Active NPI
Krishna Pahuja, M.D.
- Family Medicine Physician
- Hammond, IN
National Provider Identifier
1033176383
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 01031889
- Practice address
- 4020 Calumet Ave
Hammond, IN 46320-1129 - Phone
- (219) 933-4889
- Fax
- (219) 933-3153
- NPI assigned
- Apr 28, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 01031889 | IN | Primary |
Addresses
Primary practice location
4020 Calumet Ave
Hammond, IN 46320-1129
Mailing address
PO Box 704
Hammond, IN 46325-0704
Phone (219) 933-4889
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000227440 | Other | IN | BLUE SHIELD |
| 0090001298 | Other | IL | BLUE CROSS BLUE SHIELD IL |
| 010036025 | Other | IN | RAILROAD MEDICARE |
| 100206510A | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01031889 | IN | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146182400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1378339200000",
"number": "1033176383",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 704",
"city": "HAMMOND",
"state": "IN",
"postal_code": "463250704",
"telephone_number": "219-933-4889",
"fax_number": "219-933-3153"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4020 CALUMET AVE",
"city": "HAMMOND",
"state": "IN",
"postal_code": "463201129",
"telephone_number": "219-933-4889",
"fax_number": "219-933-3153"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAHUJA",
"first_name": "KRISHNA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-28",
"last_updated": "2013-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IN",
"license": "01031889",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "000000227440",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD IL",
"identifier": "0090001298",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "010036025",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100206510A",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hammond, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.