Active NPI
Mirnal Anil Chaudhary, MD
- Vascular Surgery Physician
- Lima, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- 35C.002926
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mchaudhary229370@phsdirect.pinnaclehealth.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, PA, MD, OH, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 5
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
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
- Mercy Health St Ritas Medical Center
- Luminis Health Doctors Community Medical Ctr, Inc
- Miami Valley Hospital
- United Health Services Hospitals, Inc
- Gettysburg Hospital
Procedures performed for Medicare patients
| Procedure | Number 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
| License | State | Type | Specialty |
|---|---|---|---|
| D0095204 | MD | MD | Vascular Surgery Physician |
| 340229 | NY | MD | Vascular Surgery Physician |
| 35C.002926 | OH | MD | Vascular Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Luminis Health Medical Group, LLC | Current | Accepting new patients | |
| Premier Health Specialists Inc | Current | Accepting new patients | |
| Pinnacle Health Regional Physicians | Current | Accepting new patients | |
| University of Maryland Surgical Associates, PA | Current | Accepting new patients | |
| Pinnacle Health Medical Services | Current | Accepting new patients | |
| Premier Health Specialists Inc | Current | Accepting new patients | |
| Premier Health Specialists Inc | Current | Accepting new patients | |
| Pinnacle Health Medical Services | Current | Accepting new patients | |
| United Health Services Hospitals, Inc. | Current | Accepting new patients | |
| Luminis Health Medical Group, LLC | Current | Accepting new patients | |
| Mercy Health Physicians Lima Specialty Care LLC | Current | 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
- mchaudhary928495@direct.umm.edu
- 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.
-
- Surgery Physician
- Lima, OH
- NPI 1518589803
-
- Internal Medicine Physician
- Moraine, OH
- NPI 1194958223
-
- Multi-Specialty Clinic/Center
- Johnson City, NY
- NPI 1962463851
-
- Family Medicine Physician
- Harrisburg, PA
- NPI 1932143427
-
- Internal Medicine Physician
- Harrisburg, PA
- NPI 1013441690
-
- Obstetrics & Gynecology Physician
- Springboro, OH
- NPI 1558667261
-
- Foot & Ankle Surgery Podiatrist
- Dayton, OH
- NPI 1902211287
-
- Clinic/Center
- Annapolis, MD
- NPI 1053944728
-
- Internal Medicine Physician
- Bowie, MD
- NPI 1720835010
-
- Gastroenterology Physician
- Mechanicsburg, PA
- NPI 1295552073
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Psychiatric Hospital Unit
- Lima, OH
- NPI 1447276936
-
- General Acute Care Hospital
- Lima, OH
- NPI 1811939887
-
- General Acute Care Hospital
- Dayton, OH
- NPI 1073688354
-
- General Acute Care Hospital
- Lanham, MD
- NPI 1730136532
-
- General Acute Care Hospital
- Gettysburg, PA
- NPI 1265466957
-
- General Acute Care Hospital
- Binghamton, NY
- NPI 1518998699
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 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.