GAJENDRA MAHARJAN
NPI 1962078923
General Practice in Chicago, IL

Q: What is the provider's specialty?

The provider's specialty is General Practice with taxonomy code 208D00000X.

Active since June 01, 2021PECOS Enrolled

2003 W FULTON ST, CHICAGO, IL 60612(312) 243-2223(312) 243-2227 Get Directions Write a Review

NPPES record last updated: February 13, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Feb 13, 2023, Jun 1, 2021 (2 updates tracked since 2021).

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About Gajendra Maharjan NPPES

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

GAJENDRA MAHARJAN (NPI 1962078923) is an individual general practice provider in Chicago, Illinois, licensed in Illinois (1114) and active in the NPI registry since June 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1962078923

Entity TypeIndividualMale

Primary Taxonomy208D00000X

Provider Legal NameGAJENDRA MAHARJAN

Location Address2003 W FULTON STChicago, IL 60612-2345

Mailing Address2003 W Fulton StChicago, IL 60612-2345 · (312) 243-2223 · Fax (312) 243-2227

Phone(312) 243-2223

Fax(312) 243-2227

Sole ProprietorNo

Enumeration DateJune 1, 2021

Last NPPES UpdateFebruary 13, 20232 updates tracked since enumeration

NPPES CertifiedFebruary 13, 2023

✔ NPI 1962078923 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

License✔ Licensed in IL · 1114

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

2003 W FULTON ST, Chicago, IL 60612

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gajendra Maharjan is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.