Individual provider Active NPI

Rajbir Singh Bajwa, M.D.

  • Pediatrics Physician
  • Lima, OH
National Provider Identifier
1568458016
Registry record updated Feb 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
3569621 Issued in OH
Practice address
830 W High St
Suite 102
Lima, OH 45801-3971
Phone
(419) 222-4045
Fax
(419) 228-5665
NPI assigned
Sep 21, 2005
Last updated
Feb 10, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 3569621 OH Primary

Addresses

Primary practice location

830 W High St
Suite 102
Lima, OH 45801-3971

Mailing address

830 W High St
Suite 102
Lima, OH 45801-3971
Phone (419) 222-4045

Other practice location 1

8501 Old Troy Pike
Huber Heights, OH 45424-1054
Phone (937) 641-4360

Other practice location 2

3333 W Tech Rd
Miamisburg, OH 45342-0955
Phone (937) 641-5725

Other identifiers 7

IdentifierTypeStateIssuer
000000126833OtherOHANTHEM BENEFITS SERVICES
00000012834OtherOHANTHEM BC/BS
0213638MedicaidOH
5021422OtherOHAETNA
1843994OtherOHUNITED HEALTHCARE
341086500005OtherOHMEDICAL MUTUAL
000000523222OtherOHANTHEM

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230117002802 OH Practitioner - Pediatric Medicine 6507953262 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3569621OHMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Physicians-North LLC Pediatrics CurrentSince Jan 1, 2023 Accepting new patients
Mercy Health Physicians - North, LLC CurrentSince Jan 1, 2023 Accepting new patients
Mercy Health - Tiffin Hospital LLC Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Pediatrics of Lima Inc Pediatrics Past Accepting new patients

Locations

45 St Lawrence Dr
Tiffin, OH 44883
Phone (419) 448-1900

2222 Cherry St
Ste 2300
Toledo, OH 43608
Phone (419) 251-8013

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1127260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675987200000",
    "number": "1568458016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 W HIGH ST",
            "address_2": "SUITE 102",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458013971",
            "telephone_number": "419-222-4045",
            "fax_number": "419-228-5665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 W HIGH ST",
            "address_2": "SUITE 102",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458013971",
            "telephone_number": "419-222-4045",
            "fax_number": "419-228-5665"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8501 Old Troy Pike",
            "address_purpose": "LOCATION",
            "city": "Huber Heights",
            "state": "OH",
            "postal_code": "454241054",
            "country_code": "US",
            "telephone_number": "937-641-4360",
            "fax_number": "937-641-3791",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3333 W Tech Rd",
            "address_purpose": "LOCATION",
            "city": "Miamisburg",
            "state": "OH",
            "postal_code": "453420955",
            "country_code": "US",
            "telephone_number": "937-641-5725",
            "fax_number": "937-350-3050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAJWA",
        "first_name": "RAJBIR",
        "middle_name": "SINGH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-21",
        "last_updated": "2023-02-10",
        "certification_date": "2023-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "3569621",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BENEFITS SERVICES",
            "identifier": "000000126833",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC/BS",
            "identifier": "00000012834",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0213638",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5021422",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "1843994",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL MUTUAL",
            "identifier": "341086500005",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000523222",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lima, OH

Sources for this page

Verify at the official NPI Registry.