Gabra Sadik Gachaw, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

01034166A Issued in IN

Practice address

6319 E US Highway 36 Ste 50
Avon, IN 46123-6210

Phone

(317) 272-2190

NPI assigned

Aug 14, 2006

Last updated

Aug 12, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 8

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Gabra S Gachaw MD LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Brownsburg, IN
  • NPI 1326996026
  Medicare reassignment Authorized official
• Family Counseling Clinic

  dba Family Couseling Center

  • Mental Health Counselor
  • Avon, IN
  • NPI 1922199165
  NPD (past)
• Gabra S. Gachaw MD, PC, Dba Inter-Act

  • Marriage & Family Therapist
  • Danville, IN
  • NPI 1396914842
  NPD (past)
• Hendricks County Hospital

  dba Hendricks Regional Health Danville Internal Medicine

  • Internal Medicine Physician
  • Danville, IN
  • NPI 1871065144
  NPD (past)
• Major Hospital

  • General Acute Care Hospital
  • Shelbyville, IN
  • NPI 1174555692
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376265600000",
    "number": "1225041973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6319 E US HYWY 36",
            "address_2": "BOX 50",
            "city": "AVON",
            "state": "IN",
            "postal_code": "46123",
            "telephone_number": "317-272-2190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6319 E US HIGHWAY 36 STE 50",
            "city": "AVON",
            "state": "IN",
            "postal_code": "461236210",
            "telephone_number": "317-272-2190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GACHAW",
        "first_name": "GABRA",
        "middle_name": "SADIK",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-14",
        "last_updated": "2013-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IN",
            "license": "01034166A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MHN",
            "identifier": "25087",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100227780A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC/BS",
            "identifier": "000000091034",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN",
            "identifier": "06014100",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "075196",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100227780",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11383779",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4620202",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kyle Andrew Frick, MD
• Taylor Fruits
• David Lawrence Fryman, M.D.
• Ping Fu, MD., PH.D
• Michael D Gabbard II, M.D.
• Amanda Michelle Galvan Trejo
• Michele Galvin, RPH
• Allison Lee Gardner, NP
• Guykesha Gardner, PHD
• Makaylah N Garrett, PHARMD

• Psychiatry Physician in Avon, IN
• Providers in Avon, IN by specialty
• Psychiatry Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2013; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.