Active NPI
Ajay Karunakaran Rajan, MD
- Surgery Physician
- Omaha, NE
National Provider Identifier
1952147167
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 9980
- Practice address
- 7710 Mercy Road, Suite 202
Cu Department of Surgery
Omaha, NE 68124 - Phone
- (402) 280-4669
- NPI assigned
- Jul 8, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 9980 | NE | Primary |
Addresses
Primary practice location
7710 Mercy Road, Suite 202
Cu Department of Surgery
Omaha, NE 68124
Mailing address
7710 Mercy Road, Suite 202
Cu Department of Surgery
Omaha, NE 68124
Phone (402) 280-4669
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240916003723 | NE | Order and Referring Only - General Surgery | 6901347186 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9980 | NE | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1720396800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720396800000",
"number": "1952147167",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7710 MERCY ROAD, SUITE 202",
"address_2": "CU DEPARTMENT OF SURGERY",
"city": "OMAHA",
"state": "NE",
"postal_code": "68124",
"telephone_number": "402-280-4669"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7710 MERCY ROAD, SUITE 202",
"address_2": "CU DEPARTMENT OF SURGERY",
"city": "OMAHA",
"state": "NE",
"postal_code": "68124",
"telephone_number": "402-280-4669"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAJAN",
"first_name": "AJAY",
"middle_name": "KARUNAKARAN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-07-08",
"last_updated": "2024-07-08",
"certification_date": "2024-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NE",
"license": "9980",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.