Active NPI
Mukul G Pandit, MD
- Internal Medicine Physician
- Cleveland, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 35072995
- Practice address
- 3569 Ridge Rd
Cleveland, OH 44102-5443 - Phone
- (216) 281-0872
- Fax
- (216) 281-9721
- NPI assigned
- Oct 18, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110199927 | Other | OH | RR MEDICARE |
| 2146350 | Medicaid | OH |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050128000339 | OH | Practitioner - Internal Medicine | 2668422486 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35072995 | OH | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neighborhood Health Care Incorporated | Current | Accepting new patients | |
| Outreach Professional Services, Inc | Current | Accepting new patients | |
| St Vincent Charity Medical Center | Internal Medicine | Current | Accepting new patients |
| Neighborhood Health Care Incorporated | Current | Accepting new patients | |
| St Vincent Charity Medical Center | Current | Accepting new patients | |
| Neighborhood Health Care Incorporated | Current | Accepting new patients | |
| Outreach Professional Services Inc | Internal Medicine | Current | Accepting new patients |
| Neighborhood Health Care Incorporated | Current | Accepting new patients | |
| University Manor Healthcare Group, Inc | Past | Accepting new patients | |
| FHS Westlake, Inc. | Past | Accepting new patients | |
| Franklin Boulevard Nursing Home, Inc. | Past | Accepting new patients | |
| Neighborhood Health Care Incorporated | Past | Accepting new patients |
Locations
2322 E 22nd St
Ste 207
Cleveland, OH 44115
Phone (216) 363-2578
3569 Ridge Rd
Cleveland, OH 44102
2351 E 22nd St
Fl 7
Cleveland, OH 44115
Phone (216) 592-2175
4115 Bridge Ave
Ste 300
Cleveland, OH 44113
Phone (216) 237-6129
6412 Franklin Blvd
Cleveland, OH 44102
Phone (216) 363-7733
2475 E 22nd St
Ste 120
Cleveland, OH 44115
Phone (216) 367-9444
2358 Professor Ave
Cleveland, OH 44113
Phone (216) 334-2800
11201 Shaker Blvd
Ste 220
Cleveland, OH 44104
Phone (216) 368-7001
11201 Shaker Blvd
#102A
Cleveland, OH 44104
Phone (216) 721-6900
14625 Puritas Ave
Cleveland, OH 44135
Phone (216) 928-1950
13027 Lorain Ave
Cleveland, OH 44111
Phone (216) 688-1046
7580 Northcliff Ave
Ste 500
Cleveland, OH 44144
Phone (216) 387-9896
3600 Franklin Blvd
Cleveland, OH 44113
Phone (216) 363-7733
2475 E 22nd St
Fl 4
Cleveland, OH 44115
Phone (216) 363-2570
11906 Madison Ave
Lakewood, OH 44107
Interoperability endpoints
- mikul.pandit@1087.direct.myezyaccess.com
Organizations & group practices 20
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.
-
- Community/Behavioral Health Agency
- Cleveland, OH
- NPI 1902529985
Internal Medicine, OH
-
- Federally Qualified Health Center (FQHC)
- Cleveland, OH
- NPI 1295786267
-
- Pharmacy
- Cleveland, OH
- NPI 1205327095
-
- Federally Qualified Health Center (FQHC)
- Cleveland, OH
- NPI 1306268677
-
- Federally Qualified Health Center (FQHC)
- Cleveland, OH
- NPI 1316148745
-
- Federally Qualified Health Center (FQHC)
- Cleveland, OH
- NPI 1326690934
-
- Federally Qualified Health Center (FQHC)
- Cleveland, OH
- NPI 1437539517
-
- Federally Qualified Health Center (FQHC)
- Cleveland, OH
- NPI 1477823565
-
- Federally Qualified Health Center (FQHC)
- Lakewood, OH
- NPI 1669146908
-
- Federally Qualified Health Center (FQHC)
- Lakewood, OH
- NPI 1831666965
-
- Primary Care Clinic/Center
- Cleveland, OH
- NPI 1265702351
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Skilled Nursing Facility
- Cleveland, OH
- NPI 1235230533
Nursing home
-
- Skilled Nursing Facility
- Cleveland, OH
- NPI 1760593818
Nursing home
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
- St Vincent Charity Medical CenterNeighborhood Health Care Incorporated
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
- Continuum Care Hospice
- Crocker Pointe Health and Rehabilitation
- University Manor Health & Reha
- Franklin Plaza Extended Care
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": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "110199927",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2146350",
"state": "OH"
}
],
"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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.