Active NPI
Rajan Thakkar, MD
- Pediatric Surgery Physician
- Columbus, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Surgery Physician
- License
- 35121111
- Practice address
- 555 S 18TH St
Columbus, OH 43205-2654 - Phone
- (614) 722-2000
- NPI assigned
- Apr 24, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 35121111 | OH | |
| Pediatric Surgery Physician | 2086S0120X | 35121111 | OH | Primary |
Addresses
Primary practice location
555 S 18TH St
Columbus, OH 43205-2654
Mailing address
700 Childrens Dr
Columbus, OH 43205-2664
Phone (614) 722-2000
Other practice location 1
536 S Trimble Rd
Mansfield, OH 44906-3418
Phone (614) 722-6200
Other practice location 2
455 Executive Campus Dr
Westerville, OH 43082-8870
Phone (614) 722-6200
Other practice location 3
5665 Venture Dr
Dublin, OH 43017-2159
Phone (614) 722-6200
Other practice location 4
2222 Cherry St Ste 1800
Toledo, OH 43608-2679
Phone (419) 251-4300
Other practice location 5
2213 Cherry St
Toledo, OH 43608-2603
Phone (419) 251-4300
Other practice location 6
26 Hospital Dr
Athens, OH 45701-2471
Phone (614) 722-2000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| H458220 | Other | OH | CGS - MEDICARE |
| 0124250 | Medicaid | OH |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Ohio State University College of Medicine, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
700 Children'S Dr
Columbus, OH 43205-2664
Phone (614) 722-2000
700 Childrens Dr
Columbus, OH 43205-2664
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35121111 | OH | MD | Pediatric Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nationwide Children'S Hospital | Current | Accepting new patients | |
| Promedica Children'S Specialists | Pediatric Surgery | Current | Accepting new patients |
| Northwest Pediatric Specialists, LLC | Current | Accepting new patients | |
| Nationwide Children'S Hospital | Current | Accepting new patients | |
| Nationwide Children'S Hospital | Past | Accepting new patients |
Locations
Dept 781629
Detroit, MI 48278
26 Hospital Dr
Athens, OH 45701
Phone (614) 722-2530
700 Childrens Dr
Columbus, OH 43205
Phone (614) 722-4411
555 S 18th St
Columbus, OH 43205
Phone (614) 722-4554
1 Childrens Plz
Dayton, OH 45404
Phone (937) 641-3600
5665 Venture Dr
Dublin, OH 43017
Phone (614) 355-8480
536 S Trimble Rd
Mansfield, OH 44906
Phone (419) 528-3150
3521 Briarfield Blvd
Maumee, OH 43537
Phone (419) 794-7259
2222 Cherry St
Ste 1800
Toledo, OH 43608
Phone (419) 251-4300
2213 Cherry St
Toledo, OH 43608
Phone (419) 251-4283
2222 Cherry St
Toledo, OH 43608
Phone (419) 251-4200
2121 Hughes Dr
Ste 220
Toledo, OH 43606
Phone (419) 291-7403
2121 Hughes Dr
Ste 620
Toledo, OH 43606
Phone (419) 291-2126
455 Executive Campus Dr
Westerville, OH 43082
Phone (614) 355-6100
Interoperability endpoints
- https://api.platform.athenahealth.com/2229/brand/3/csg/621/fhir/r4
- https://hkc.nationwidechildrens.org/FHIR/MYCHART/api/FHIR/R4
Organizations & group practices 6
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.
-
- Pediatric Surgery Physician
- Columbus, OH
- NPI 1417905324
-
- Multi-Specialty Clinic/Center
- Columbus, OH
- NPI 1851179873
-
- Pediatrics Physician
- Toledo, OH
- NPI 1033709100
-
- Durable Medical Equipment & Medical Supplies
- Columbus, OH
- NPI 1447061262
-
- General Acute Care Hospital
- Columbus, OH
- NPI 1134152986
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731974400000",
"number": "1982823720",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 CHILDRENS DR",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432052664",
"telephone_number": "614-722-2000",
"fax_number": "614-722-3903"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "555 S 18TH ST",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432052654",
"telephone_number": "614-722-2000"
}
],
"practiceLocations": [
{
"address_1": "536 S Trimble Rd",
"address_purpose": "LOCATION",
"city": "Mansfield",
"state": "OH",
"postal_code": "449063418",
"country_code": "US",
"telephone_number": "614-722-6200",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "455 Executive Campus Dr",
"address_purpose": "LOCATION",
"city": "Westerville",
"state": "OH",
"postal_code": "430828870",
"country_code": "US",
"telephone_number": "614-722-6200",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5665 Venture Dr",
"address_purpose": "LOCATION",
"city": "Dublin",
"state": "OH",
"postal_code": "430172159",
"country_code": "US",
"telephone_number": "614-722-6200",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2222 Cherry St Ste 1800",
"address_purpose": "LOCATION",
"city": "Toledo",
"state": "OH",
"postal_code": "436082679",
"country_code": "US",
"telephone_number": "419-251-4300",
"fax_number": "419-251-7766",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2213 Cherry St",
"address_purpose": "LOCATION",
"city": "Toledo",
"state": "OH",
"postal_code": "436082603",
"country_code": "US",
"telephone_number": "419-251-4300",
"fax_number": "419-251-7766",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "26 Hospital Dr",
"address_purpose": "LOCATION",
"city": "Athens",
"state": "OH",
"postal_code": "457012471",
"country_code": "US",
"telephone_number": "614-722-2000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "THAKKAR",
"first_name": "RAJAN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-24",
"last_updated": "2024-11-19",
"certification_date": "2024-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "OH",
"license": "35121111",
"primary": false
},
{
"code": "2086S0120X",
"taxonomy_group": "",
"desc": "Surgery, Pediatric Surgery",
"state": "OH",
"license": "35121111",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CGS - MEDICARE",
"identifier": "H458220",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0124250",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.