Active NPI
Gaurav Thakur, D.O.
- Neurology Physician
- Columbus, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 34.017146
- 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, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 7
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 18637 | CA | MD | Neurology Physician |
| 71214 | CT | MD | Neurology Physician |
| 02006769A | IN | MD | Neurology Physician |
| 25MB11500700 | NJ | MD | Neurology Physician |
| 34.017146 | OH | MD | Neurology Physician |
| OS022694 | PA | MD | Neurology Physician |
| 13080-321 | WI | MD | Neurology Physician |
Practice roles
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
- gthakur236576@direct.cshs.org
- 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.
-
- Clinic/Center
- Egg Harbor Township, NJ
- NPI 1093829608
-
dba Beacon Medical Group Schwartz - Wiekamp
- Family Medicine Physician
- Mishawaka, IN
- NPI 1033161617
-
- Family Medicine Physician
- Indianapolis, IN
- NPI 1225327984
-
dba Novant Health Pediatric Neurology & Sleep
- Neurology with Special Qualifications in Child Neurology Physician
- Charlotte, NC
- NPI 1366409492
-
- Multi-Specialty Clinic/Center
- Birmingham, AL
- NPI 1093768723
-
- Critical Access Hospital
- Oconto Falls, WI
- NPI 1851477913
-
- General Acute Care Hospital
- Green Bay, WI
- NPI 1649246877
-
dba St. Nicholas Hospital
- Internal Medicine Physician
- Sheboygan, WI
- NPI 1447737762
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- South Bend, IN
- NPI 1295772093
-
dba Memorial Epworth Center
- Psychiatric Hospital Unit
- South Bend, IN
- NPI 1376841395
-
dba Beacon Granger Hospital, A Memorial Hospital Extension
- General Acute Care Hospital
- Granger, IN
- NPI 1881177756
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2026; 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.