Active NPI
Rajmony Pannu, M.D.
- Internal Medicine Physician
- Canton, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 35.121853
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PENDING | Medicaid | OH | |
| ENROLLED | Medicaid | MN | |
| ENROLLED | Medicaid | IA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 142049 | NC | MD | Internal Medicine Physician |
| 52323 | MN | MD | Cardiovascular Disease Physician |
| 35.121853 | OH | MD | Interventional Cardiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Zanesville Vascular Vein & Wound Center LLC | Current | Accepting new patients | |
| Hospitalist Medicine Physicians of Ohio, Professional Corporation | Internal Medicine | Current | 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
- rajmony.pannu.1@20696.direct.athenahealth.com
- 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.
-
- Internal Medicine Physician
- Columbus, OH
- NPI 1043572290
-
- Ambulatory Surgical Clinic/Center
- Westerville, OH
- NPI 1770935777
-
- Vascular Surgery Physician
- Zanesville, OH
- NPI 1386155521
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.