Individual provider Active NPI

Rajmony Pannu, M.D.

  • Internal Medicine Physician
  • Canton, OH
National Provider Identifier
1326232984
Registry record updated Nov 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35.121853 Issued in OH
Practice address
2600 6TH St SW
Canton, OH 44710-1702
Phone
(614) 917-0696
Fax
(888) 732-7890
NPI assigned
Aug 28, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 13, 2023

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 142049 NC
Cardiovascular Disease Physician 207RC0000X 104482 MN
Cardiovascular Disease Physician 207RC0000X 52323 MN
Interventional Cardiology Physician 207RI0011X 35.121853 OH
Internal Medicine Physician 207R00000X 35.121853 OH Primary

Addresses

Primary practice location

2600 6TH St SW
Canton, OH 44710-1702

Mailing address

450 Alkyre Run Ste 350
Westerville, OH 43082-6912
Phone (614) 293-2594

Other identifiers 3

IdentifierTypeStateIssuer
PENDINGMedicaidOH
ENROLLEDMedicaidMN
ENROLLEDMedicaidIA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rajmony.pannu@direct.aultman.org Health Information Exchange (HIE)

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
I20131011000424 OH Practitioner - Cardiovascular Disease (Cardiology) 8325191554 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
142049NCMDInternal Medicine Physician
52323MNMDCardiovascular Disease Physician
35.121853OHMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Zanesville Vascular Vein & Wound Center LLC Current Accepting new patients
Hospitalist Medicine Physicians of Ohio, Professional Corporation Internal Medicine CurrentSince Feb 15, 2017 Accepting new patients
Columbus Surgery Center LLC Current Accepting new patients

Locations

2420 Lake Ave
Ashtabula, OH 44004
Phone (216) 986-2919

6001 E Broad St
Columbus, OH 43213
Phone (614) 224-6420

5151 N Hamilton Rd
Gahanna, OH 43230
Phone (614) 337-1066

895 S State St
Westerville, OH 43081
Phone (614) 917-0669

500 S Cleveland Ave
Westerville, OH 43081
Phone (380) 898-4000

Interoperability endpoints

  • Direct secure messaging: rajmony.pannu.1@20696.direct.athenahealth.com
  • Direct secure messaging: rajmony.pannu@direct.aultman.org

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.

NPI Registry JSON

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

{
    "created_epoch": "1188259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699833600000",
    "number": "1326232984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 ALKYRE RUN STE 350",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430826912",
            "telephone_number": "614-293-2594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 6TH ST SW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447101702",
            "telephone_number": "614-917-0696",
            "fax_number": "888-732-7890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANNU",
        "first_name": "RAJMONY",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-28",
        "last_updated": "2023-11-13",
        "certification_date": "2023-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "142049",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MN",
            "license": "104482",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MN",
            "license": "52323",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "OH",
            "license": "35.121853",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35.121853",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ENROLLED",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ENROLLED",
            "state": "IA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rajmony.pannu@direct.aultman.org",
            "affiliation": "N",
            "endpointDescription": "Direct Address via employer",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2600 6th St SW",
            "city": "Canton",
            "state": "OH",
            "country_code": "US",
            "postal_code": "447101702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Canton, OH

Sources for this page

Verify at the official NPI Registry.