Individual provider Active NPI

Tejas J Samaroo, M.D.

  • Diagnostic Radiology Physician
  • Hudson, OH
National Provider Identifier
1992954150
Registry record updated Nov 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
35.097886 Issued in OH
Practice address
5655 Hudson Dr Ste 210
Aris Radiology
Hudson, OH 44236-4455
Phone
(330) 655-1869
Fax
(330) 655-3828
NPI assigned
Sep 11, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 35.097886 OH Primary

Addresses

Primary practice location

5655 Hudson Dr Ste 210
Aris Radiology
Hudson, OH 44236-4455

Mailing address

5655 Hudson Dr Ste 210
Aris Radiology
Hudson, OH 44236-4455
Phone (330) 655-1869

Other identifiers 6

IdentifierTypeStateIssuer
1992954150MedicaidMI
623278OtherOHWELLCARE
1026800330001MedicaidPA
204881619259OtherOHCARESOURCE
0055856MedicaidOH
9639722OtherAETNA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110929000301 OH Practitioner - Diagnostic Radiology 7911178678 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Temple University School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Columbus Radiology CorpGroup PAC ID 6507754983, 290 clinicians

Practice addresses (Care Compare)

111 S Grant Ave
Ohiohealth Grant Medical Center
Columbus, OH 43215-4701
Phone (614) 228-7231

18697 Bagley Rd
Middlebrg HTS, OH 44130-3417
Phone (440) 816-8716

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.097886OHMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Radiology Associates of Canton, Inc. Diagnostic Radiology CurrentSince Oct 21, 2020 Accepting new patients
Columbus Radiology Corp Diagnostic Radiology CurrentSince Sep 8, 2019 Accepting new patients
University Hospitals Medical Group Inc Diagnostic Radiology CurrentSince Sep 1, 2011 Accepting new patients
Columbus Radiology Corp Diagnostic Radiology CurrentSince Sep 8, 2019 Accepting new patients

Locations

200 E State St
Alliance, OH 44601
Phone (330) 596-6000

2600 6th St SW
Canton, OH 44710
Phone (330) 363-2180

7066 Fulton Dr NW
Canton, OH 44718
Phone (330) 363-8567

1020 Trump Rd NW
Carrollton, OH 44615
Phone (330) 627-0091

11100 Euclid Ave
Cleveland Heights, OH 44106

107 Royal Birkdale Dr
Ste A
Columbiana, OH 44408
Phone (330) 482-9350

471 E Broad St
Ste 1400
Columbus, OH 43215
Phone (614) 221-9241

111 S Grant Ave
Columbus, OH 43215
Phone (614) 461-3232

659 Boulevard St
Dover, OH 44622
Phone (330) 343-3311

875 8th St NE
Massillon, OH 44646
Phone (216) 832-8761

6100 Whipple Ave NW
North Canton, OH 44720
Phone (330) 244-8778

9471 Market St
Ste A
North Lima, OH 44452
Phone (330) 726-7100

832 S Main St
Orrville, OH 44667
Phone (330) 456-2695

18181 Pearl Rd
Strongsville, OH 44136
Phone (440) 816-4976

1932 Niles Cortland Rd NE
Ste X
Warren, OH 44484
Phone (330) 306-5371

Organizations & group practices 4

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.

Hospital & facility affiliations 18

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

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1221091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478736000000",
    "number": "1992954150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5655 HUDSON DR STE 210",
            "address_2": "ARIS RADIOLOGY",
            "city": "HUDSON",
            "state": "OH",
            "postal_code": "442364455",
            "telephone_number": "330-655-1869",
            "fax_number": "330-655-3828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5655 HUDSON DR STE 210",
            "address_2": "ARIS RADIOLOGY",
            "city": "HUDSON",
            "state": "OH",
            "postal_code": "442364455",
            "telephone_number": "330-655-1869",
            "fax_number": "330-655-3828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMAROO",
        "first_name": "TEJAS",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-11",
        "last_updated": "2016-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OH",
            "license": "35.097886",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1992954150",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "623278",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1026800330001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARESOURCE",
            "identifier": "204881619259",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0055856",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "9639722",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hudson, OH

Sources for this page

Verify at the official NPI Registry.