Individual provider Active NPI

Paraja Thakuria, M.D.

  • Psychiatry Physician
  • Columbus, OH
National Provider Identifier
1295944395
Registry record updated Oct 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
35050150 Issued in OH
Practice address
1515 E Broad St
Columbus, OH 43205-1550
Phone
(614) 252-0711
NPI assigned
May 22, 2007
Last updated
Oct 25, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 35050150 OH Primary

Addresses

Primary practice location

1515 E Broad St
Columbus, OH 43205-1550

Mailing address

8195 Sanctuary Dr
Columbus, OH 43235-4638
Phone (614) 251-7750

Other identifiers 1

IdentifierTypeStateIssuer
0570805MedicaidOH

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
I20120315000711 OH Practitioner - Psychiatry 2961661632 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1970
Medicare assignment
May accept Medicare assignment
Group practices
Access Ohio LLCGroup PAC ID 4385899053, 31 clinicians

Practice addresses (Care Compare)

2611 Wayne Av
Dayton, OH 45420-1833

2611 Wayne Ave
Dayton, OH 45420-1833
Phone (937) 228-0579

8100 Ravines Edge Court
Suite 200
Columbus, OH 43235-5436
Phone (614) 985-3112

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35050150OHMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Access Ohio, LLC CurrentSince Jan 5, 2018 Accepting new patients
Access Ohio, LLC CurrentSince Jan 5, 2018 Accepting new patients

Locations

6400 E Broad St
Ste 400
Columbus, OH 43213
Phone (614) 367-7700

8100 Ravines Edge Ct
Ste 200
Columbus, OH 43235
Phone (614) 655-3345

2611 Wayne Ave
Dayton, OH 45420
Phone (937) 228-0579

2611 Wayne Ave
Bldg 61
Dayton, OH 45420
Phone (937) 228-0579

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, 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": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287964800000",
    "number": "1295944395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8195 SANCTUARY DR",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432354638",
            "telephone_number": "614-251-7750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 E BROAD ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432051550",
            "telephone_number": "614-252-0711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THAKURIA",
        "first_name": "PARAJA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-22",
        "last_updated": "2010-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OH",
            "license": "35050150",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0570805",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.