Prem S. Jawa, M.D.

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

35-03-7561J Issued in OH

Practice address

9500 Euclid Ave/Q10-1
Glickman Urological & Kidney Institute
Cleveland, OH 44195

Phone

(216) 444-0221

Fax

(216) 636-4492

NPI assigned

Nov 10, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Prem S. Jawa, MD., Inc

  • Urology Physician
  • Chardon, OH
  • NPI 1891819140
  NPD Authorized official

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

{
    "created_epoch": "1131580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308096000000",
    "number": "1982685541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9500 EUCLID AVE/Q10-1",
            "address_2": "GLICKMAN UROLOGICAL & KIDNEY INSTITUTE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "44195",
            "telephone_number": "216-444-0221",
            "fax_number": "216-636-4492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9500 EUCLID AVE/Q10-1",
            "address_2": "GLICKMAN UROLOGICAL & KIDNEY INSTITUTE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "44195",
            "telephone_number": "216-444-0221",
            "fax_number": "216-636-4492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAWA",
        "first_name": "PREM",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-10",
        "last_updated": "2011-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "OH",
            "license": "35037561J",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "OH",
            "license": "35-03-7561J",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0309615",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Majida N Jassani, MD
• Jacqueline Jastes, PEER SUPPRT
• Naveen Jasty
• Amirhassan Javadi
• Bonnie Rigutto Javurek, R.D., L.D.
• Mohamed-Ali Hassan Jawad-Makki
• Zain-Eldeen Nazih Jawad, MD
• Hammad Jawaid, M.D.
• Harkirat Jawanda, MD
• Ahmad Jawid, DIPLOMA

• Urology Physician in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Urology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.