Active NPI
J K Kansal, M.D., P.C.
- Specialist
- Merrillville, IN
National Provider Identifier
1033289129
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 50005027
- Practice address
- 8969 Broadway
Merrillville, IN 46410-7039 - Phone
- (219) 769-7761
- Fax
- (219) 769-0895
- NPI assigned
- Nov 8, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Specialist | 174400000X | 50005027 | IN | Primary |
Addresses
Primary practice location
8969 Broadway
Merrillville, IN 46410-7039
Mailing address
8969 Broadway
Merrillville, IN 46410-7039
Phone (219) 769-7761
Medicare participation
Medicare enrollment files- 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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Allergy/Immunology
- Education
- Other, 1975
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
8969 Broadway
Merrillville, IN 46410-7039
Phone (219) 769-7761
Hospital & facility affiliations
- Methodist Hospitals Inc
- St Mary Medical Center Inc
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 50005027 | IN | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| J K Kansal MD PC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Specialist
- Merrillville, IN
- NPI 1104181692
-
- Allergy Physician
- Merrillville, IN
- NPI 1811131949
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Hobart, IN
- NPI 1558463745
-
- General Acute Care Hospital
- Hobart, IN
- NPI 1962504175
-
- General Acute Care Hospital
- Gary, IN
- NPI 1467504555
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1233878400000",
"number": "1033289129",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8969 BROADWAY",
"city": "MERRILLVILLE",
"state": "IN",
"postal_code": "464107039",
"telephone_number": "219-769-7761",
"fax_number": "219-769-0895"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8969 BROADWAY",
"city": "MERRILLVILLE",
"state": "IN",
"postal_code": "464107039",
"telephone_number": "219-769-7761",
"fax_number": "219-769-0895"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KANSAL",
"first_name": "J",
"middle_name": "K",
"name_prefix": "Dr.",
"credential": "M.D., P.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-08",
"last_updated": "2009-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "IN",
"license": "50005027",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Merrillville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2009; 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.