NPIMap

Individual provider Active NPI

Ranjan Mahajan, MD,FACP

  • Geriatric Medicine (Internal Medicine) Physician
  • Largo, FL
National Provider Identifier
1861581266
Registry record updated Oct 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
ME 0069005 Issued in FL
Practice address
150 Clearwater Largo Rd N
Ste 2
Largo, FL 33770-2388
Phone
(727) 518-0822
Fax
(727) 518-6511
NPI assigned
Oct 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X ME 0069005 FL Primary

Addresses

Primary practice location

150 Clearwater Largo Rd N
Ste 2
Largo, FL 33770-2388

Mailing address

150 Clearwater Largo Rd N
Ste 2
Largo, FL 33770-2388
Phone (727) 518-0822

Other identifiers 1

IdentifierTypeStateIssuer
378547500MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110803000265 FL Practitioner - Internal Medicine 5799799011 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ranjan Mahajan, MD PLCGroup PAC ID 6800800129, 5 clinicians
Legacy Healthcare Services IncGroup PAC ID 2163339722, shared by 46 NPIs, 3,431 clinicians

Practice addresses (Care Compare)

150 Clearwater Largo N Rd
Suite 2
Largo, FL 33770-2388
Phone (727) 518-0822

17470 Brookside Trace CT
Tampa, FL 33647-6201
Phone (813) 443-5042

Hospital & facility affiliations

  • Enhabit Home Health Home health agency, Clearwater, FL, CCN 109687
  • Baycare Home Care Inc Home health agency, Largo, FL, CCN 107212
  • Patients First Homecare, LLC Home health agency, Clearwater, FL, CCN 108109
  • Pinellas 1 Home Health Care Corp Home health agency, Clearwater, FL, CCN 683182
  • Pinnacle Home Care Home health agency, Oldsmar, FL, CCN 108290
  • Suncoast Hospice Hospice, Palm Harbor, FL, CCN 101508
  • Morton Plant Hospital Hospital, Clearwater, FL, CCN 100127
  • St Josephs Hospital Hospital, Tampa, FL, CCN 100075
  • Mease Dunedin Hospital Hospital, Dunedin, FL, CCN 100043
  • East Bay Rehabilitation Center Nursing home, Clearwater, FL, CCN 105697
  • Belleair Health Care Center Nursing home, Clearwater, FL, CCN 105636

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME 0069005FLMDGeriatric Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ranjan Mahajan, MD PLC CurrentSince May 2, 2002 Accepting new patients
Ranjan Mahajan MD Current Accepting new patients

Locations

150 Clearwater Largo Rd N
Ste 2
Largo, FL 33770
Phone (727) 518-0822

1258 West Bay Dr
Ste D
Largo, FL 33770
Phone (727) 420-6374

150 Clearwater Largo Rd N
Largo, FL 33770
Phone (727) 518-0822

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.

Hospital & facility affiliations 12

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412553600000",
    "number": "1861581266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 CLEARWATER LARGO RD N",
            "address_2": "STE 2",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337702388",
            "telephone_number": "727-518-0822",
            "fax_number": "727-518-6511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 CLEARWATER LARGO RD N",
            "address_2": "STE 2",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337702388",
            "telephone_number": "727-518-0822",
            "fax_number": "727-518-6511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHAJAN",
        "first_name": "RANJAN",
        "credential": "MD,FACP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2014-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "FL",
            "license": "ME 0069005",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "378547500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Largo, FL

Sources for this page

Verify at the official NPI Registry.