Individual provider Active NPI

Zuhdi Mohammed Dajani, M.D.

  • Cardiovascular Disease Physician
  • Punxsutawney, PA
National Provider Identifier
1861501702
Registry record updated Oct 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MD043759L Issued in PA
Practice address
720 W Mahoning St
Suite 300
Punxsutawney, PA 15767-1308
Phone
(814) 938-2000
Fax
(814) 938-2001
NPI assigned
Aug 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2020

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 MD043759L PA Primary

Addresses

Primary practice location

720 W Mahoning St
Suite 300
Punxsutawney, PA 15767-1308

Mailing address

720 W Mahoning St
Suite 300
Punxsutawney, PA 15767-1308
Phone (814) 938-2000

Other identifiers 3

IdentifierTypeStateIssuer
0080192MedicaidOH
3810021998MedicaidWV
'0012559900006MedicaidPA

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address zuhdi.dajani@ahn.org
Direct Messaging Address zdajani10738@direct.ahn.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20080611000576 PA Practitioner - Cardiovascular Disease (Cardiology) 4789755240 Reassigns benefits to 1 organization
I20150423000658 DC Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 4789755240 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

12330 Pinecrest Rd
Suite 125
Reston, VA 20191-1655
Phone (703) 822-5250

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Zuhdi M. Dajani Cardiology-Internal Medicine, LLC CurrentSince May 28, 2016 Accepting new patients
Punxsutawney Area Hospital Inc Current Accepting new patients
Punxsutawney Area Hospital Inc CurrentSince Oct 7, 1991 Accepting new patients
Punxsutawney Area Hospital Inc. CurrentSince Oct 7, 1991 Accepting new patients
Express Healthcare, LLC Past Accepting new patients
Indiana Healthcare Physician Services Inc Cardiovascular Disease PastSince Dec 1, 2011 Accepting new patients
Dubois Regional Medical Center PastSince Dec 1, 2011 Accepting new patients

Locations

81 Hillcrest Dr
Ste 1200
Punxsutawney, PA 15767
Phone (814) 938-1830

81 Hillcrest Dr
Punxsutawney, PA 15767
Phone (814) 938-1800

12330 Pinecrest Rd
Ste 125
Reston, VA 20191
Phone (703) 512-3000

Organizations & group practices 7

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": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601942400000",
    "number": "1861501702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 W MAHONING ST",
            "address_2": "SUITE 300",
            "city": "PUNXSUTAWNEY",
            "state": "PA",
            "postal_code": "157671308",
            "telephone_number": "814-938-2000",
            "fax_number": "814-938-2001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 W MAHONING ST",
            "address_2": "SUITE 300",
            "city": "PUNXSUTAWNEY",
            "state": "PA",
            "postal_code": "157671308",
            "telephone_number": "814-938-2000",
            "fax_number": "814-938-2001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAJANI",
        "first_name": "ZUHDI",
        "middle_name": "MOHAMMED",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2020-10-06",
        "certification_date": "2020-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PA",
            "license": "MD043759L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0080192",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810021998",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "'0012559900006",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "zuhdi.dajani@ahn.org",
            "affiliation": "N",
            "address_1": "720 W Mahoning St",
            "address_2": "SUITE 300",
            "city": "Punxsutawney",
            "state": "PA",
            "country_code": "US",
            "postal_code": "157671308",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "zdajani10738@direct.ahn.org",
            "affiliation": "N",
            "address_1": "720 W Mahoning St",
            "address_2": "SUITE 300",
            "city": "Punxsutawney",
            "state": "PA",
            "country_code": "US",
            "postal_code": "157671308",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Punxsutawney, PA

Sources for this page

Verify at the official NPI Registry.