Individual provider Active NPI

Kartike Gulati, D.O

  • Otolaryngology/Facial Plastic Surgery Physician
  • Highland, IN
National Provider Identifier
1043507908
Registry record updated Dec 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology/Facial Plastic Surgery PhysicianTaxonomy code 207YX0905X
License
02005425A Issued in IN
Practice address
2211 Main St Ste 1a
Highland, IN 46322-3514
Phone
(219) 836-9368
Fax
(219) 836-9357
NPI assigned
Jun 29, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 8, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology/Facial Plastic Surgery Physician 207YX0905X 60218 MN
Otolaryngology/Facial Plastic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207YX0905X 02005425A IN Primary

Addresses

Primary practice location

2211 Main St Ste 1a
Highland, IN 46322-3514

Mailing address

2211 Main St Ste 1a
Highland, IN 46322-3514
Phone (219) 836-9368

Other practice location 1

2150 Gettler St Ste 260
Dyer, IN 46311-2381
Phone (219) 934-9822

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kgulati251862@Direct.FranciscanAlliance.org Direct

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180710002694 IN Practitioner - Otolaryngology 3779802475 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Otolaryngology Associates of Northwest Indiana LLCGroup PAC ID 0547656704, 4 clinicians
Great Lakes Healthcare Specialists LLCGroup PAC ID 4385960087, 2 clinicians

Practice addresses (Care Compare)

2211 Main St
Suite 1a
Highland, IN 46322-3514
Phone (219) 836-9368

Hospital & facility affiliations

  • Franciscan Health Dyer Hospital, Dyer, IN, CCN 150090
  • Franciscan Health Munster Hospital, Munster, IN, CCN 150165
  • Franciscan Health Crown Point Hospital, Crown Point, IN, CCN 150126
  • Pinnacle Hospital Hospital, Crown Point, IN, CCN 150166
  • Franciscan Health Michigan City Hospital, Michigan City, IN, CCN 150015

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
60218MNMDOtolaryngology/Facial Plastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Great Lakes Healthcare Specialists LLC Multi-Specialty CurrentSince Nov 1, 2021 Accepting new patients
Otolaryngology Associates of Northwest Indiana LLC Multi-Specialty CurrentSince Dec 1, 2021 Accepting new patients

Locations

2211 Main St
Ste 1A
Highland, IN 46322
Phone (219) 836-2201

2802 Leonard Dr
Valparaiso, IN 46383
Phone (219) 531-0355

Interoperability endpoints

  • Direct secure messaging: kgulati251862@direct.franciscanalliance.org

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.

Hospital & facility affiliations 6

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

NPI Registry JSON

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

{
    "created_epoch": "1309305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638921600000",
    "number": "1043507908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2211 MAIN ST STE 1A",
            "city": "HIGHLAND",
            "state": "IN",
            "postal_code": "463223514",
            "telephone_number": "219-836-9368",
            "fax_number": "219-836-9357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2211 MAIN ST STE 1A",
            "city": "HIGHLAND",
            "state": "IN",
            "postal_code": "463223514",
            "telephone_number": "219-836-9368",
            "fax_number": "219-836-9357"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2150 Gettler St Ste 260",
            "address_purpose": "LOCATION",
            "city": "Dyer",
            "state": "IN",
            "postal_code": "463112381",
            "country_code": "US",
            "telephone_number": "219-934-9822",
            "fax_number": "219-934-9855",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GULATI",
        "first_name": "KARTIKE",
        "credential": "D.O",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-06-29",
        "last_updated": "2021-12-08",
        "certification_date": "2021-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YX0905X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "MN",
            "license": "60218",
            "primary": false
        },
        {
            "code": "207YX0905X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "IN",
            "license": "02005425A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kgulati251862@Direct.FranciscanAlliance.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2150 Gettler St Ste 260",
            "city": "Dyer",
            "state": "IN",
            "country_code": "US",
            "postal_code": "463112381",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Highland, IN

Sources for this page

Verify at the official NPI Registry.