Konstantina Gardikiotes, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

71015221A Issued in IN

Practice address

9410 Calumet Ave Ste 101
Munster, IN 46321-0018

Phone

(219) 922-8051

NPI assigned

May 6, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dr Mary Tilak PCGroup PAC ID 1951490390, 9 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Community Hospital Hospital, Munster, IN, CCN 150125
• St Mary Medical Center Inc Hospital, Hobart, IN, CCN 150034
• St Catherine Hospital Inc Hospital, East Chicago, IN, CCN 150008
• Franciscan Health Munster Hospital, Munster, IN, CCN 150165
• Powers Health Rehabilitation Center Inpatient rehabilitation facility, Crown Point, IN, CCN 153045

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/CBEIBA
• FHIR API: https://fhir4.healow.com/fhir/r4/JGJABA/Endpoint/JGJABA

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.

• Dr Mary Tilak PC

  • Obesity Medicine (Internal Medicine) Physician
  • Munster, IN
  • NPI 1003096900

  IN

  Medicare reassignment Care Compare group NPD
• Cardiovascular Consultants PC

  • Cardiovascular Disease Physician
  • Munster, IN
  • NPI 1538106711
  NPD (past)

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

• Community Stroke and Rehabilitation Center Inc

  • Rehabilitation Hospital
  • Crown Point, IN
  • NPI 1801301437

  Inpatient rehabilitation facility

  Care Compare affiliation
• Franciscan Health Munster

  • General Acute Care Hospital
  • Munster, IN
  • NPI 1427493246

  Hospital

  Care Compare affiliation
• Munster Medical Research Foundation Inc

  • General Acute Care Hospital
  • Munster, IN
  • NPI 1003918210

  Hospital

  Care Compare affiliation
• St Catherine Hospital Inc

  • General Acute Care Hospital
  • East Chicago, IN
  • NPI 1689776882

  Hospital

  Care Compare affiliation
• St Mary Medical Center Inc

  • General Acute Care Hospital
  • Hobart, IN
  • NPI 1558463745

  Hospital

  Care Compare affiliation
• St Mary Medical Center Inc

  • General Acute Care Hospital
  • Hobart, IN
  • NPI 1962504175

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1714953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718755200000",
    "number": "1013765056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7232 VALE DR",
            "city": "SCHERERVILLE",
            "state": "IN",
            "postal_code": "463753513",
            "telephone_number": "773-807-8510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9410 CALUMET AVE STE 101",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463210018",
            "telephone_number": "219-922-8051"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6625 W Lincoln Hwy",
            "address_purpose": "LOCATION",
            "city": "Crown Point",
            "state": "IN",
            "postal_code": "463079678",
            "country_code": "US",
            "telephone_number": "219-922-8051",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARDIKIOTES",
        "first_name": "KONSTANTINA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-06",
        "last_updated": "2024-06-19",
        "certification_date": "2024-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71015221A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gama PC Inc
• Miguel A. Gambetta, M.D.
• Arvind N. Gandhi, M.D.
• Shefali Suresh Gandhi, MASTERS
• Jannessa Marie Garcia
• Carolyn Marie Gardiner, DDS
• Timothy John Gardiner, PHARM.D.
• Jetaun T Gardner, LSW
• Stephanie Gardner, M.S. CCC-SLP
• April Lee Garringer, O.T.R.

• Family Nurse Practitioner in Munster, IN
• Providers in Munster, IN by specialty
• Family Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 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.

Verify at the official NPI Registry.