Individual provider Active NPI

Bijay K. Jayaswal, M.D.

  • Cardiovascular Disease Physician
  • Medina, OH
National Provider Identifier
1841279122
Registry record updated Oct 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
35042133 Issued in OH
Practice address
3457 Medina Rd
Medina, OH 44256-9663
Phone
(330) 721-2100
Fax
(330) 722-8142
NPI assigned
Jan 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 35042133 OH Primary

Addresses

Primary practice location

3457 Medina Rd
Medina, OH 44256-9663

Mailing address

1220 Moore Rd
Suite B
Avon, OH 44011-4044
Phone (440) 930-4446

Other identifiers 5

IdentifierTypeStateIssuer
000000212710OtherOHANTHEM
0366741MedicaidOH
729OtherOHSUMMACARE
54208OtherOHQUALCHOICE
341221800036OtherOHCARESOUCE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35042133OHMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Ohio Heart Center Inc Cardiovascular Disease Past Accepting new patients
North Ohio Heart Inc Cardiovascular Disease Past Accepting new patients

Organizations & group practices 2

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.

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": "1193184000000",
    "number": "1841279122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 MOORE RD",
            "address_2": "SUITE B",
            "city": "AVON",
            "state": "OH",
            "postal_code": "440114044",
            "telephone_number": "440-930-4446",
            "fax_number": "440-934-0682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3457 MEDINA RD",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442569663",
            "telephone_number": "330-721-2100",
            "fax_number": "330-722-8142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAYASWAL",
        "first_name": "BIJAY",
        "middle_name": "K.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-13",
        "last_updated": "2007-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "OH",
            "license": "35042133",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000212710",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0366741",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SUMMACARE",
            "identifier": "729",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "QUALCHOICE",
            "identifier": "54208",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARESOUCE",
            "identifier": "341221800036",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Medina, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.