Gagandeep Kaur, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

01082137A Issued in IN

Practice address

3432 169TH St
Hammond, IN 46323-2542

Phone

(219) 844-9060

Fax

(219) 844-6912

NPI assigned

May 4, 2016

Last updated

Jul 31, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dr Mary Tilak PCGroup PAC ID 1951490390, 9 clinicians

Indigo Partners LLCGroup PAC ID 6305202623, shared by 2 NPIs, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Community Hospital Hospital, Munster, IN, CCN 150125
• St Catherine Hospital Inc Hospital, East Chicago, IN, CCN 150008
• St Mary Medical Center Inc Hospital, Hobart, IN, CCN 150034

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

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

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dr Mary Tilak PC

  • Obesity Medicine (Internal Medicine) Physician
  • Munster, IN
  • NPI 1003096900
  Medicare reassignment Care Compare group NPD
• 219 Health Network Inc

  • Family Medicine Physician
  • East Chicago, IN
  • NPI 1093213506
  Medicare reassignment NPD
• Indigo Partners LLC

  • Pulmonary Disease Physician
  • Munster, IN
  • NPI 1275246399
  Medicare reassignment NPD
• Indigo Partners LLC

  • Cardiac Rehabilitation Clinic/Center
  • Munster, IN
  • NPI 1538953732
  Medicare reassignment NPD
• 219 Health Network, Inc.

  • Federally Qualified Health Center (FQHC)
  • Munster, IN
  • NPI 1417811738
  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.

• Munster Medical Research Foundation Inc

  dba Community Hospital

  • General Acute Care Hospital
  • Munster, IN
  • NPI 1003918210
  Care Compare affiliation
• St Catherine Hospital Inc

  • General Acute Care Hospital
  • East Chicago, IN
  • NPI 1689776882
  Care Compare affiliation
• St Mary Medical Center Inc

  • General Acute Care Hospital
  • Hobart, IN
  • NPI 1558463745
  Care Compare affiliation
• St Mary Medical Center Inc

  dba St Mary Wound Clinic

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

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

{
    "created_epoch": "1462320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564531200000",
    "number": "1033564422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 W CHICAGO AVE STE F",
            "city": "EAST CHICAGO",
            "state": "IN",
            "postal_code": "463123261",
            "telephone_number": "219-703-2583",
            "fax_number": "219-703-6749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3432 169TH ST",
            "city": "HAMMOND",
            "state": "IN",
            "postal_code": "463232542",
            "telephone_number": "219-844-9060",
            "fax_number": "219-844-6912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAUR",
        "first_name": "GAGANDEEP",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-04",
        "last_updated": "2019-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01082137A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Editha E Julian-Stiegel, CRNA
• Urmi Pradeep Kalokhe, MD
• Kannan Kandallu, MD
• Kristen Karanovic, APRN
• Jay David Karol, DDS
• Kde & Wellness
• Elaine Kelly, MD
• Kennedy Avenue Chiropractic, LLC
• Christopher Keown-Belous, PHD
• Alisha Kettner, CRNA

• Family Medicine Physician in Hammond, IN
• Providers in Hammond, IN by specialty
• Family Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2019; 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.