NPIMap

Individual provider Active NPI

Ihab Ajaaj, M.D

  • Cardiovascular Disease Physician
  • Marion, IN
National Provider Identifier
1861832594
Registry record updated Jun 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
01081659A Issued in IN
Practice address
330 N Wabash Ave Ste 110
Marion, IN 46952-2677
Phone
(765) 664-1201
NPI assigned
Jun 26, 2013
Last updated
Jun 25, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 25, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X RS2013-0391 NM
Cardiovascular Disease Physician 207RC0000X 01081659A IN Primary

Addresses

Primary practice location

330 N Wabash Ave Ste 110
Marion, IN 46952-2677

Mailing address

330 N Wabash Ave Ste 110
Marion, IN 46952-2677

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ihab.ajaaj.1@7598.direct.athenahealth.com St. Vincent Medical Group, Inc.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20190711000261 IN Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Interventional Cardiology 5395070544 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Interventional Cardiology
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rush Memorial HospitalGroup PAC ID 7012802754, 68 clinicians
St Vincent Medical Group IncGroup PAC ID 7012047640, 728 clinicians

Practice addresses (Care Compare)

1300 N Main St
Rushville, IN 46173-1116
Phone (765) 932-4111

330 N Wabash Ave
Suite 110
Marion, IN 46952-2677
Phone (765) 664-1201

8414 Naab Rd
Indianapolis, IN 46260-1972
Phone (317) 338-7510

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RS2013-0391NMMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rush Memorial Hospital Internal Medicine CurrentSince Mar 1, 2026 Accepting new patients
Rush Memorial Hospital CurrentSince Mar 1, 2026 Accepting new patients
Major Hospital Past Accepting new patients
St Vincent Medical Group Inc Cardiovascular Disease Past Accepting new patients

Locations

1300 N Main St
Rushville, IN 46173
Phone (317) 802-3106

Interoperability endpoints

  • Direct secure messaging: ihab.ajaaj.1@7598.direct.athenahealth.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 9

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": "1372204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750809600000",
    "number": "1861832594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 N WABASH AVE STE 110",
            "city": "MARION",
            "state": "IN",
            "postal_code": "469522677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 N WABASH AVE STE 110",
            "city": "MARION",
            "state": "IN",
            "postal_code": "469522677",
            "telephone_number": "765-664-1201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AJAAJ",
        "first_name": "IHAB",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-06-26",
        "last_updated": "2025-06-25",
        "certification_date": "2025-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NM",
            "license": "RS2013-0391",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IN",
            "license": "01081659A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ihab.ajaaj.1@7598.direct.athenahealth.com",
            "affiliation": "Y",
            "affiliationName": "St. Vincent Medical Group, Inc.",
            "address_1": "330 N Wabash Ave Ste 110",
            "city": "Marion",
            "state": "IN",
            "country_code": "US",
            "postal_code": "469522677",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Marion, IN

Sources for this page

Verify at the official NPI Registry.