Active NPI
Arvind Kakodkar, M.D.
- Family Medicine Physician
- East Chicago, IN
National Provider Identifier
1073546776
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 01029160A
- Practice address
- 3700 Main St
East Chicago, IN 46312-2224 - Phone
- (219) 398-3016
- NPI assigned
- Jul 8, 2006
- Last updated
- Sep 16, 2010
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 01029160A | IN | Primary |
Addresses
Primary practice location
3700 Main St
East Chicago, IN 46312-2224
Mailing address
PO Box 3297
East Chicago, IN 46312-8297
Phone (219) 924-8458
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100158590 | Medicaid | IN |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100903000769 | IN | Practitioner - Family Practice | 0143344671 | Practice locations: East Chicago, IN |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 1970
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
3700 Main St
East Chicago, IN 46312-2224
Phone (219) 398-3016
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kakodkar Family Medical Center | Family Medicine | Past | Accepting new patients |
| Integrated Medicine for Mens Health | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- East Chicago, IN
- NPI 1770655011
-
- Primary Care Clinic/Center
- Highland, IN
- NPI 1205656261
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- East Chicago, IN
- NPI 1689776882
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152316800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1284595200000",
"number": "1073546776",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3297",
"city": "EAST CHICAGO",
"state": "IN",
"postal_code": "463128297",
"telephone_number": "219-924-8458"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3700 MAIN ST",
"city": "EAST CHICAGO",
"state": "IN",
"postal_code": "463122224",
"telephone_number": "219-398-3016"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAKODKAR",
"first_name": "ARVIND",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-08",
"last_updated": "2010-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IN",
"license": "01029160A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100158590",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in East Chicago, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2010; 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.