Individual provider Active NPI

Elias Hajjar, MD

  • Family Medicine Physician
  • Liberty TWP, OH
National Provider Identifier
1780689422
Registry record updated Aug 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35078110 Issued in OH
Practice address
7088 Birchley Dr
Liberty TWP, OH 45011-6476
Phone
(513) 737-1509
NPI assigned
Jun 18, 2005
Last updated
Aug 15, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35078110 OH Primary

Addresses

Primary practice location

7088 Birchley Dr
Liberty TWP, OH 45011-6476

Mailing address

7088 Birchley Dr
Liberty TWP, OH 45011-6476
Phone (513) 737-1509

Other practice location 1

1064 State Route 28 Ste F
Milford, OH 45150-4940
Phone (513) 981-4050

Other identifiers 2

IdentifierTypeStateIssuer
2239723MedicaidOH
P01046733OtherOHRAILROAD MEDICARE PIN

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
I20040714001238 OH Practitioner - Family Practice 6103805148 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Health Urgent Care LLCGroup PAC ID 6406232230, 67 clinicians

Practice addresses (Care Compare)

1064 State Route 28
Unit F
Milford, OH 45150-4940
Phone (513) 981-4050

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35078110OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Urgent Care LLC Family Medicine CurrentSince Jul 1, 2023 Accepting new patients
Pesso Investments, LTD Past Accepting new patients
Professional Emergency Specialists of Southern Ohio Past Accepting new patients
Adena Fayette Medical Center Past Accepting new patients
Professional Emergency Specialists of Southern Ohio Past Accepting new patients

Locations

454 Ohio Pike
Unit 38
Cincinnati, OH 45255
Phone (513) 981-4201

5555 Glenway Ave
Ste 1090
Cincinnati, OH 45238
Phone (513) 981-4200

3300 Princeton Rd
Fairfield Township, OH 45011
Phone (513) 868-9999

1 N Brookwood Ave
Hamilton, OH 45013
Phone (513) 805-4499

1064 State Route 28
Ste F
Milford, OH 45150
Phone (513) 981-4050

Interoperability endpoints

  • Direct secure messaging: ehajjar2377268@direct.bsmhealth.org

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.

Hospital & facility affiliations 2

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": "1119052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692057600000",
    "number": "1780689422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7088 BIRCHLEY DR",
            "city": "LIBERTY TWP",
            "state": "OH",
            "postal_code": "450116476",
            "telephone_number": "513-737-1509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7088 BIRCHLEY DR",
            "city": "LIBERTY TWP",
            "state": "OH",
            "postal_code": "450116476",
            "telephone_number": "513-737-1509"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1064 State Route 28 Ste F",
            "address_purpose": "LOCATION",
            "city": "Milford",
            "state": "OH",
            "postal_code": "451504940",
            "country_code": "US",
            "telephone_number": "513-981-4050",
            "fax_number": "513-322-4859",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAJJAR",
        "first_name": "ELIAS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-18",
        "last_updated": "2023-08-15",
        "certification_date": "2023-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35078110",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2239723",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PIN",
            "identifier": "P01046733",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Liberty TWP, OH

Sources for this page

Verify at the official NPI Registry.