NPIMap

Individual provider Active NPI

Susheela Rajan, MD

  • Internal Medicine Physician
  • Batavia, OH
National Provider Identifier
1144273673
Registry record updated Sep 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35-077077 Issued in OH
Practice address
2055 Hospital Dr
Suite 300
Batavia, OH 45103-1978
Phone
(513) 732-0663
Fax
(513) 732-1232
NPI assigned
May 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 35-077077 OH
Internal Medicine Physician 207R00000X 35-077077 OH Primary

Addresses

Primary practice location

2055 Hospital Dr
Suite 300
Batavia, OH 45103-1978

Mailing address

2055 Hospital Dr
Suite 300
Batavia, OH 45103-1978
Phone (513) 732-0663

Other identifiers 4

IdentifierTypeStateIssuer
200996490MedicaidIN
7100188370MedicaidKY
2202155MedicaidOH
P00388634OtherOHRR MEDICARE

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
I20040602000680 OH Practitioner - Internal Medicine 2961484142 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clermont Internists Associates IncGroup PAC ID 6901885847, 18 clinicians

Practice addresses (Care Compare)

2055 Hospital Dr
Suite 300
Batavia, OH 45103-1981
Phone (513) 732-0663

Hospital & facility affiliations

  • Hospice of Hope - Ohio Valley Hospice, Mount Orab, OH, CCN 361583
  • Mercy Health - Clermont Hospital Hospital, Batavia, OH, CCN 360236
  • Mercy Health-Anderson Hospital Hospital, Cincinnati, OH, CCN 360001

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35-077077OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Clermont Internists Associates, Inc. Internal Medicine CurrentSince Nov 1, 2012 Accepting new patients
Trihealth Physician Institute Internal Medicine Past Accepting new patients
Comprehensive Hospital Medicine Associates, LLC Hospitalist PastSince Nov 1, 2009 Accepting new patients
Mercy Health - Clermont Hospital LLC Past Accepting new patients

Locations

2055 Hospital Dr
Ste 300
Batavia, OH 45103
Phone (513) 732-0663

Interoperability endpoints

  • Direct secure messaging: srajan63150@direct.bsmhealth.org

Organizations & group practices 4

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.

Hospital & facility affiliations 3

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": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348531200000",
    "number": "1144273673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2055 HOSPITAL DR",
            "address_2": "SUITE 300",
            "city": "BATAVIA",
            "state": "OH",
            "postal_code": "451031978",
            "telephone_number": "513-732-0663",
            "fax_number": "513-732-1232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2055 HOSPITAL DR",
            "address_2": "SUITE 300",
            "city": "BATAVIA",
            "state": "OH",
            "postal_code": "451031978",
            "telephone_number": "513-732-0663",
            "fax_number": "513-732-1232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAJAN",
        "first_name": "SUSHEELA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-18",
        "last_updated": "2012-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "OH",
            "license": "35-077077",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35-077077",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200996490",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100188370",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2202155",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00388634",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Batavia, OH

Sources for this page

Verify at the official NPI Registry.