NPIMap

Individual provider Active NPI

Pushkar Kanade, M.D

  • Internal Medicine Physician
  • Cleveland, OH
National Provider Identifier
1144506445
Registry record updated Oct 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
57.019018 Issued in OH
Practice address
2351 E 22ND St
Cleveland, OH 44115-3111
Phone
(216) 861-6200
NPI assigned
Oct 31, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 57.019018 OH Primary

Addresses

Primary practice location

2351 E 22ND St
Cleveland, OH 44115-3111

Mailing address

1801 E 12TH St
Apt # 1409
Cleveland, OH 44114-3500
Phone (443) 986-1544

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170127000106 NE Practitioner - NephrologyPractitioner - Neurology 8729385349 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1000 Pole Creek Xing
Sidney, NE 69162-2901
Phone (308) 254-5825

1301 E H St
Community Hospital
MC Cook, NE 69001-3482
Phone (308) 344-2650

510 N Green St
Cherry County Hospital
Valentine, NE 69201-1932
Phone (402) 376-2525

601 W Leota St
North Platte, NE 69101-6525

611 W Francis St
North Platte, NE 69101-0614

801 W C St
4 Davita McCook Dialysis Center
McCook, NE 69001-3592
Phone (308) 345-1916

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
57.019018OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Platte Nebraska Hospital Corporation Current Accepting new patients
North Platte Nebraska Hospital Corporation Internal Medicine CurrentSince Apr 7, 2018 Accepting new patients

Locations

100 E College Dr
Colby, KS 67701
Phone (785) 462-7511

611 W Francis St
Ste 200
North Platte, NE 69101
Phone (308) 534-9230

601 W Leota St
North Platte, NE 69101
Phone (308) 534-2288

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 9

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": "1320019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320019200000",
    "number": "1144506445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 E 12TH ST",
            "address_2": "APT # 1409",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441143500",
            "telephone_number": "443-986-1544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2351 E 22ND ST",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441153111",
            "telephone_number": "216-861-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANADE",
        "first_name": "PUSHKAR",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-10-31",
        "last_updated": "2011-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "57.019018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.