NPIMap

Individual provider Active NPI

Mukul G Pandit, MD

  • Internal Medicine Physician
  • Cleveland, OH
National Provider Identifier
1104815554
Registry record updated Dec 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35072995 Issued in OH
Practice address
3569 Ridge Rd
Cleveland, OH 44102-5443
Phone
(216) 281-0872
Fax
(216) 281-9721
NPI assigned
Oct 18, 2005
Last updated
Dec 1, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2025

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 35072995 OH Primary

Addresses

Primary practice location

3569 Ridge Rd
Cleveland, OH 44102-5443

Mailing address

PO Box 932127 Suite 301
Cleveland, OH 44193-0001
Phone (216) 431-1500

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address directstlukes@cleveland.ipsmso.com
Direct Messaging Address directstlukes@cleveland.ipsmso.com Outreach Professional Services Inc

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050128000339 OH Practitioner - Internal Medicine 2668422486 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2475 E 22ND St
FL 4
Cleveland, OH 44115-3209
Phone (216) 363-2570

3569 Ridge Rd
Cleveland, OH 44102-5443
Phone (216) 281-0872

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35072995OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Outreach Professional Services, Inc CurrentSince Jan 15, 2005 Accepting new patients
Outreach Professional Services Inc Internal Medicine CurrentSince Jan 15, 2005 Accepting new patients
St Vincent Charity Medical Center CurrentSince Nov 16, 2022 Accepting new patients
Neighborhood Health Care Incorporated CurrentSince Dec 1, 2025 Accepting new patients
Neighborhood Health Care Incorporated CurrentSince Dec 1, 2025 Accepting new patients
Neighborhood Health Care Incorporated Current Accepting new patients
St Vincent Charity Medical Center Internal Medicine CurrentSince Nov 16, 2022 Accepting new patients
Neighborhood Health Care Incorporated Current Accepting new patients
Franklin Boulevard Nursing Home, Inc. Past Accepting new patients
Neighborhood Health Care Incorporated Past Accepting new patients
FHS Westlake, Inc. Past Accepting new patients
University Manor Healthcare Group, Inc Past Accepting new patients

Locations

11201 Shaker Blvd
#102A
Cleveland, OH 44104
Phone (216) 721-6900

11201 Shaker Blvd
Ste 220
Cleveland, OH 44104
Phone (216) 368-7001

13027 Lorain Ave
Cleveland, OH 44111
Phone (216) 688-1046

14625 Puritas Ave
Cleveland, OH 44135
Phone (216) 252-4600

2322 E 22nd St
Ste 207
Cleveland, OH 44115
Phone (216) 363-2578

2351 E 22nd St
Fl 7
Cleveland, OH 44115
Phone (216) 592-2175

2358 Professor Ave
Cleveland, OH 44113
Phone (216) 334-2800

2475 E 22nd St
Fl 4
Cleveland, OH 44115
Phone (216) 363-2570

2475 E 22nd St
Ste 120
Cleveland, OH 44115
Phone (216) 367-9444

3569 Ridge Rd
Cleveland, OH 44102

3600 Franklin Blvd
Cleveland, OH 44113
Phone (216) 363-7733

4115 Bridge Ave
Ste 300
Cleveland, OH 44113
Phone (216) 237-6129

6412 Franklin Blvd
Cleveland, OH 44102
Phone (216) 363-7733

7580 Northcliff Ave
Ste 500
Cleveland, OH 44144
Phone (216) 387-9896

11906 Madison Ave
Lakewood, OH 44107

Interoperability endpoints

  • Direct secure messaging: directstlukes@cleveland.ipsmso.com
  • Direct secure messaging: mikul.pandit@1087.direct.myezyaccess.com

Organizations & group practices 12

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.

Hospital & facility affiliations 4

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": "1129593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764547200000",
    "number": "1104815554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 932127 SUITE 301",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441930001",
            "telephone_number": "216-431-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3569 RIDGE RD",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441025443",
            "telephone_number": "216-281-0872",
            "fax_number": "216-281-9721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANDIT",
        "first_name": "MUKUL",
        "middle_name": "G",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-18",
        "last_updated": "2025-12-01",
        "certification_date": "2025-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35072995",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "directstlukes@cleveland.ipsmso.com",
            "affiliation": "N",
            "address_1": "2475 E 22nd St Ste 120",
            "city": "Cleveland",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441153221",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "directstlukes@cleveland.ipsmso.com",
            "affiliation": "Y",
            "affiliationName": "Outreach Professional Services Inc",
            "address_1": "2475 E 22nd St Ste 120",
            "city": "Cleveland",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441153221",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.