Individual provider Active NPI

Eshwar B Punjabi, M.D.

  • Gastroenterology Physician
  • Willoughby, OH
National Provider Identifier
1861421984
Registry record updated Feb 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
35-044367 Issued in OH
Practice address
34940 Ridge Road
Suite B
Willoughby, OH 44094-4197
Phone
(440) 953-1899
Fax
(440) 953-9281
NPI assigned
Jul 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 35-044367 OH Primary

Addresses

Primary practice location

34940 Ridge Road
Suite B
Willoughby, OH 44094-4197

Mailing address

34940 Ridge Road
Suite B
Willoughby, OH 44094-4197
Phone (440) 953-1899

Other identifiers 1

IdentifierTypeStateIssuer
0421967MedicaidOH

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)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35-044367OHMDGastroenterology Physician

NPI Registry JSON

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

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1234915200000",
    "number": "1861421984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34940 RIDGE ROAD",
            "address_2": "SUITE B",
            "city": "WILLOUGHBY",
            "state": "OH",
            "postal_code": "440944197",
            "telephone_number": "440-953-1899",
            "fax_number": "440-953-9281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34940 RIDGE ROAD",
            "address_2": "SUITE B",
            "city": "WILLOUGHBY",
            "state": "OH",
            "postal_code": "440944197",
            "telephone_number": "440-953-1899",
            "fax_number": "440-953-9281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUNJABI",
        "first_name": "ESHWAR",
        "middle_name": "B",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-01",
        "last_updated": "2009-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "OH",
            "license": "35-044367",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0421967",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Willoughby, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2009; 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.