Organization Active NPI

Mohan J Durve, MD Inc

  • Specialist
  • Parma, OH
National Provider Identifier
1124225040
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
41028 Issued in OH
Legal business name
MOHAN J DURVE, MD INC
Practice address
6681 Ridge Rd
305
Parma, OH 44129-5713
Phone
(440) 845-7272
Fax
(440) 845-7080
NPI assigned
Jul 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Mohan J Durve, MDNPI 1003866302
Title
President
Phone
(440) 845-7272

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 41028 OH Primary

Addresses

Primary practice location

6681 Ridge Rd
305
Parma, OH 44129-5713

Mailing address

6681 Ridge Rd
305
Parma, OH 44129-5713
Phone (440) 845-7272

Other identifiers 1

IdentifierTypeStateIssuer
0398216MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040521000097 OH Part B Supplier - Clinic/Group Practice 9032100755 Receives reassigned benefits from 1 practitioner
Practice locations: Fairlawn, OH; Lorain, OH; Parma, OH; Solon, OH

National Provider Directory

National Provider Directory

Locations

4560 Oberlin Ave
Ste 2
Lorain, OH 44053
Phone (440) 282-2146

18660 Bagley Rd
Ste 200
Middleburg Heights, OH 44130
Phone (440) 845-7272

6707 Powers Blvd
Ste 302
Parma, OH 44129
Phone (440) 743-2380

6115 Powers Blvd
Ste 202
Parma, OH 44129
Phone (440) 845-7272

6200 Som Center Rd
Ste C10
Solon, OH 44139
Phone (440) 282-2146

4200 Warrensville Center Rd
Ste 395
Warrensville Heights, OH 44122
Phone (216) 491-7888

Practitioners & affiliated clinicians

Practitioners 3

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": "1183420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124225040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6681 RIDGE RD",
            "address_2": "305",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441295713",
            "telephone_number": "440-845-7272",
            "fax_number": "440-845-7080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6681 RIDGE RD",
            "address_2": "305",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441295713",
            "telephone_number": "440-845-7272",
            "fax_number": "440-845-7080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOHAN J DURVE, MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DURVE",
        "authorized_official_first_name": "MOHAN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "440-845-7272",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "OH",
            "license": "41028",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0398216",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Parma, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.