Individual provider Active NPI

Gaurav Thakur, D.O.

  • Neurology Physician
  • Columbus, OH
National Provider Identifier
1184078248
Registry record updated Mar 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
34.017146 Issued in OH
Practice address
395 W 12TH Ave
Third Floor
Columbus, OH 43210-1267
Phone
(614) 293-3989
NPI assigned
Apr 14, 2016
Last updated
Mar 4, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2026

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 13080-321 WI
Neurology Physician 2084N0400X 18637 CA
Neurology Physician 2084N0400X 71214 CT
Neurology Physician 2084N0400X 02006769A IN
Neurology Physician 2084N0400X 2022-00966 NC
Neurology Physician 2084N0400X OS022694 PA
Neurology Physician 2084N0400X 34.017146 OH Primary
Neurology Physician 2084N0400X 25MB11500700 NJ

Addresses

Primary practice location

395 W 12TH Ave
Third Floor
Columbus, OH 43210-1267

Mailing address

3574 Autumnwood LN
Okemos, MI 48864-5994
Phone (517) 303-6794

Other practice location 1

228 Saint Charles Way Ste 200
York, PA 17402-4661
Phone (717) 851-5503

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, IN, NC, AL, OH, WI, PA7 enrollments
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 7

Enrollment IDStateProvider typePAC IDDetails
I20220718001169 NJ Practitioner - Neurology 8426328667 Reassigns benefits to 2 organizations
I20221108002737 IN Practitioner - Neurology 8426328667 Reassigns benefits to 2 organizations
I20230329000791 NC Practitioner - Neurology 8426328667 Reassigns benefits to 2 organizations
I20230927002294 AL Practitioner - Neurology 8426328667 Reassigns benefits to 1 organization
I20250908003922 OH Practitioner - Neurology 8426328667 Reassigns benefits to 4 organizations
I20260113003121 WI Practitioner - Neurology 8426328667 Reassigns benefits to 4 organizations
I20260319003581 PA Practitioner - Neurology 8426328667 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Michigan State University College of Osteopathic Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
MCHS Hospitals IncGroup PAC ID 5698071173, 1,195 clinicians
Valley Physician Services PCGroup PAC ID 3577857333, 593 clinicians
Novant Health Medical Group, LLCGroup PAC ID 1153234893, 2,413 clinicians
Atlanticare Physician Group PAGroup PAC ID 8527953660, 506 clinicians
Franciscan Physician NetworkGroup PAC ID 3072790682, 1,152 clinicians
Beacon Medical Group IncGroup PAC ID 1254243306, 575 clinicians

Practice addresses (Care Compare)

