Organization Active NPI

Saroj Brar MD Inc

  • Psychiatry Physician
  • Cleveland, OH
National Provider Identifier
1336334366
Registry record updated Feb 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
35047536 Issued in OH
Legal business name
SAROJ BRAR MD INC
Practice address
28340 Red Raven Rd
Cleveland, OH 44124-4556
Phone
(216) 965-8336
Fax
(216) 292-7729
NPI assigned
Sep 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2024

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

Authorized official

Name
Dr. Saroj B Brar, MDNPI 1487733366
Title
President
Phone
(216) 965-8336

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X 35047536 OH Primary

Addresses

Primary practice location

28340 Red Raven Rd
Cleveland, OH 44124-4556

Mailing address

28340 Red Raven Rd
Cleveland, OH 44124-4556
Phone (216) 965-8336

Other identifiers 1

IdentifierTypeStateIssuer
0515384MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080409000589 OH Part B Supplier - Clinic/Group Practice 9032296421 Receives reassigned benefits from 1 practitioner
Practice locations: Pepper Pike, OH

National Provider Directory

National Provider Directory

Locations

4255 Pearl Rd
Ste 105
Cleveland, OH 44109
Phone (216) 739-0408

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1189555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708905600000",
    "number": "1336334366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28340 RED RAVEN RD",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441244556",
            "telephone_number": "216-965-8336",
            "fax_number": "216-292-7729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28340 RED RAVEN RD",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441244556",
            "telephone_number": "216-965-8336",
            "fax_number": "216-292-7729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAROJ BRAR MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-12",
        "last_updated": "2024-02-26",
        "certification_date": "2024-02-26",
        "status": "A",
        "authorized_official_last_name": "BRAR",
        "authorized_official_first_name": "SAROJ",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "216-965-8336",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OH",
            "license": "35047536",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0515384",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.