SURESH KUMAR MAHAJAN M.D.
NPI 1003908047
Internal Medicine - Gastroenterology in Cleveland, OH

Active since September 28, 2006PECOS EnrolledAccepts Medicare Assignment
83.46/100
CMS Quality Rating
7255 OLD OAK BLVD, C101, CLEVELAND, OH 44130(440) 816-2789(440) 816-2811 Get Directions Write a Review

NPPES record last updated: December 10, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Suresh Kumar Mahajan M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SURESH KUMAR MAHAJAN M.D. (NPI 1003908047) is an individual gastroenterology provider in Cleveland, Ohio, licensed in Ohio (35-05-8230) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Southwest General Health Center, and is a graduate of Other (1984).

NPPES Registry Identity

NPI1003908047
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameSURESH KUMAR MAHAJANCredential: M.D.
Location Address7255 OLD OAK BLVD, C101Cleveland, OH 44130-3329
Mailing Address7255 Old Oak Blvd, C101Cleveland, OH 44130-3329 · (440) 816-2789 · Fax (440) 816-2811
Fax(440) 816-2811
Sole ProprietorYes
Medical School CMSOtherGraduated 1984
Enumeration DateSeptember 28, 2006
Last NPPES UpdateDecember 10, 2018
NPI 1003908047 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
Licenses Licensed in OH · 35-05-8230 Licensed in OH · 35058230
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
7255 OLD OAK BLVD, Cleveland, OH 44130

Other Identifiers 1

Medicaid0198263OH

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Suresh Kumar Mahajan M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID749261394
PECOS Enrollment IDI20040601000006
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 17

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
775 services164 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
250 services205 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
205 services194 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
193 services193 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
177 services177 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
173 services156 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Southwest General Health Center

Acute Care Hospitals · Middleburg Heights, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360155
Location18697 Bagley RoadMiddleburg Heights, OH 44130 · Cuyahoga County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44130 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

83.46/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality99.63
Improvement Activities40
Cost45.37

Reported Quality Measures

Age Appropriate Screening Colonoscopy
Lower rates are better for this measure.
0%1,070 patients
Colonoscopy Interval for Patients with a History of Adenomatous Polyps - Avoidance of Inappropriate Use
94%925 patients
Colorectal Cancer Screening
93%1,061 patients5/55-star benchmark: 88%
Controlling High Blood Pressure
82%666 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
85%2,241 patients4/55-star benchmark: 100%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
22%1,183 patients2/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 96% · 253 patients
Patients screened: 96% · 253 patients
100%21 patients5/55-star benchmark: 100%
Urinary Incontinence: Assessment of Presence or Absence of Urinary Incontinence in Women Aged 65 Years and Older
99%557 patients4/55-star benchmark: 100%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 1,011 patients
Patients totalRate: 1% · 1,011 patients
1%1,011 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Primary Care)
7255 OLD OAK BLVD
MIDDLEBURG HEIGHTS, OH 44130
Internal Medicine
7255 OLD OAK BLVD, C 302
MIDDLEBURG HTS, OH 44130
Physical Therapist
7255 OLD OAK BLVD, C405
MIDDLEBURG HTS, OH 44130
Internal Medicine (Pulmonary Disease)
7255 OLD OAK BLVD
MIDDLEBURG HEIGHTS, OH 44130
Physical Therapist
7255 OLD OAK BLVD, C405
MIDDLEBURG HTS, OH 44130
Internal Medicine (Cardiovascular Disease)
7255 OLD OAK BLVD, C208
MIDDLEBURG HEIGHTS, OH 44130
Obstetrics & Gynecology
7255 OLD OAK BLVD, SUITE C 112
MIDDLEBURG HEIGHTS, OH 44130
Internal Medicine (Clinical Cardiac Electrophysiology)
7255 OLD OAK BLVD, C208
MIDDLEBURG HEIGHTS, OH 44130

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Suresh Mahajan's NPI number?

The NPI number for Suresh Mahajan is 1003908047. It was assigned to this individual provider in the NPPES registry on September 28, 2006.

Where is Suresh Mahajan located?

Suresh Mahajan practices at 7255 Old Oak Blvd C101, Cleveland, OH 44130. The listed phone number is (440) 816-2789.

What is Suresh Mahajan's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Suresh Mahajan enrolled in Medicare?

Yes. Suresh Mahajan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Suresh Mahajan accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 4 other insurers list Suresh Mahajan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Suresh Mahajan affiliated with any hospitals?

According to CMS data, Suresh Mahajan is affiliated with Southwest General Health Center.

When was this NPI record last updated?

The NPPES record for Suresh Mahajan was last updated on December 10, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.