Keyur Pradobh Ajbani, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

244821 Issued in NY

Practice address

100 Medical Blvd
Canonsburg, PA 15317-9762

Phone

(724) 745-3077

Fax

(724) 746-8579

NPI assigned

Apr 19, 2007

Last updated

Jun 12, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in NY

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Emergency Physician Services of New York, P.C.

  • Emergency Medicine Physician
  • Poughkeepsie, NY
  • NPI 1093759847
  Medicare reassignment NPD
• Eos Medical Group PC

  • Emergency Medicine Physician
  • Carmel, NY
  • NPI 1730119926
  NPD (past)

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213228800000",
    "number": "1750508297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11090",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926851090",
            "telephone_number": "562-809-3548",
            "fax_number": "562-468-0726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MEDICAL BLVD",
            "city": "CANONSBURG",
            "state": "PA",
            "postal_code": "153179762",
            "telephone_number": "724-745-3077",
            "fax_number": "724-746-8579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AJBANI",
        "first_name": "KEYUR",
        "middle_name": "PRADOBH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-19",
        "last_updated": "2008-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "244821",
            "primary": true
        },
        {
            "code": "207PS0010X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Sports Medicine",
            "state": "PA",
            "license": "MD430663",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02907413",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "MA079138",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "MD430663",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leah Marie Ackman
• Christine Addessi
• Oscar Aguilera
• Quratulain Ahmed, M.D
• Ahn Emergency Group of Canonsburg LTD.
• Marco Antonio Alcala Jr., M.D.
• Allegheny Advanced Chiropractic LLC (Waterdam Physical Medicine)
• Allegheny Clinic (Mutschler Orthopaedic Institute)
• Allegheny Clinic (For Women Obstetrics & Gynecology)
• Allegheny Clinic (CGH Hospitalists)

• Emergency Medicine Physician in Canonsburg, PA
• Providers in Canonsburg, PA by specialty
• Emergency Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2008; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.