NPIMap

Individual provider Active NPI

Sumit Mahajan, MD

  • Internal Medicine Physician
  • Yucca Valley, CA
National Provider Identifier
1659350916
Registry record updated Aug 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A80732 Issued in CA
Practice address
57402 29 Palms Hwy Ste 5
Yucca Valley, CA 92284-2957
Phone
(760) 228-1114
Fax
(760) 228-2066
NPI assigned
Jan 13, 2006
Last updated
Aug 4, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A80732 CA Primary

Addresses

Primary practice location

57402 29 Palms Hwy Ste 5
Yucca Valley, CA 92284-2957

Mailing address

PO Box 1600
Yucca Valley, CA 92286-1600
Phone (760) 228-1114

Other practice location 1

35400 Bob Hope Dr Ste 204
Rancho Mirage, CA 92270-1774
Phone (760) 228-1114 ext. 1

Other identifiers 1

IdentifierTypeStateIssuer
00A807320MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20060908000327 CA Practitioner - Internal Medicine 9436153285 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Indroj Medical Group Inc.Group PAC ID 6901908193, 2 clinicians

Practice addresses (Care Compare)

57402 29 Palms Hwy
Suite 5
Yucca Valley, CA 92284-2957
Phone 76022811142

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision24
Removal of tissue1-10
Removal of skin lesions318
Skin biopsy102

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A80732CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Indroj Medical Group Inc. Internal Medicine CurrentSince Jul 10, 2006 Accepting new patients
Live Well Ipa Current Accepting new patients
Eisenhower Medical Center Past Accepting new patients
Hi-Desert Medical Center Past Accepting new patients

Locations

35400 Bob Hope Dr
Ste 204
Rancho Mirage, CA 92270
Phone (760) 228-1114

57402 29 Palms Hwy
Ste 5
Yucca Valley, CA 92284
Phone (760) 228-1114

58471 29 Palms Hwy
Ste 201
Yucca Valley, CA 92284
Phone (760) 228-1114

58471 29 Palms Hwy
Ste 203
Yucca Valley, CA 92284
Phone (760) 365-7651

Interoperability endpoints

  • Direct secure messaging: admin@indrojmg.e-mdsdirect.com
  • Direct secure messaging: sumit-mahajan@indrojmg.e-mdsdirect.com

Organizations & group practices 4

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 4

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

NPI Registry JSON

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

{
    "created_epoch": "1137110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659571200000",
    "number": "1659350916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1600",
            "city": "YUCCA VALLEY",
            "state": "CA",
            "postal_code": "922861600",
            "telephone_number": "760-228-1114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57402 29 PALMS HWY STE 5",
            "city": "YUCCA VALLEY",
            "state": "CA",
            "postal_code": "922842957",
            "telephone_number": "760-228-1114",
            "fax_number": "760-228-2066"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "35400 Bob Hope Dr Ste 204",
            "address_purpose": "LOCATION",
            "city": "Rancho Mirage",
            "state": "CA",
            "postal_code": "922701774",
            "country_code": "US",
            "telephone_number": "760-228-1114 x1",
            "fax_number": "760-228-2066",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAHAJAN",
        "first_name": "SUMIT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-13",
        "last_updated": "2022-08-04",
        "certification_date": "2022-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A80732",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A807320",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yucca Valley, CA

Sources for this page

Verify at the official NPI Registry.