Organization Active NPI

Colon & Rectal Surgery Inc

  • Colon & Rectal Surgery Physician
  • Columbus, OH
National Provider Identifier
1851467492
Registry record updated Mar 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
Legal business name
COLON & RECTAL SURGERY INC
Practice address
5965 East Broad St
#200
Columbus, OH 43213
Phone
(614) 501-8728
Fax
(614) 759-5065
NPI assigned
Nov 27, 2006
Last updated
Mar 13, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2022

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

Authorized official

Name
Gurjit S Khanduja, MD
Title
President
Phone
(614) 759-5060

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Colon & Rectal Surgery Physician 208C00000X Primary

Addresses

Primary practice location

5965 East Broad St
#200
Columbus, OH 43213

Mailing address

5965 East Broad St
#200
Columbus, OH 43213
Phone (614) 759-5060

Other identifiers 1

IdentifierTypeStateIssuer
640800MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address apadmanabhan@mchs.com Direct

National Provider Directory

National Provider Directory

Locations

600 N Pickaway St
#200
Circleville, OH 43113
Phone (614) 759-5060

600 N Pickaway St
Ste 1
Circleville, OH 43113
Phone (614) 759-5060

600 N Pickaway St
Ste 204
Circleville, OH 43113
Phone (614) 759-5060

5965 E Broad St
Ste 250
Columbus, OH 43213
Phone (614) 627-1560

745 W State St
Ste 605
Columbus, OH 43222
Phone (614) 759-5060

Interoperability endpoints

  • Direct secure messaging: apadmanabhan@mchs.com

NPI Registry JSON

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

{
    "created_epoch": "1164585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647129600000",
    "number": "1851467492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5965 EAST BROAD ST",
            "address_2": "#200",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "43213",
            "telephone_number": "614-759-5060",
            "fax_number": "614-759-5065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5965 EAST BROAD ST",
            "address_2": "#200",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "43213",
            "telephone_number": "614-501-8728",
            "fax_number": "614-759-5065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLON & RECTAL SURGERY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-27",
        "last_updated": "2022-03-13",
        "certification_date": "2022-03-13",
        "status": "A",
        "authorized_official_last_name": "KHANDUJA",
        "authorized_official_first_name": "GURJIT",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "614-759-5060",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "640800",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "apadmanabhan@mchs.com",
            "affiliation": "N",
            "endpointDescription": "Mount Carmel Health Columbus Direct Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "5965 E Broad St Ste 250",
            "city": "Columbus",
            "state": "OH",
            "country_code": "US",
            "postal_code": "432131544",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2022; 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.