NPIMap

Individual provider Active NPI

Anil Raghav Pai, MD

  • Internal Medicine Physician
  • Independence, OH
National Provider Identifier
1235210360
Registry record updated Oct 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35.074769 Issued in OH
Practice address
6701 Rockside Rd
#370
Independence, OH 44131-2358
Phone
(216) 520-3022
Fax
(216) 520-3023
NPI assigned
Oct 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35.074769 OH Primary

Addresses

Primary practice location

6701 Rockside Rd
#370
Independence, OH 44131-2358

Mailing address

PO Box 39473
Solon, OH 44139-0473
Phone (216) 520-3022

Other identifiers 2

IdentifierTypeStateIssuer
2141542MedicaidOH
110240022OtherOHRAILROAD MEDICARE ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20040429001339 OH Practitioner - Internal Medicine 5092702035 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6701 Rockside Rd
Suite 370
Independence, OH 44131-2351
Phone (216) 520-3022

Hospital & facility affiliations

  • Crossroads Hospice of Northeast Ohio, LLC Hospice, Uniontown, OH, CCN 361625
  • Gardens of Western Reserve Hospice Hospice, Cuyahoga Falls, OH, CCN 361688
  • Cleveland Clinic Hospice Hospice, Independence, OH, CCN 361554
  • Marymount Hospital Hospital, Garfield Heights, OH, CCN 360143
  • Hillcrest Hospital Hospital, Mayfield Heights, OH, CCN 360230
  • Cleveland Clinic Hospital, Cleveland, OH, CCN 360180
  • Anna Maria of Aurora Nursing home, Aurora, OH, CCN 365072
  • Kensington at Anna Maria Nursing home, Aurora, OH, CCN 366004

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.074769OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pai Medical Inc, Internal Medicine CurrentSince Nov 1, 2016 Accepting new patients
Uhhs Bedford Internal Medicine Past Accepting new patients
Marymount Hospital Inc Past Accepting new patients
Cleveland Clinic Health System - East Region Past Accepting new patients
R & G Nursing Care Inc. Past Accepting new patients
Anna Maria of Aurora, Inc. Past Accepting new patients

Locations

6701 Rockside Rd
Ste 370
Independence, OH 44131
Phone (216) 520-3022

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Kensington at Anna MariaAurora, OH, CCN 366004 Skilled nursing facility Adp of the SNF Jul 1, 2024

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 6

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 8

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": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288310400000",
    "number": "1235210360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 39473",
            "city": "SOLON",
            "state": "OH",
            "postal_code": "441390473",
            "telephone_number": "216-520-3022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6701 ROCKSIDE RD",
            "address_2": "#370",
            "city": "INDEPENDENCE",
            "state": "OH",
            "postal_code": "441312358",
            "telephone_number": "216-520-3022",
            "fax_number": "216-520-3023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAI",
        "first_name": "ANIL",
        "middle_name": "RAGHAV",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2010-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35.074769",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2141542",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE ID",
            "identifier": "110240022",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Independence, OH

Sources for this page

Verify at the official NPI Registry.