Individual provider Active NPI

Asheesh Pai-Dhungat, MD

  • Emergency Medicine Physician
  • Warren, OH
National Provider Identifier
1902883960
Registry record updated Jan 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
35076371 Issued in OH
Practice address
1296 Tod PL NW
Suite 200
Warren, OH 44485-2474
Phone
(330) 841-4000
Fax
(330) 656-5901
NPI assigned
Dec 29, 2005
Last updated
Jan 10, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 35076371 OH Primary

Addresses

Primary practice location

1296 Tod PL NW
Suite 200
Warren, OH 44485-2474

Mailing address

5700 Darrow Rd
Suite 106
Hudson, OH 44236-5021
Phone (330) 656-5911

Other identifiers 1

IdentifierTypeStateIssuer
2622728MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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 1

Enrollment IDStateProvider typePAC IDDetails
I20161122000985 OH Practitioner - Emergency Medicine 0143234898 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
4M Emergency Systems Tod LLCGroup PAC ID 3173547593, 2 clinicians

Practice addresses (Care Compare)

1296 Tod NWPL
Suite 200
Warren, OH 44485-2474
Phone (240) 686-2300

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35076371OHMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mves Boardman LLC Emergency Medicine CurrentSince Oct 15, 2021 Accepting new patients
4M Emergency Systems Tod LLC Emergency Medicine CurrentSince Jan 25, 2018 Accepting new patients
4M Emergency Systems LLC Emergency Medicine CurrentSince Oct 15, 2016 Accepting new patients
Mercy Health Youngstown LLC PastSince Jan 25, 2018 Accepting new patients
Mercy Health Youngstown LLC Past Accepting new patients

Locations

5700 Darrow Rd
Ste 106
Hudson, OH 44236
Phone (330) 576-4295

1296 Tod Pl NW
Warren, OH 44485
Phone (330) 306-5010

1296 Tod Pl NW
Ste 200
Warren, OH 44485
Phone (330) 306-5040

1950 Niles Cortland Rd NE
Warren, OH 44484
Phone (234) 600-5752

667 Eastland Ave SE
Warren, OH 44484
Phone (330) 841-2378

1044 Belmont Ave
Youngstown, OH 44504
Phone (330) 480-2182

8401 Market St
Youngstown, OH 44512
Phone (330) 729-2929

Interoperability endpoints

  • Direct secure messaging: apaidhungat34823@direct.bsmhealth.org

Organizations & group practices 5

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 2

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": "1135814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199923200000",
    "number": "1902883960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5700 DARROW RD",
            "address_2": "SUITE 106",
            "city": "HUDSON",
            "state": "OH",
            "postal_code": "442365021",
            "telephone_number": "330-656-5911",
            "fax_number": "330-656-5901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1296 TOD PL NW",
            "address_2": "SUITE 200",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444852474",
            "telephone_number": "330-841-4000",
            "fax_number": "330-656-5901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAI-DHUNGAT",
        "first_name": "ASHEESH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-29",
        "last_updated": "2008-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "35076371",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2622728",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, OH

Sources for this page

Verify at the official NPI Registry.