NPIMap

Individual provider Active NPI

Athir J Hajjar, M.D.

  • Pulmonary Disease Physician
  • El Cajon, CA
National Provider Identifier
1164476362
Registry record updated Oct 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
036114867 Issued in IL
Practice address
671 S Mollison Ave
Suite B & C
El Cajon, CA 92020
Phone
(619) 841-8148
Fax
(844) 350-9978
NPI assigned
May 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 036114867 IL Primary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 036114867 IL
Critical Care Medicine (Internal Medicine) Physician 207RC0200X CV2200566 IN

Addresses

Primary practice location

671 S Mollison Ave
Suite B & C
El Cajon, CA 92020

Mailing address

671 S Mollison Ave
Ste B
El Cajon, CA 92020-6618
Phone (619) 841-8148

Other practice location 1

11109 Parkview Plaza Dr
Fort Wayne, IN 46845-1701
Phone (260) 672-6637

Other identifiers 1

IdentifierTypeStateIssuer
036114867MedicaidIL

Other names 1

  • Athir J Merogi Former name

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address ahajjar483756@Direct.Parkviewexchange.com
FHIR URL https://epicprod-mobile.parkview.com/FHIR/api/FHIR/DSTU2/
FHIR URL https://epicprod-mobile.parkview.com/FHIR/api/FHIR/R4/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20150306000259 CA Practitioner - Critical Care (Intensivists)Practitioner - Pulmonary Disease 0446239198 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Critical Care (Intensivists)
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sutter Valley Medical FoundationGroup PAC ID 9830094515, 2,473 clinicians
Farschad Birdjandi MD IncGroup PAC ID 1052655628, 9 clinicians

Practice addresses (Care Compare)

1700 Coffee Rd
Modesto, CA 95355-2803
Phone (209) 526-4500

4033 6TH Ave
San Diego, CA 92103-2202
Phone (619) 297-4086

600 Coffee Rd
Modesto, CA 95355-4201
Phone (209) 524-1211

6655 Alvarado Rd
San Diego, CA 92120-5208
Phone (909) 730-7088

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036114867ILMDCritical Care Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency and Acute Care Medical Corporation CurrentSince Jun 28, 2024 Accepting new patients
KND Development 59 LLC CurrentSince Nov 1, 2021 Accepting new patients
Sutter Valley Medical Foundation CurrentSince May 8, 2022 Accepting new patients
KND Development 59 LLC Current Accepting new patients
Sutter Valley Medical Foundation CurrentSince May 8, 2022 Accepting new patients
KND Development 59, LLC CurrentSince Nov 1, 2021 Accepting new patients
Lung and Sleep Medicine Consultants Inc a Ca Pro Medical Corp Critical Care Medicine CurrentSince Mar 1, 2020 Accepting new patients
NR Medical Associates Pulmonary Disease CurrentSince Jul 29, 2022 Accepting new patients
Advanced Elegant Weight Loss & Family Health Clinic a Professiona Past Accepting new patients
Family Medicine Associates LLC Past Accepting new patients

Locations

751 Medical Center Ct
Chula Vista, CA 91911
Phone (619) 482-3639

815 Court St
Ste 7
Jackson, CA 95642
Phone (209) 257-5900

5555 Grossmont Center Dr
La Mesa, CA 91942
Phone (619) 465-0711

600 Coffee Rd
Modesto, CA 95355
Phone (209) 550-4755

6655 Alvarado Rd
San Diego, CA 92120
Phone (619) 229-3130

4940 El Cajon Blvd
San Diego, CA 92115
Phone (619) 543-4500

555 Washington St
San Diego, CA 92103
Phone (619) 260-8300

7901 Frost St
San Diego, CA 92123
Phone (619) 541-3400

Interoperability endpoints

  • Direct secure messaging: ahajjar621946@hisp.ehr.sutterhealth.org
  • Direct secure messaging: ahajjar@alvaradophysicians.mdlogic.direct-ci.com
  • Direct secure messaging: ahajjar483756@direct.parkviewexchange.com

Organizations & group practices 11

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 6

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": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665792000000",
    "number": "1164476362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "671 S MOLLISON AVE",
            "address_2": "STE B",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920206618",
            "telephone_number": "619-841-8148",
            "fax_number": "844-350-9978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "671 S MOLLISON AVE",
            "address_2": "SUITE B & C",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "92020",
            "telephone_number": "619-841-8148",
            "fax_number": "844-350-9978"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11109 Parkview Plaza Dr",
            "address_purpose": "LOCATION",
            "city": "Fort Wayne",
            "state": "IN",
            "postal_code": "468451701",
            "country_code": "US",
            "telephone_number": "260-672-6637",
            "fax_number": "260-458-5355",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAJJAR",
        "first_name": "ATHIR",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-20",
        "last_updated": "2022-10-15",
        "certification_date": "2022-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "IL",
            "license": "036114867",
            "primary": true
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "IL",
            "license": "036114867",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "IN",
            "license": "CV2200566",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036114867",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ahajjar483756@Direct.Parkviewexchange.com",
            "affiliation": "N",
            "address_1": "11104 Parkview Circle Dr",
            "city": "Fort Wayne",
            "state": "IN",
            "country_code": "US",
            "postal_code": "468451672",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicprod-mobile.parkview.com/FHIR/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "11104 Parkview Circle Dr",
            "city": "Fort Wayne",
            "state": "IN",
            "country_code": "US",
            "postal_code": "468451672",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicprod-mobile.parkview.com/FHIR/api/FHIR/R4/",
            "affiliation": "N",
            "address_1": "11104 Parkview Circle Dr",
            "city": "Fort Wayne",
            "state": "IN",
            "country_code": "US",
            "postal_code": "468451672",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ATHIR",
            "last_name": "MEROGI",
            "middle_name": "J",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in El Cajon, CA

Sources for this page

Verify at the official NPI Registry.