Organization Active NPI

Moin a. Ranginwala, MD, Inc.

  • Pulmonary Disease Physician
  • Springfield, OH
National Provider Identifier
1073635587
Registry record updated Aug 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
35053689 Issued in OH
Legal business name
MOIN A. RANGINWALA, MD, INC.
Practice address
2029 E High St
Suite101
Springfield, OH 45505-1315
Phone
(937) 325-9450
Fax
(937) 325-9460
NPI assigned
Apr 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2014

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

Authorized official

Name
Dr. Moin A. Ranginwala, M.D.NPI 1134166317
Title
President
Phone
(937) 325-9450

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RC0200X 35053689 OH
Pulmonary Disease PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RP1001X 35053689 OH Primary

Addresses

Primary practice location

2029 E High St
Suite101
Springfield, OH 45505-1315

Mailing address

2029 E High St
Suite101
Springfield, OH 45505-1315
Phone (937) 325-9450

Other identifiers 1

IdentifierTypeStateIssuer
2826375MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071130000235 OH Part B Supplier - Clinic/Group Practice 7113016064 Receives reassigned benefits from 1 practitioner
Practice locations: Springfield, OH

National Provider Directory

National Provider Directory

Locations

2029 E High St
Ste 101
Springfield, OH 45505
Phone (937) 325-9450

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": "1175644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408924800000",
    "number": "1073635587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2029 E HIGH ST",
            "address_2": "SUITE101",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455051315",
            "telephone_number": "937-325-9450",
            "fax_number": "937-325-9460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2029 E HIGH ST",
            "address_2": "SUITE101",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455051315",
            "telephone_number": "937-325-9450",
            "fax_number": "937-325-9460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOIN A. RANGINWALA, MD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-04",
        "last_updated": "2014-08-25",
        "status": "A",
        "authorized_official_last_name": "RANGINWALA",
        "authorized_official_first_name": "MOIN",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "937-325-9450",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "OH",
            "license": "35053689",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "OH",
            "license": "35053689",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2826375",
            "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 Aug 25, 2014; 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.

Verify at the official NPI Registry.