Active NPI
Bijay K. Jayaswal, M.D.
- Cardiovascular Disease Physician
- Medina, OH
National Provider Identifier
1841279122
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 35042133
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000212710 | Other | OH | ANTHEM |
| 0366741 | Medicaid | OH | |
| 729 | Other | OH | SUMMACARE |
| 54208 | Other | OH | QUALCHOICE |
| 341221800036 | Other | OH | CARESOUCE |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 35042133 | OH | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Cardiovascular Disease Physician
- Lorain, OH
- NPI 1457322992
-
- Cardiovascular Disease Physician
- Elyria, OH
- NPI 1639498751
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.