERANI",
"authorized_official_first_name": "AJAZ",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "937-325-3830",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "OH",
"license": "35071757",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2010693",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.