Individual provider Active NPI

Ebaa Rajab, M.D.

  • Anesthesiology Physician
  • Troy, OH
National Provider Identifier
1669438172
Registry record updated Jun 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
35082226 Issued in OH
Practice address
3130 N Dixie Hwy
Troy, OH 45373-1337
Phone
(614) 459-7830
Fax
(614) 459-7824
NPI assigned
Apr 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 35082226 OH Primary

Addresses

Primary practice location

3130 N Dixie Hwy
Troy, OH 45373-1337

Mailing address

3366 Riverside Drive
Suite 200
Columbus, OH 43221
Phone (614) 459-7830

Other identifiers 2

IdentifierTypeStateIssuer
000000324369OtherOHANTHEM PROVIDER #
2379082MedicaidOH

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
I20040520000293 OH Practitioner - Anesthesiology 7315938255 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
PHS Anesthesia Billing, LLCGroup PAC ID 2264958412, 241 clinicians

Practice addresses (Care Compare)

1 Wyoming St
Dayton, OH 45409-2722
Phone (937) 208-8000

3130 N Co Rd
25A
Troy, OH 45373
Phone (937) 440-4000

7500 State Rd
Cincinnati, OH 45255-2439
Phone (513) 624-4500

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35082226OHMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Ohio Anesthesia Consultants LLC Anesthesiology CurrentSince Dec 1, 2021 Accepting new patients
Northstar Anesthesia of Ohio LLC Anesthesiology CurrentSince Apr 6, 2016 Accepting new patients
Southwest Ohio Anesthesia Consultants LLC Anesthesiology CurrentSince Dec 1, 2021 Accepting new patients
Ohiohealth Corporation Anesthesiology CurrentSince Jun 1, 2016 Accepting new patients
Ohiohealth Corporation Current Accepting new patients
PHS Anesthesia Billing, LLC Anesthesiology CurrentSince Aug 1, 2025 Accepting new patients
Anesthesiology Services Network LTD Anesthesiology CurrentSince Apr 1, 2017 Accepting new patients
Arlington Anesthesia Partners LLC Anesthesiology CurrentSince Jul 13, 2025 Accepting new patients
Clinic Physician Services Co. LLC Anesthesiology Past Accepting new patients

Locations

7500 State Rd
Cincinnati, OH 45255
Phone (513) 624-4034

600 N Pickaway St
Circleville, OH 43113
Phone (614) 352-6479

393 E Town St
Ste 116
Columbus, OH 43215
Phone (614) 566-9108

Dept L3652
Columbus, OH 43260

111 S Grant Ave
Fl 3
Columbus, OH 43215
Phone (614) 566-9871

3705 Olentangy River Rd
Columbus, OH 43214
Phone (614) 533-6620

1 Wyoming St
Dayton, OH 45409
Phone (937) 208-2636

3000 Mack Rd
Hamilton, OH 45014
Phone (513) 870-7000

2615 E High St
Springfield, OH 45505
Phone (888) 861-3994

3130 N County Road 25A
Troy, OH 45373
Phone (937) 440-4000

Ownership & related parties

All facility ownership & control disclosures 2

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

FacilityTypeRoleSince
Upper Valley Medical CenterTroy, OH, CCN 360174 Hospital Corporate Director Jan 1, 2021
Upper Valley Medical CenterTroy, OH, CCN 36T174 Hospital Corporate Director Jan 1, 2021

Owned or controlled facilities with NPI records 2

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

Organizations & group practices 9

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.

Hospital & facility affiliations 1

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": "1145836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466035200000",
    "number": "1669438172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3366 RIVERSIDE DRIVE",
            "address_2": "SUITE 200",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "43221",
            "telephone_number": "614-459-7830",
            "fax_number": "614-459-7824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3130 N DIXIE HWY",
            "city": "TROY",
            "state": "OH",
            "postal_code": "453731337",
            "telephone_number": "614-459-7830",
            "fax_number": "614-459-7824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAJAB",
        "first_name": "EBAA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-24",
        "last_updated": "2016-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "OH",
            "license": "35082226",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PROVIDER #",
            "identifier": "000000324369",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2379082",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, OH

Sources for this page

Verify at the official NPI Registry.