Individual provider Active NPI

Mahendrasinh A Jadeja, MD

  • Internal Medicine Physician
  • Erie, PA
National Provider Identifier
1932250008
Registry record updated Jul 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
L993878 Issued in MI
Practice address
135 East 38TH St
Erie, PA 16504
Phone
(814) 860-2358
Fax
(814) 860-2356
NPI assigned
Jan 16, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 30, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X L993878 MI Primary

Addresses

Primary practice location

135 East 38TH St
Erie, PA 16504

Mailing address

135 East 38TH St
Erie, PA 16504
Phone (814) 860-2358

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20130108000218 MD Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 2769664580

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L993878MIMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248912000000",
    "number": "1932250008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 EAST 38TH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "16504",
            "telephone_number": "814-860-2358",
            "fax_number": "814-860-2356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 EAST 38TH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "16504",
            "telephone_number": "814-860-2358",
            "fax_number": "814-860-2356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JADEJA",
        "first_name": "MAHENDRASINH",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-16",
        "last_updated": "2009-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "L993878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

Verify at the official NPI Registry.