NPIMap

Individual provider Active NPI

Vijay Rastogi, MD

  • Geriatric Medicine (Family Medicine) Physician
  • Warrensville Heights, OH
National Provider Identifier
1457458648
Registry record updated Sep 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
License
35-075697 Issued in OH
Practice address
20050 Harvard Ave
#304 Charles Miner BLDG
Warrensville Heights, OH 44122-6816
Phone
(216) 283-0750
Fax
(216) 491-6374
NPI assigned
Sep 20, 2006
Last updated
Sep 21, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 21, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) Physician 207QG0300X 35-075697 OH Primary
Internal Medicine Physician 207R00000X 35075697R OH

Addresses

Primary practice location

20050 Harvard Ave
#304 Charles Miner BLDG
Warrensville Heights, OH 44122-6816

Mailing address

20050 Harvard Ave
#304 Charles Miner BLDG
Warrensville Heights, OH 44122-6816
Phone (216) 283-0750

Other identifiers 1

IdentifierTypeStateIssuer
2181697MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080616000574 OH Practitioner - Geriatric Medicine 2860563061 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Geriatric Medicine
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northern Ohio Internal Medicine Associates, Inc.Group PAC ID 1153409107, 5 clinicians

Practice addresses (Care Compare)

20050 Harvard Ave
Suite 304
Warrensville Heights, OH 44122-6800
Phone (216) 283-0750

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35-075697OHMDGeriatric Medicine (Family Medicine) Physician
35075697ROHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Euclid Hospital Cleveland Clinic Health System Current Accepting new patients
University Hospitals Medical Group Inc CurrentSince Jun 1, 2008 Accepting new patients
King David Post Acute Nursing & Rehabilitation LLC Past Accepting new patients
Twinsburg Healthcare Center LLC Past Accepting new patients
University Hospitals Ahuja Medical Center, Inc Past Accepting new patients
Jennings Operating LLC Past Accepting new patients
Marymount Healthcare, LLC PastSince Nov 1, 2023 Accepting new patients
Cleveland Clinic Health System - East Region Past Accepting new patients
Marymount Hospital Inc Past Accepting new patients
Legacy Twinsburg Operating Company, LLC Past Accepting new patients

Locations

8055 Mayfield Rd
Ste 105
Chesterland, OH 44026
Phone (440) 214-8024

11100 Euclid Ave
Cleveland Heights, OH 44106

Interoperability endpoints

  • Direct secure messaging: vrastogi31863@direct.ccf.org
  • Direct secure messaging: vrastogi37817@ehrdirect.uhhospitals.org

Ownership & related parties

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Canterbury of TwinsburgTwinsburg, OH, CCN 366385 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Dec 1, 1970
Dec 1, 1970
SNF-the Villa at MarymountGarfield Heights, OH, CCN 366335 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Nov 1, 2023
Nov 1, 2023
Comforting Hands Hospice, LLCParma, OH, CCN 361753 Hospice Contracted Managing Employee Feb 1, 2025

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 17

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316563200000",
    "number": "1457458648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20050 HARVARD AVE",
            "address_2": "#304 CHARLES MINER BLDG",
            "city": "WARRENSVILLE HEIGHTS",
            "state": "OH",
            "postal_code": "441226816",
            "telephone_number": "216-283-0750",
            "fax_number": "216-491-6374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20050 HARVARD AVE",
            "address_2": "#304 CHARLES MINER BLDG",
            "city": "WARRENSVILLE HEIGHTS",
            "state": "OH",
            "postal_code": "441226816",
            "telephone_number": "216-283-0750",
            "fax_number": "216-491-6374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RASTOGI",
        "first_name": "VIJAY",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2011-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "OH",
            "license": "35-075697",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35075697R",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2181697",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warrensville Heights, OH

Sources for this page

Verify at the official NPI Registry.