Individual provider Active NPI

Arvind Kakodkar, M.D.

  • Family Medicine Physician
  • East Chicago, IN
National Provider Identifier
1073546776
Registry record updated Sep 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
01029160A Issued in IN
Practice address
3700 Main St
East Chicago, IN 46312-2224
Phone
(219) 398-3016
NPI assigned
Jul 8, 2006
Last updated
Sep 16, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
100158590MedicaidIN

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
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

OrganizationSpecialtyStatusNew patients
Kakodkar Family Medical Center Family Medicine Past Accepting new patients
Integrated Medicine for Mens Health PastSince Oct 1, 2024 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.

Hospital & facility affiliations 1

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": "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

Verify at the official NPI Registry.