AJAY CHAWLA MD
NPI 1982636700
Internal Medicine in Shelby, OH

Active since July 06, 2006PECOS EnrolledAccepts Medicare Assignment
110 AUBURN AVE, SUITE 2, SHELBY, OH 44875(419) 342-4242 Get Directions Write a Review

NPPES record last updated: January 21, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ajay Chawla Md NPPES

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

AJAY CHAWLA MD (NPI 1982636700) is an individual internal medicine provider in Shelby, Ohio, licensed in Ohio (35079605C) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Ohiohealth Mansfield Hospital, and is a graduate of Other (1994).

NPPES Registry Identity

NPI1982636700
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameAJAY CHAWLACredential: MD
Location Address110 AUBURN AVE, SUITE 2Shelby, OH 44875-1104
Mailing Address2356 Woodland Park DrOntario, OH 44903-8586 · (419) 747-6164
Sole ProprietorYes
Medical School CMSOtherGraduated 1994
Enumeration DateJuly 6, 2006
Last NPPES UpdateJanuary 21, 2011
NPI 1982636700 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in OH · 35079605C
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
110 AUBURN AVE, Shelby, OH 44875

Other Identifiers 6

Other2254712OH · Cigna
Medicare ID-Type UnspecifiedCH4063221OH
Medicaid2264866OH
Medicare UPINH52523OH
Other000000340883OH · Anthem
OtherP00169283OH · Rr Medicare

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

Ajay Chawla Md 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 ID9335113356
PECOS Enrollment IDI20040824001216
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 35

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
1,162 services536 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.
597 services383 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
482 services482 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
420 services156 patients
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.
158 services66 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
152 services145 patients

Hospital Affiliations CMS Care Compare 5

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

Ohiohealth Mansfield Hospital

Acute Care Hospitals · Mansfield, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360118
Location335 Glessner AvenueMansfield, OH 44903 · Richland County
Emergency services Birthing friendly

Avita Ontario

Acute Care Hospitals · Ontario, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360365
Location715 Richland MallOntario, OH 44906 · Richland County
Emergency services Birthing friendly

Mercy Health - Willard Hospital

Critical Access Hospitals · Willard, OH
OwnershipVoluntary non-profit - Private
CMS Certification Number361310
Location1100 Neal Zick RoadWillard, OH 44890 · Huron County
Emergency services

Ohiohealth Shelby Hospital

Critical Access Hospitals · Shelby, OH
OwnershipVoluntary non-profit - Private
CMS Certification Number361324
Location199 West Main StreetShelby, OH 44875 · Richland County
Emergency services

Galion Community Hospital

Critical Access Hospitals · Galion, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number361325
Location269 Portland Way SouthGalion, OH 44833 · Crawford County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44875 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.

Referred Medical Equipment & Supplies CMS DME claims 30

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
22 suppliers109 claims323 services$5.61 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
15 suppliers52 claims65 services$0.98 avg. paid by Medicare
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357
DME-Orthotic Devices · category DF000N
2 suppliers26 claims46 services$8.57 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
6 suppliers58 claims58 services$34.74 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
5 suppliers50 claims50 services$84.14 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
5 suppliers56 claims130 services$31.64 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

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

Nurse Practitioner (Psychiatric/Mental Health)
110 AUBURN AVE
SHELBY, OH 44875

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 Ajay Chawla's NPI number?

The NPI number for Ajay Chawla is 1982636700. It was assigned to this individual provider in the NPPES registry on July 6, 2006.

Where is Ajay Chawla located?

Ajay Chawla practices at 110 Auburn Ave Suite 2, Shelby, OH 44875. The listed phone number is (419) 342-4242.

What is Ajay Chawla's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Ajay Chawla enrolled in Medicare?

Yes. Ajay Chawla 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 Ajay Chawla accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, MedMutual, Oscar Health Maintenance Organization of Florida and Oscar Insurance Company list Ajay Chawla 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 Ajay Chawla affiliated with any hospitals?

According to CMS data, Ajay Chawla is affiliated with Ohiohealth Mansfield Hospital, Avita Ontario, Mercy Health - Willard Hospital, Ohiohealth Shelby Hospital and Galion Community Hospital.

When was this NPI record last updated?

The NPPES record for Ajay Chawla was last updated on January 21, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.