NPIMap

Individual provider Active NPI

Ajay Chawla, MD

  • Internal Medicine Physician
  • Shelby, OH
National Provider Identifier
1982636700
Registry record updated Jan 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35079605C Issued in OH
Practice address
110 Auburn Ave
Suite 2
Shelby, OH 44875-1104
Phone
(419) 342-4242
NPI assigned
Jul 6, 2006
Last updated
Jan 21, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 21, 2011

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 35079605C OH Primary

Addresses

Primary practice location

110 Auburn Ave
Suite 2
Shelby, OH 44875-1104

Mailing address

2356 Woodland Park Dr
Ontario, OH 44903-8586
Phone (419) 747-6164

Other identifiers 4

IdentifierTypeStateIssuer
2254712OtherOHCIGNA
2264866MedicaidOH
000000340883OtherOHANTHEM
P00169283OtherOHRR MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20040824001216 OH Practitioner - Internal Medicine 9335113356 Reassigns benefits to 1 organization
Receives reassigned benefits from 4 practitioners
Practice locations: Shelby, OH

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

110 Auburn Ave
Suite 1
Shelby, OH 44875-1171

110 Auburn Ave
Suite 2
Shelby, OH 44875-1104
Phone (419) 342-4242

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35079605COHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ohiohealth Corporation CurrentSince Dec 28, 2022 Accepting new patients
Ohiohealth Corporation Internal Medicine CurrentSince Dec 28, 2022 Accepting new patients
Ajay Chawla MD LLC Internal Medicine Current Accepting new patients
Ajay Chawla Internal Medicine Current Accepting new patients
Crestline Nursing Center LLC Past Accepting new patients
Ohio Medical Associates Inc. Internal Medicine PastSince Jan 1, 2002 Accepting new patients
Medcentral Health System Past Accepting new patients
Mansfield Memorial Homes, Inc Past Accepting new patients
Jag Healthcare Mansfield LLC Past Accepting new patients

Locations

393 E Town St
Ste 116
Columbus, OH 43215
Phone (614) 566-9108

800 McConnell Dr
Columbus, OH 43214
Phone (614) 533-6297

335 Glessner Ave
Mansfield, OH 44903
Phone (419) 522-0320

110 Auburn Ave
Ste 2
Shelby, OH 44875
Phone (419) 342-4242

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BDHIAA
  • FHIR API: https://fhir4.healow.com/fhir/r4/BDHIAA/Endpoint/BDHIAA

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Jag Healthcare MansfieldMansfield, OH, CCN 365118 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Nov 1, 2024
Nov 1, 2024

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Organizations & group practices 9

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 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295568000000",
    "number": "1982636700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2356 WOODLAND PARK DR",
            "city": "ONTARIO",
            "state": "OH",
            "postal_code": "449038586",
            "telephone_number": "419-747-6164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 AUBURN AVE",
            "address_2": "SUITE 2",
            "city": "SHELBY",
            "state": "OH",
            "postal_code": "448751104",
            "telephone_number": "419-342-4242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAWLA",
        "first_name": "AJAY",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2011-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35079605C",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "2254712",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2264866",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000340883",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00169283",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelby, OH

Sources for this page

Verify at the official NPI Registry.