Active NPI
Ajeeb John Titus, MD
- Family Medicine Physician
- Bethlehem, PA
National Provider Identifier
1124065966
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(4) exclusion effective Nov 20, 2023.
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD068349L
- Practice address
- 2591 Baglyos Cir
Suite C-50
Bethlehem, PA 18020-8027 - Phone
- (484) 821-0203
- Fax
- (484) 821-0214
- NPI assigned
- Jun 1, 2006
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD068349L | PA | Primary |
Addresses
Primary practice location
2591 Baglyos Cir
Suite C-50
Bethlehem, PA 18020-8027
Mailing address
2591 Baglyos Cir
Suite C-50
Bethlehem, PA 18020-8027
Phone (484) 821-0203
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00323966 | Other | PA | MEDICARE RAILROAD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD068349L | PA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Luke'S Warren Physician Group, PC | Past | Accepting new patients |
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.
-
- Ophthalmology Physician
- Phillipsburg, NJ
- NPI 1568347201
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1222300800000",
"number": "1124065966",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2591 BAGLYOS CIR",
"address_2": "SUITE C-50",
"city": "BETHLEHEM",
"state": "PA",
"postal_code": "180208027",
"telephone_number": "484-821-0203",
"fax_number": "484-821-0214"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2591 BAGLYOS CIR",
"address_2": "SUITE C-50",
"city": "BETHLEHEM",
"state": "PA",
"postal_code": "180208027",
"telephone_number": "484-821-0203",
"fax_number": "484-821-0214"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TITUS",
"first_name": "AJEEB",
"middle_name": "JOHN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-01",
"last_updated": "2008-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PA",
"license": "MD068349L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "P00323966",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bethlehem, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.