Individual provider Active NPI

Taras Mahlay, MD

  • Internal Medicine Physician
  • North Royalton, OH
National Provider Identifier
1285727164
Registry record updated Dec 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35061578 Issued in OH
Practice address
14200 Ridge Rd
North Royalton, OH 44133-4975
Phone
(440) 582-9600
Fax
(440) 582-5492
NPI assigned
Oct 2, 2006
Last updated
Dec 8, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2020

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 35061578 OH Primary

Addresses

Primary practice location

14200 Ridge Rd
North Royalton, OH 44133-4975

Mailing address

PO Box 74624
Cleveland, OH 44194-0707
Phone (440) 816-2777

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tarasmahlay@uhps.allscriptsdirect.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35061578OHMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607385600000",
    "number": "1285727164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 74624",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441940707",
            "telephone_number": "440-816-2777",
            "fax_number": "440-816-5437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14200 RIDGE RD",
            "city": "NORTH ROYALTON",
            "state": "OH",
            "postal_code": "441334975",
            "telephone_number": "440-582-9600",
            "fax_number": "440-582-5492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHLAY",
        "first_name": "TARAS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2020-12-08",
        "certification_date": "2020-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35061578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tarasmahlay@uhps.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "14200 Ridge Rd",
            "city": "North Royalton",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441334975",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in North Royalton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.