Individual provider Active NPI

Mirnal Anil Chaudhary, MD

  • Vascular Surgery Physician
  • Lima, OH
National Provider Identifier
1154687531
Registry record updated Dec 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
35C.002926 Issued in OH
Practice address
830 W High St Ste 207
Lima, OH 45801-3975
Phone
(419) 226-9182
Fax
(419) 996-5090
NPI assigned
Apr 10, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 18, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X MD478869 PA
Vascular Surgery Physician 2086S0129X 35C.002926 OH Primary
Vascular Surgery Physician 2086S0129X 340229 NY
Vascular Surgery Physician 2086S0129X FC1854860 PA
Vascular Surgery Physician 2086S0129X D0095204 MD

Addresses

Primary practice location

830 W High St Ste 207
Lima, OH 45801-3975

Mailing address

22 S Greene St # S10B00
Baltimore, MD 21201-1544
Phone (410) 328-5840

Other practice location 1

1 Wyoming St Ste 4130
Dayton, OH 45409-2722
Phone (937) 438-8640

Other practice location 2

1227 Baltimore St
Hanover, PA 17331-4406
Phone (717) 851-6454

Other practice location 3

2900 Carlisle Pike
New Oxford, PA 17350-8426
Phone (717) 851-8426

Other practice location 4

30 Harrison St Ste 455
Johnson City, NY 13790-2176
Phone (607) 763-8100

Other practice location 5

25 Monument Rd Ste 145
York, PA 17403-5060
Phone (717) 851-6454

Other practice location 6

176 S Coldbrook Ave
Chambersburg, PA 17201-2712
Phone (717) 851-6454

Other practice location 7

450 S Washington St
Gettysburg, PA 17325-2500
Phone (717) 851-6454

Other practice location 8

22 S Greene St Ste S10B00
Baltimore, MD 21201-1544
Phone (410) 328-5840

Other practice location 9

310 Stock St Ste 3
Hanover, PA 17331-2276
Phone (717) 637-1738

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mchaudhary229370@phsdirect.pinnaclehealth.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, PA, MD, OH, NY5 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20220929002548 DC Practitioner - Vascular SurgeryPractitioner - General Surgery 6608004254 Reassigns benefits to 2 organizations
I20221006000964 PA Practitioner - Vascular SurgeryPractitioner - General Surgery 6608004254 Reassigns benefits to 2 organizations
I20221007001017 MD Practitioner - Vascular SurgeryPractitioner - General Surgery 6608004254 Reassigns benefits to 1 organization
I20250922001396 OH Practitioner - Vascular Surgery 6608004254 Reassigns benefits to 2 organizations
I20260210004510 NY Practitioner - Vascular SurgeryPractitioner - General Surgery 6608004254 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Health Specialists IncGroup PAC ID 5597708594, 576 clinicians
Luminis Health Medical Group, LLCGroup PAC ID 2860447315, 540 clinicians
Mercy Health Physicians Lima Specialty Care LLCGroup PAC ID 7012332364, 254 clinicians

Practice addresses (Care Compare)

1 Wyoming St
Dayton, OH 45409-2722
Phone (937) 277-8988

22 S Green St
Baltimore, MD 21201-1544
Phone (410) 328-5191

30 Harrison St
Suite 455
Johnson City, NY 13790-2176
Phone (607) 763-8100

4175 N Hanson Court
201 Luminis Health Breast Center of Bowie
Bowie, MD 20716-3181
Phone (443) 481-5300

4175 N Hanson CT
Bowie, MD 20716-3181

8116 Good Luck Rd
Lanham, MD 20706-3508

8118 Good Luck Rd
Lanham, MD 20706-3574
Phone (301) 552-8118

830 W High St
Suite 207
Lima, OH 45801-3975
Phone (419) 996-4011

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0095204MDMDVascular Surgery Physician
340229NYMDVascular Surgery Physician
35C.002926OHMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Luminis Health Medical Group, LLC CurrentSince Jan 1, 2026 Accepting new patients
Premier Health Specialists Inc CurrentSince Nov 1, 2025 Accepting new patients
Pinnacle Health Regional Physicians CurrentSince Sep 1, 2022 Accepting new patients
University of Maryland Surgical Associates, PA CurrentSince Sep 8, 2022 Accepting new patients
Pinnacle Health Medical Services CurrentSince Sep 1, 2022 Accepting new patients
Premier Health Specialists Inc Current Accepting new patients
Premier Health Specialists Inc CurrentSince Nov 1, 2025 Accepting new patients
Pinnacle Health Medical Services CurrentSince Sep 1, 2022 Accepting new patients
United Health Services Hospitals, Inc. CurrentSince Feb 6, 2026 Accepting new patients
Luminis Health Medical Group, LLC CurrentSince Jan 1, 2026 Accepting new patients
Mercy Health Physicians Lima Specialty Care LLC CurrentSince Oct 13, 2025 Accepting new patients
University of Maryland Surgcial Assoc PA Past Accepting new patients
Luminis Health Medical Group, LLC Past Accepting new patients

