Active NPI
Saroj Brar MD Inc
- Psychiatry Physician
- Cleveland, OH
National Provider Identifier
1336334366
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 35047536
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Saroj B Brar, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0515384 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Adult Psychiatric/Mental Health Clinical Nurse Specialist
- Garfield HTS, OH
- NPI 1326274226
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.