Organization Active NPI

Subhash C. Mahajan, MD Inc

  • Specialist
  • Cleveland, OH
National Provider Identifier
1356528723
Registry record updated Aug 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
35040794 Issued in OH
Legal business name
SUBHASH C. MAHAJAN, MD INC
Practice address
7215 Old Oak Blvd
A312
Cleveland, OH 44130-3340
Phone
(440) 816-2734
Fax
(440) 816-5436
NPI assigned
Jan 28, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2009

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

Authorized official

Name
Dr. Subhash C Mahajan, MDNPI 1053399063
Title
President
Phone
(440) 816-2734

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
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 35040794 OH Primary

Addresses

Primary practice location

7215 Old Oak Blvd
A312
Cleveland, OH 44130-3340

Mailing address

7215 Old Oak Blvd
A312
Cleveland, OH 44130-3340
Phone (440) 816-2734

Other identifiers 1

IdentifierTypeStateIssuer
0341802MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051116000121 OH Part B Supplier - Clinic/Group Practice 7012936388 Receives reassigned benefits from 1 practitioner
Practice locations: Middleburg HTS, OH

National Provider Directory

National Provider Directory

Locations

7215 Old Oak Blvd
Ste A312
Cleveland, OH 44130
Phone (216) 826-2733

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": "1201478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250553600000",
    "number": "1356528723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7215 OLD OAK BLVD",
            "address_2": "A312",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441303340",
            "telephone_number": "440-816-2734",
            "fax_number": "440-816-5436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7215 OLD OAK BLVD",
            "address_2": "A312",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441303340",
            "telephone_number": "440-816-2734",
            "fax_number": "440-816-5436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUBHASH C. MAHAJAN, MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-28",
        "last_updated": "2009-08-18",
        "status": "A",
        "authorized_official_last_name": "MAHAJAN",
        "authorized_official_first_name": "SUBHASH",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "440-816-2734",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "OH",
            "license": "35040794",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0341802",
            "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 Aug 18, 2009; 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.