Active NPI
Ashruti Hitendra Hajari, MD
- Family Medicine Physician
- Janesville, WI
National Provider Identifier
1891414074
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 83978-20
- Practice address
- 849 Kellogg Ave
Janesville, WI 53546-2808 - Phone
- (608) 755-7960
- Fax
- (608) 755-7873
- NPI assigned
- Aug 23, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 9952-851 | WI | |
| Family Medicine Physician | 207Q00000X | 83978-20 | WI | Primary |
| Hospitalist Physician | 208M00000X | 83978-20 | WI |
Addresses
Primary practice location
849 Kellogg Ave
Janesville, WI 53546-2808
Mailing address
849 Kellogg Ave
Janesville, WI 53546-2808
Phone (608) 755-7960
Other practice location 1
1000 Mineral Point Ave
Janesville, WI 53548-2982
Phone (608) 756-6868
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 83978-20 | WI | MD | Family Medicine Physician |
| 9952-851 | WI | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Health System Corporation | Current | Accepting new patients | |
| Mercy Health System Corporation | Current | Accepting new patients | |
| Mercy Health System Corporation | Current | Accepting new patients |
Locations
29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652
849 Kellogg Ave
Janesville, WI 53546
Phone (608) 755-7960
1000 Mineral Point Ave
Janesville, WI 53548
Phone (608) 261-6868
Organizations & group practices 3
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.
-
- General Acute Care Hospital
- Janesville, WI
- NPI 1093768962
-
- Multi-Specialty Clinic/Center
- Janesville, WI
- NPI 1598718603
-
- Critical Access Hospital
- Lake Geneva, WI
- NPI 1699728550
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1661212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723420800000",
"number": "1891414074",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "849 KELLOGG AVE",
"city": "JANESVILLE",
"state": "WI",
"postal_code": "535462808",
"telephone_number": "608-755-7960",
"fax_number": "608-755-7873"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "849 KELLOGG AVE",
"city": "JANESVILLE",
"state": "WI",
"postal_code": "535462808",
"telephone_number": "608-755-7960",
"fax_number": "608-755-7873"
}
],
"practiceLocations": [
{
"address_1": "1000 Mineral Point Ave",
"address_purpose": "LOCATION",
"city": "Janesville",
"state": "WI",
"postal_code": "535482982",
"country_code": "US",
"telephone_number": "608-756-6868",
"fax_number": "608-756-6289",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HAJARI",
"first_name": "ASHRUTI HITENDRA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-23",
"last_updated": "2024-08-12",
"certification_date": "2024-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "WI",
"license": "9952-851",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WI",
"license": "83978-20",
"primary": true
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "WI",
"license": "83978-20",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Janesville, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.