Individual provider Active NPI

Sanjay Karunagaran, D.D.S, M.S.D,

  • Prosthodontics
  • Medina, OH
National Provider Identifier
1194054650
Registry record updated Jul 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
30.024902 Issued in OH
Practice address
5155 Buehlers Dr Ste 107
Medina, OH 44256-5389
Phone
(901) 485-2000
NPI assigned
Dec 12, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthodontics 1223P0700X 30.024902 OH Primary

Addresses

Primary practice location

5155 Buehlers Dr Ste 107
Medina, OH 44256-5389

Mailing address

5155 Buehlers Dr Ste 107
Medina, OH 44256-5389
Phone (330) 952-2015

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170130002831 OH Practitioner - DentistPractitioner - Oral Surgery 6305128109 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
The Metrohealth System CurrentSince Dec 1, 2018 Accepting new patients
The Metrohealth System CurrentSince Dec 1, 2018 Accepting new patients
Morgan Dental LLC PastSince Jul 28, 2019 Accepting new patients

Locations

2500 Metrohealth Dr
Cleveland, OH 44109
Phone (216) 778-2348

4229 Pearl Rd
Cleveland, OH 44109
Phone (216) 459-6300

9500 Euclid Ave
Cleveland, OH 44195
Phone (216) 442-1270

Organizations & group practices 3

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1260576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563753600000",
    "number": "1194054650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5155 BUEHLERS DR STE 107",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442565389",
            "telephone_number": "330-952-2015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5155 BUEHLERS DR STE 107",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442565389",
            "telephone_number": "901-485-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARUNAGARAN",
        "first_name": "SANJAY",
        "name_prefix": "Dr.",
        "credential": "D.D.S,  M.S.D,",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-12-12",
        "last_updated": "2019-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "OH",
            "license": "30.024902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medina, OH

Sources for this page

Verify at the official NPI Registry.