Active NPI
Ajay Nair, M.D.
- Family Medicine Physician
- Canal Fulton, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 35073107
- Practice address
- 944 Cherry St E
Canal Fulton, OH 44614-8669 - Phone
- (330) 854-4574
- Fax
- (330) 854-0829
- NPI assigned
- Dec 16, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 35073107 | OH | Primary |
Addresses
Primary practice location
944 Cherry St E
Canal Fulton, OH 44614-8669
Mailing address
944 Cherry St E
Canal Fulton, OH 44614-8669
Phone (330) 854-4574
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00074589 | Other | OH | RAILROAD MEDICARE NUMBER |
| 2148929 | Medicaid | OH |
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
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Northeastern Ohio University College of Medicine, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
944 Cherry St E
Canal Fulton, OH 44614-8669
Phone (330) 854-4574
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35073107 | OH | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Health Care Inc. | Family Medicine | Current | Accepting new patients |
| Radiology Associates of Canton, Inc. | Past | Accepting new patients |
Locations
944 Cherry St E
Canal Fulton, OH 44614
Phone (330) 854-4281
1193 Norton Ave
Ste A
Norton, OH 44203
Phone (330) 825-0847
Interoperability endpoints
- ajay.nair@chci.eclinicaldirectplus.com
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Canal Fulton, OH
- NPI 1114902137
-
- Diagnostic Radiology Physician
- Canton, OH
- NPI 1912982034
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Canton, OH
- NPI 1356366991
-
- General Acute Care Hospital
- Canton, OH
- NPI 1366433195
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Canton, OH
- NPI 1295036762
Hospital
-
- General Acute Care Hospital
- Akron, OH
- NPI 1396765681
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134691200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1234224000000",
"number": "1558347013",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "944 CHERRY ST E",
"city": "CANAL FULTON",
"state": "OH",
"postal_code": "446148669",
"telephone_number": "330-854-4574",
"fax_number": "330-854-0829"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "944 CHERRY ST E",
"city": "CANAL FULTON",
"state": "OH",
"postal_code": "446148669",
"telephone_number": "330-854-4574",
"fax_number": "330-854-0829"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAIR",
"first_name": "AJAY",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-16",
"last_updated": "2009-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OH",
"license": "35073107",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE NUMBER",
"identifier": "P00074589",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2148929",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Canal Fulton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2009; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.