Delaware, OH 43015
Phone (800) 782-8581

108 Jackson St
Apt 6B
Hoboken, NJ 07030-6101
Phone (800) 825-5391

10810 Mallard Creek Rd
Charlotte, NC 28262-9786
Phone (704) 510-8000

1925 Pacific Ave
Atlantic City, NJ 08401-6713
Phone (609) 441-8146

3500 Franciscan Way
Suite 300
Michigan City, IN 46360-0033
Phone (219) 877-1880

4 Valley Health PLZ
Paramus, NJ 07652-3619
Phone (800) 825-5391

459 Route 9 S
Little Egg Harbor TWP, NJ 08087-2225
Phone (609) 340-7815

600 E Blvd
Elkhart, IN 46514-2483

600 E Blvd 4TH FL Hospitalists
BMG Hospital Specialties
Elkhart, IN 46514-2483
Phone (574) 647-3050

615 N Michigan St
South Bend, IN 46601-1033

615 N Michigan St FL
South Bend, IN 46601-1033

619 19TH St S
Birmingham, AL 35246-0001
Phone (205) 934-3460

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
18637CAMDNeurology Physician
71214CTMDNeurology Physician
02006769AINMDNeurology Physician
25MB11500700NJMDNeurology Physician
34.017146OHMDNeurology Physician
OS022694PAMDNeurology Physician
13080-321WIMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Atlanticare Physician Group, PA CurrentSince Jun 7, 2022 Accepting new patients
Beacon Medical Group, Inc. Current Accepting new patients
MCHS Hospitals Inc CurrentSince Jul 21, 2025 Accepting new patients
University of Alabama Health Services Foundation, PC. CurrentSince Sep 1, 2023 Accepting new patients
Atlanticare Physician Group PA CurrentSince Jun 7, 2022 Accepting new patients
Wellspan Medical Group CurrentSince Feb 2, 2026 Accepting new patients
Novant Health Medical Group, LLC CurrentSince Jul 1, 2024 Accepting new patients
Stamford Health Medical Group Inc CurrentSince Mar 15, 2023 Accepting new patients
St. Vincent Hospital-Hospital Sisters-Third Order of St. Francis CurrentSince Dec 7, 2025 Accepting new patients
Franciscan Physician Network CurrentSince Sep 26, 2022 Accepting new patients
Atlanticare Regional Medical Center CurrentSince Aug 15, 2025 Accepting new patients
St Vincent Hospital-Hospital Sisters-Third Order of St Francis CurrentSince Dec 7, 2025 Accepting new patients
Novant Health Medical Group, LLC Current Accepting new patients
Novant Health Medical Group, LLC CurrentSince Jul 1, 2024 Accepting new patients
Beacon Medical Group Inc CurrentSince Feb 1, 2025 Accepting new patients
St Nicholas Hospital-Sisters of the Third Order of St Francis CurrentSince Dec 7, 2025 Accepting new patients
Valley Physician Services PC CurrentSince Jan 10, 2024 Accepting new patients
MCHS Hospitals Inc CurrentSince Jul 21, 2025 Accepting new patients
Atlanticare Regional Medical Center CurrentSince Aug 15, 2025 Accepting new patients
St Mary's Hospital Medical Center of Green Bay Inc.-Hospital Sisters CurrentSince Dec 7, 2025 Accepting new patients
Wellspan Medical Group CurrentSince Feb 2, 2026 Accepting new patients
Beacon Medical Group, Inc. Neurology CurrentSince Feb 1, 2025 Accepting new patients
St Clare Memorial Hospital, Inc CurrentSince Dec 7, 2025 Accepting new patients
Osf Multi-Specialty Group CurrentSince Aug 26, 2025 Accepting new patients
Franciscan Physician Network CurrentSince Sep 26, 2022 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Novant Health Medical Group, LLC Past Accepting new patients

Locations

619 19th St S
Birmingham, AL 35233
Phone (205) 934-6405

619 19th St S
Birmingham, AL 35249

1 Hospital Plz
Stamford, CT 06902
Phone (203) 276-4925

1704 Lafayette Rd
Ste 4
Crawfordsvlle, IN 47933
Phone (765) 364-3120

3245 Health Dr
Ste 100
Granger, IN 46530
Phone (574) 647-2129

3500 Franciscan Way
Ste 300
Michigan City, IN 46360
Phone (219) 214-4633

1104 E Grace St
Rensselaer, IN 47978
Phone (219) 866-2026

150 W Washington St
Shelbyville, IN 46176
Phone (317) 392-3211

615 N Michigan St
Fl 1
South Bend, IN 46601
Phone (574) 647-1100

10810 Mallard Creek Rd
Charlotte, NC 28262
Phone (704) 510-8000

5145 Sellers Rd
Shallotte, NC 28470
Phone (910) 754-4441

2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300

3333 Silas Creek Pkwy
Winston Salem, NC 27103
Phone (336) 277-8800

1925 Pacific Ave
Atlantic City, NJ 08401
Phone (609) 441-8023

459 Route 9 S
Little Egg Harbor Twp, NJ 08087
Phone (609) 340-7815

65 W Jimmie Leeds Rd
Pomona, NJ 08240
Phone (609) 484-6414

223 N Van Dien Ave
Ridgewood, NJ 07450
Phone (201) 447-8417

228 Saint Charles Way
Ste 200
York, PA 17402

1726 Shawano Ave
Green Bay, WI 54303
Phone (920) 432-6016

835 S Van Buren St
Green Bay, WI 54301
Phone (888) 901-7246

1000 N Oak Ave
Marshfield, WI 54449
Phone (715) 387-5111

855 S Main St
Ste 1
Oconto Falls, WI 54154
Phone (920) 846-8187

3100 Superior Ave
Sheboygan, WI 53081
Phone (800) 472-6710

Interoperability endpoints

  • Direct secure messaging: gthakur236576@direct.cshs.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/ABCIBA

Organizations & group practices 30

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.

View all 30

Hospital & facility affiliations 3

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": "1460592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772582400000",
    "number": "1184078248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3574 AUTUMNWOOD LN",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "488645994",
            "telephone_number": "517-303-6794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "395 W 12TH AVE",
            "address_2": "THIRD FLOOR",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432101267",
            "telephone_number": "614-293-3989"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "228 Saint Charles Way Ste 200",
            "address_purpose": "LOCATION",
            "city": "York",
            "state": "PA",
            "postal_code": "174024661",
            "country_code": "US",
            "telephone_number": "717-851-5503",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THAKUR",
        "first_name": "GAURAV",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-14",
        "last_updated": "2026-03-04",
        "certification_date": "2026-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "WI",
            "license": "13080-321",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "18637",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CT",
            "license": "71214",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "IN",
            "license": "02006769A",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NC",
            "license": "2022-00966",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "PA",
            "license": "OS022694",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "OH",
            "license": "34.017146",
            "primary": true
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NJ",
            "license": "25MB11500700",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.