Gaurav Agarwal, MD
Individual provider Active NPI Nephrology Physician · Merrillville, IN
NPI 1033432109 · NPPES record last updated Jun 1, 2022
Key facts
- NPI
- 1033432109
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nephrology Physician 207RN0300X
- License
- 01076404A (IN)
- Practice address
- 6061 Broadway
Merrillville, IN 46410-2619 - Phone
- (219) 884-2640
- Fax
- (219) 884-2810
- NPI assigned
- Mar 3, 2010
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 10
Medicare Care Compare profile
- Specialty
- Nephrology
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Nephrology Associates of Northern Indiana PC
Practice addresses (Care Compare)
11104 Parkview Circle Dr
Suite 330
Fort Wayne, IN 46845-1674
Phone (260) 494-3484
1705 W 25TH Ave
Suite 102
Gary, IN 46404-3544
Phone (219) 844-2011
569 Tyler St
Gary, IN 46402-1829
Phone (260) 885-3300
6061 Broadway
Merrillville, IN 46410-2619
Phone (219) 884-2011
7836 W Jefferson Blvd
101 Nephrology Associates of Northern India
Fort Wayne, IN 46804-4178
Phone (260) 494-3484
90 W 86TH Ave
Nephrology Associates of Northern Indiana P
Merrillville, IN 46410-7086
Phone (219) 791-1555
Hospital & facility affiliations
- Gary Dialysis Center
- FMC - Portage Dialysis Center
- Dialyze Direct Carmel, IN
- Merrillville North Dialysis Center
- Methodist Hospitals Inc
- St Mary Medical Center Inc
- Parkview Regional Medical Center
- Franciscan Health Crown Point
- Powers Health Rehabilitation Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in IL, IN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20131127001258 | IL | Practitioner - Nephrology |
8426284233 | Reassigns benefits to 1 organization |
| I20160531001939 | IN | Practitioner - Nephrology | 8426284233 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125053946 | IL | MD | Internal Medicine Physician |
| 01076404A | IN | MD | Nephrology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mount Sinai Community Foundation | Current | Accepting new patients | |
| Mount Sinai Community Foundation | Internal Medicine | Current |
Accepting new patients |
| Nephrology Associates of Northern Indiana, Inc | Nephrology | Current |
Accepting new patients |
Locations
26460 Network Pl
Chicago, IL 60673
Phone (708) 786-2900
120 W 22nd St
Ste 200
Oak Brook, IL 60523
Phone (630) 575-5000
569 Tyler St
Gary, IN 46402
Phone (260) 885-3300
1705 W 25th Ave
#102
Gary, IN 46404
Phone (219) 844-2011
6061 Broadway
Merrillville, IN 46410
Phone (219) 884-2011
90 W 86th Ave
Merrillville, IN 46410
Phone (219) 791-1555
2711 Leonard Dr
#101
Valparaiso, IN 46383
Phone (219) 432-6001
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- gagarwal41302@direct.acumenmd.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 125053946 | IL | |
| Nephrology Physician | 207RN0300X | 036133200 | IL | |
| Nephrology Physician | 207RN0300X | 01076404A | IN | Yes |
Addresses
Primary practice location
6061 Broadway
Merrillville, IN 46410-2619
Mailing address
120 W 22ND St Ste 200
Oak Brook, IL 60523-1563
Phone (630) 517-5120
Other practice location 1
1705 W 25th Ave Ste 102
Gary, IN 46404-3544
Phone (219) 884-2011
Other practice location 2
1901 W Harrison St
Chicago, IL 60612-3714
Phone (312) 864-6000
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | credentialing@nephdocs.com |
Other providers in Merrillville, IN
- Advanced Pain Management & Anesthesiology, PC
- Affiliated Ankle and Foot Podiatry Clinic, P.C.
- Affordable Dentures & Implants - Merrillville II, P.C.
- Affordable Dentures & Implants-Merrillville, P.C.
- Affordable Dentures-Merrillville P.C.
- Tania Dimiter Aglikin
- Rebecca Aguado
- Olivia Marie Aguilar
- Nadira A Ahmed
- AIDS Task Force of Laporte and Porter Counties
All providers in Merrillville, IN · Nephrology Physician in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 1, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.