Individual provider Active NPI

Akram Kholoki, M.D.

  • Cardiovascular Disease Physician
  • Valparaiso, IN
National Provider Identifier
1164598504
Registry record updated Sep 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
01046098A Issued in IN
Practice address
3800 Saint Mary Rd Ste 202
Valparaiso, IN 46383-3986
Phone
(219) 286-3788
Fax
(219) 286-3791
NPI assigned
Nov 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 01046098A IN Primary

Addresses

Primary practice location

3800 Saint Mary Rd Ste 202
Valparaiso, IN 46383-3986

Mailing address

3800 Saint Mary Rd Ste 202
Valparaiso, IN 46383-3986
Phone (219) 286-3788

Other identifiers 4

IdentifierTypeStateIssuer
90000561OtherBLUE SHIELD OF IL
060044331OtherRAILROAD MEDICARE
000000180622OtherBLUE CROSS BLUE SHIELD IN
200139560MedicaidIN

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
I20100226000776 IN Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 9931297785 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Care Network IncGroup PAC ID 3678737012, 378 clinicians

Practice addresses (Care Compare)

3800 Saint Mary Rd
Suite 202
Valparaiso, IN 46383-3986
Phone (219) 663-4007

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting37
Pacemaker insertion or repair1-10
Varicose vein removal1-10
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Community Care Network Inc CurrentSince Dec 1, 2017 Accepting new patients
Northwest Indiana Cardiovascular Physicians, P.C. Cardiovascular Disease CurrentSince Feb 28, 1996 Accepting new patients
Ekg Associates Past Accepting new patients
Porter Physician Services LLC PastSince Oct 1, 2013 Accepting new patients

Locations

650 Dickinson Rd
Ste Z
Chesterton, IN 46304
Phone (219) 464-9507

650 Dickinson Rd
Ste A
Chesterton, IN 46304
Phone (219) 926-2133

4321 Fir St
East Chicago, IN 46312
Phone (219) 392-1700

9130 Columbia Ave
Ste A
Munster, IN 46321
Phone (219) 365-1166

3630 Willowcreek Rd
Ste 5
Portage, IN 46368
Phone (219) 531-9419

2000 Roosevelt Rd
Valparaiso, IN 46383
Phone (219) 477-5242

2000 Roosevelt Rd
Ste 103
Valparaiso, IN 46383
Phone (219) 531-9419

2411 Laporte Ave
Valparaiso, IN 46383
Phone (219) 476-7226

3800 Saint Mary Rd
Ste 202
Valparaiso, IN 46383
Phone (219) 286-3788

Interoperability endpoints

  • Direct secure messaging: akholoki7334@ssdirect.comhs.org

Organizations & group practices 4

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 7

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": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601424000000",
    "number": "1164598504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 SAINT MARY RD STE 202",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463833986",
            "telephone_number": "219-286-3788",
            "fax_number": "219-286-3791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 SAINT MARY RD STE 202",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463833986",
            "telephone_number": "219-286-3788",
            "fax_number": "219-286-3791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHOLOKI",
        "first_name": "AKRAM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-28",
        "last_updated": "2020-09-30",
        "certification_date": "2020-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IN",
            "license": "01046098A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF IL",
            "identifier": "90000561",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "060044331",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD IN",
            "identifier": "000000180622",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200139560",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Valparaiso, IN

Sources for this page

Verify at the official NPI Registry.