Individual provider Active NPI

Parul Ramesh Gujarathi, M.D.

  • Internal Medicine Physician
  • Streetsboro, OH
National Provider Identifier
1073628616
Registry record updated Jul 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35-081224 Issued in OH
Practice address
9293 State Route 43
Suite B
Streetsboro, OH 44241-5374
Phone
(330) 626-1113
Fax
(330) 626-1133
NPI assigned
Aug 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35-081224 OH Primary

Addresses

Primary practice location

9293 State Route 43
Suite B
Streetsboro, OH 44241-5374

Mailing address

9293 State Route 43
Suite B
Streetsboro, OH 44241-5374
Phone (330) 626-1113

Other identifiers 1

IdentifierTypeStateIssuer
2399435MedicaidOH

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
I20051101000273 OH Practitioner - Internal Medicine 6305863028 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35-081224OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hospitalist Medicine Physicians of Ohio, Professional Corporation Internal Medicine CurrentSince Oct 1, 2015 Accepting new patients
4M Hospitalist Services, LLC Internal Medicine CurrentSince Jan 1, 2021 Accepting new patients
Hospitalist Medicine Physicians of Richland County, LTD Internal Medicine CurrentSince Oct 23, 2017 Accepting new patients
Inpatient Medical Services, Inc. Internal Medicine CurrentSince Oct 14, 2017 Accepting new patients
Great Lakes Physicians LLC Past Accepting new patients

Locations

12420 Milestone Center Dr
Ste 200
Germantown, MD 20876
Phone (336) 509-7515

1 Akron General Ave
Akron, OH 44307
Phone (330) 344-5760

525 E Market St
Akron, OH 44304
Phone (330) 375-6350

2420 Lake Ave
Ashtabula, OH 44004
Phone (216) 986-2919

1320 Timken Mercy Dr NW
Canton, OH 44708
Phone (330) 489-1000

3557 Embassy Pkwy
Fairlawn, OH 44333
Phone (330) 670-1005

5151 N Hamilton Rd
Gahanna, OH 43230
Phone (614) 337-1066

6847 N Chestnut St
Ravenna, OH 44266
Phone (330) 296-9606

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468368000000",
    "number": "1073628616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9293 STATE ROUTE 43",
            "address_2": "SUITE B",
            "city": "STREETSBORO",
            "state": "OH",
            "postal_code": "442415374",
            "telephone_number": "330-626-1113",
            "fax_number": "330-626-1133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9293 STATE ROUTE 43",
            "address_2": "SUITE B",
            "city": "STREETSBORO",
            "state": "OH",
            "postal_code": "442415374",
            "telephone_number": "330-626-1113",
            "fax_number": "330-626-1133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUJARATHI",
        "first_name": "PARUL",
        "middle_name": "RAMESH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-21",
        "last_updated": "2016-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35-081224",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2399435",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Streetsboro, OH

Sources for this page

Verify at the official NPI Registry.