Locations

22 S Greene St
Baltimore, MD 21201
Phone (410) 328-5793

22 S Greene St
Ste S10B0
Baltimore, MD 21201
Phone (410) 328-5840

419 W Redwood St
Fl 3
Baltimore, MD 21201
Phone (410) 328-5300

22 S Greene St
#S10B0
Baltimore, MD 21201
Phone (410) 328-5840

4175 N Hanson Ct
Ste 201
Bowie, MD 20716
Phone (443) 481-1199

3001 Hospital Dr
Hyattsville, MD 20785
Phone (301) 618-2000

8116 Good Luck Rd
Ste 210
Lanham, MD 20706
Phone (240) 965-4405

30 Harrison St
Ste 455
Johnson City, NY 13790
Phone (607) 763-8100

1 Wyoming St
Ste 4130
Dayton, OH 45409
Phone (937) 208-6810

1 Wyoming St
#6816
Dayton, OH 45409

830 W High St
Ste 390
Lima, OH 45801
Phone (419) 995-4960

830 W High St
Ste 207
Lima, OH 45801
Phone (419) 226-9182

3170 Kettering Blvd
Moraine, OH 45439
Phone (937) 208-6400

450 N Hyatt St
Ste 304
Tipp City, OH 45371
Phone (937) 832-4773

210 Forge Rd
Boiling Springs, PA 17007
Phone (717) 249-8300

310 Stock St
Ste 3
Hanover, PA 17331

2201 Brunswick Dr
Ste 2200
Hanover, PA 17331
Phone (717) 637-7755

2501 N 3rd St
Fl 2
Harrisburg, PA 17110
Phone (717) 782-2100

16324 Mount Airy Rd
Shrewsbury, PA 17361
Phone (717) 227-3800

1703 Innovation Dr
Ste 4120
York, PA 17408
Phone (717) 632-9263

Interoperability endpoints

  • Direct secure messaging: mchaudhary928495@direct.umm.edu
  • Direct secure messaging: mchaudhary3062044@direct.bsmhealth.org

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 7

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": "1334016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766016000000",
    "number": "1154687531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 S GREENE ST # S10B00",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212011544",
            "telephone_number": "410-328-5840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 W HIGH ST STE 207",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458013975",
            "telephone_number": "419-226-9182",
            "fax_number": "419-996-5090"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Wyoming St Ste 4130",
            "address_purpose": "LOCATION",
            "city": "Dayton",
            "state": "OH",
            "postal_code": "454092722",
            "country_code": "US",
            "telephone_number": "937-438-8640",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1227 Baltimore St",
            "address_purpose": "LOCATION",
            "city": "Hanover",
            "state": "PA",
            "postal_code": "173314406",
            "country_code": "US",
            "telephone_number": "717-851-6454",
            "fax_number": "717-851-1665",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2900 Carlisle Pike",
            "address_purpose": "LOCATION",
            "city": "New Oxford",
            "state": "PA",
            "postal_code": "173508426",
            "country_code": "US",
            "telephone_number": "717-851-8426",
            "fax_number": "717-851-1665",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "30 Harrison St Ste 455",
            "address_purpose": "LOCATION",
            "city": "Johnson City",
            "state": "NY",
            "postal_code": "137902176",
            "country_code": "US",
            "telephone_number": "607-763-8100",
            "fax_number": "607-763-8048",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "25 Monument Rd Ste 145",
            "address_purpose": "LOCATION",
            "city": "York",
            "state": "PA",
            "postal_code": "174035060",
            "country_code": "US",
            "telephone_number": "717-851-6454",
            "fax_number": "717-851-1665",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "176 S Coldbrook Ave",
            "address_purpose": "LOCATION",
            "city": "Chambersburg",
            "state": "PA",
            "postal_code": "172012712",
            "country_code": "US",
            "telephone_number": "717-851-6454",
            "fax_number": "717-851-1665",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "450 S Washington St",
            "address_purpose": "LOCATION",
            "city": "Gettysburg",
            "state": "PA",
            "postal_code": "173252500",
            "country_code": "US",
            "telephone_number": "717-851-6454",
            "fax_number": "717-851-1665",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "22 S Greene St Ste S10B00",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212011544",
            "country_code": "US",
            "telephone_number": "410-328-5840",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "310 Stock St Ste 3",
            "address_purpose": "LOCATION",
            "city": "Hanover",
            "state": "PA",
            "postal_code": "173312276",
            "country_code": "US",
            "telephone_number": "717-637-1738",
            "fax_number": "717-646-7430",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAUDHARY",
        "first_name": "MIRNAL",
        "middle_name": "ANIL",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-04-10",
        "last_updated": "2025-12-18",
        "certification_date": "2025-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "PA",
            "license": "MD478869",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "OH",
            "license": "35C.002926",
            "primary": true
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "NY",
            "license": "340229",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "PA",
            "license": "FC1854860",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "MD",
            "license": "D0095204",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mchaudhary229370@phsdirect.pinnaclehealth.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "310 Stock St Ste 3",
            "city": "Hanover",
            "state": "PA",
            "country_code": "US",
            "postal_code": "173312276",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lima, OH

Sources for this page

Verify at the official NPI Registry.