Individual provider Active NPI

Jawad Ahmad Bajwa

  • Neurology Physician
  • Maplewood, MN
National Provider Identifier
1689849960
Registry record updated Jan 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
35.088448 Issued in OH
Practice address
1650 Beam Ave
Suite 200
Maplewood, MN 55109-1192
Phone
(651) 221-9051
Fax
(651) 223-5220
NPI assigned
Apr 28, 2008
Last updated
Jan 6, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 35.088448 OH Primary

Addresses

Primary practice location

1650 Beam Ave
Suite 200
Maplewood, MN 55109-1192

Mailing address

1650 Beam Ave
Suite 200
Maplewood, MN 55109-1192
Phone (651) 221-9051

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, MT2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20181127001328 WI Practitioner - Neurology 3375611742 Reassigns benefits to 2 organizations
I20240205001814 MT Practitioner - Neurology 3375611742 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.088448OHMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
MCHS Hospitals Inc CurrentSince Oct 29, 2018 Accepting new patients
Billings Cinic CurrentSince Jan 22, 2024 Accepting new patients
Billings Clinic Current Accepting new patients
Billings Clinic CurrentSince Jan 22, 2024 Accepting new patients
MCHS Hospitals Inc CurrentSince Oct 29, 2018 Accepting new patients
Marshfield Clinic Inc CurrentSince Oct 29, 2018 Accepting new patients

Locations

2800 10th Ave N
Billings, MT 59101
Phone (406) 248-3290

801 N 29th St
Billings, MT 59101
Phone (406) 238-2210

3501 Golf Rd
Eau Claire, WI 54701
Phone (715) 858-4200

1000 N Oak Ave
Marshfield, WI 54449
Phone (715) 387-5111

Organizations & group practices 6

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": "1209340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294272000000",
    "number": "1689849960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 BEAM AVE",
            "address_2": "SUITE 200",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "551091192",
            "telephone_number": "651-221-9051",
            "fax_number": "651-223-5220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 BEAM AVE",
            "address_2": "SUITE 200",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "551091192",
            "telephone_number": "651-221-9051",
            "fax_number": "651-223-5220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAJWA",
        "first_name": "JAWAD",
        "middle_name": "AHMAD",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-28",
        "last_updated": "2011-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "OH",
            "license": "35.088448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maplewood, MN

Sources for this page

Verify at the official NPI Registry.