Individual provider Active NPI

Kewal K Mahajan, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Oregon, OH
National Provider Identifier
1245237650
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
35042232 Issued in OH
Practice address
3841 Navarre Ave
Oregon, OH 43616-3435
Phone
(419) 691-8132
Fax
(419) 691-2061
NPI assigned
Jun 30, 2005
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 35042232 OH Primary

Addresses

Primary practice location

3841 Navarre Ave
Oregon, OH 43616-3435

Mailing address

3841 Navarre Ave
Oregon, OH 43616-3435
Phone (419) 691-8132

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
I20100126000218 OH Practitioner - Internal MedicinePractitioner - Geriatric MedicinePractitioner - Critical Care (Intensivists) 9234163619 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Physicians-North LLC CurrentSince Jan 1, 2014 Accepting new patients
Oregon Clinic, Inc. CurrentSince Feb 27, 1980 Accepting new patients
Mercy Health Physicians - North, LLC CurrentSince Jan 1, 2014 Accepting new patients
Oregon Health Investors, Company Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Mercy Health - St Vincent Medical Center LLC Past Accepting new patients

Locations

2600 Navarre Ave
Oregon, OH 43616
Phone (419) 696-7200

3841 Navarre Ave
Oregon, OH 43616
Phone (419) 691-8132

2222 Cherry St
Ste 2300
Toledo, OH 43608
Phone (419) 251-8013

3404 W Sylvania Ave
Toledo, OH 43623
Phone (419) 407-1422

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1120089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1245237650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3841 NAVARRE AVE",
            "city": "OREGON",
            "state": "OH",
            "postal_code": "436163435",
            "telephone_number": "419-691-8132",
            "fax_number": "419-691-2061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3841 NAVARRE AVE",
            "city": "OREGON",
            "state": "OH",
            "postal_code": "436163435",
            "telephone_number": "419-691-8132",
            "fax_number": "419-691-2061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHAJAN",
        "first_name": "KEWAL",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "OH",
            "license": "35042232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oregon, OH

Sources for this page

Verify at the official NPI Registry.