Individual provider Active NPI

Subhash C Mahajan, M.D.

  • Gastroenterology Physician
  • Cleveland, OH
National Provider Identifier
1053399063
Registry record updated Aug 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
35040794 Issued in OH
Practice address
7215 Old Oak Blvd
A312
Cleveland, OH 44130-3340
Phone
(440) 816-2733
Fax
(440) 816-5436
NPI assigned
Jan 9, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 24, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 35040794 OH Primary

Addresses

Primary practice location

7215 Old Oak Blvd
A312
Cleveland, OH 44130-3340

Mailing address

7215 Old Oak Blvd
A312
Cleveland, OH 44130-3340
Phone (440) 816-2733

Other identifiers 1

IdentifierTypeStateIssuer
0341802MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120425000599 OH Practitioner - Gastroenterology 0840325148 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 1971
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7215 Old Oak Blvd
A312
Cleveland, OH 44130-3340
Phone (440) 816-2733

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy33
Upper gastrointestinal (GI) endoscopy for acid reflux207

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35040794OHMDGastroenterology Physician
40974OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Subhash C. Mahajan, MD Inc Gastroenterology CurrentSince Apr 1, 1994 Accepting new patients

Locations

7215 Old Oak Blvd
Ste A312
Cleveland, OH 44130
Phone (216) 826-2733

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1136764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251072000000",
    "number": "1053399063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7215 OLD OAK BLVD",
            "address_2": "A312",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441303340",
            "telephone_number": "440-816-2733",
            "fax_number": "440-816-5436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7215 OLD OAK BLVD",
            "address_2": "A312",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441303340",
            "telephone_number": "440-816-2733",
            "fax_number": "440-816-5436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHAJAN",
        "first_name": "SUBHASH",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-09",
        "last_updated": "2009-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "OH",
            "license": "35040794",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0341802",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.