Individual provider Active NPI

Neeraj Mahajan, MD

  • Hematology & Oncology Physician
  • Wadsworth, OH
National Provider Identifier
1194718692
Registry record updated Jan 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
35-097835 Issued in OH
Practice address
5133 Ridge Rd Ste 5
Wadsworth, OH 44281-8078
Phone
(330) 239-7250
Fax
(330) 239-7251
NPI assigned
Aug 30, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 23780 SC
Hematology & Oncology Physician 207RH0003X 2008-01240 NC
Hematology & Oncology Physician 207RH0003X 35-097835 OH Primary

Addresses

Primary practice location

5133 Ridge Rd Ste 5
Wadsworth, OH 44281-8078

Mailing address

24701 Euclid Ave
Euclid, OH 44117-1714
Phone (330) 239-7250

Other identifiers 2

IdentifierTypeStateIssuer
89066F8MedicaidNC
T80828MedicaidSC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address neerajmahajan@uhps.allscriptsdirect.net

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111005000714 OH Practitioner - Hematology 0042384042 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University Primary Care Practices IncGroup PAC ID 3072417534, 1,071 clinicians

Practice addresses (Care Compare)

5133 Ridge Rd
Suite 1
Wadsworth, OH 44281-8078
Phone (330) 239-4455

Hospital & facility affiliations

  • Uh Cleveland Medical Center Hospital, Cleveland, OH, CCN 360137
  • Parma Community General Hospital Hospital, Parma, OH, CCN 360041
  • Uh St John Medical Center Hospital, Westlake, OH, CCN 360123

Merit-based Incentive Payment System (MIPS)

Final score
91.15 of 100Reported as apm
Quality
82.31
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2008-01240NCMDHematology & Oncology Physician
35-097835OHMDHematology & Oncology Physician
23780SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University Primary Care Practices Inc Current Accepting new patients
University Primary Care Practices Inc CurrentSince Sep 1, 2011 Accepting new patients
University Primary Care Practices Past Accepting new patients

Locations

158 W Main Rd
Ste 203
Conneaut, OH 44030
Phone (440) 285-2960

6525 Powers Blvd
#3
Parma, OH 44129

6525 Powers Blvd
Parma, OH 44129
Phone (330) 242-4020

5133 Ridge Rd
Ste 1
Wadsworth, OH 44281
Phone (330) 234-4455

5133 Ridge Rd
Ste 5
Wadsworth, OH 44281
Phone (330) 239-7250

960 Clague Rd
Ste 3280
Westlake, OH 44145
Phone (440) 250-2033

Interoperability endpoints

  • Direct secure messaging: neerajmahajan@uhhs.allscriptsdirect.net
  • Direct secure messaging: nmahajan37524@ehrdirect.uhhospitals.org
  • Direct secure messaging: nmahajan@direct.swgeneral.com

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.

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": "1125360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610582400000",
    "number": "1194718692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24701 EUCLID AVE",
            "city": "EUCLID",
            "state": "OH",
            "postal_code": "441171714",
            "telephone_number": "330-239-7250",
            "fax_number": "330-239-7251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5133 RIDGE RD STE 5",
            "city": "WADSWORTH",
            "state": "OH",
            "postal_code": "442818078",
            "telephone_number": "330-239-7250",
            "fax_number": "330-239-7251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHAJAN",
        "first_name": "NEERAJ",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-30",
        "last_updated": "2021-01-14",
        "certification_date": "2021-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "SC",
            "license": "23780",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NC",
            "license": "2008-01240",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "OH",
            "license": "35-097835",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89066F8",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "T80828",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "neerajmahajan@uhps.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "6525 Powers Blvd Bldg 3",
            "city": "Parma",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441295461",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wadsworth, OH

Sources for this page

Verify at the official NPI Registry.