NPIMap

Individual provider Active NPI

Gaurav Kumar, M.D.

  • Pulmonary Disease Physician
  • Portage, IN
National Provider Identifier
1225219462
Registry record updated May 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
01065464A Issued in IN
Practice address
3156 Willowcreek Rd
Portage, IN 46368-4424
Phone
(219) 762-9444
NPI assigned
Nov 15, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 28, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 01065464A IN
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 01065464A IN
Pulmonary Disease Physician 207RP1001X 01065464A IN Primary

Addresses

Primary practice location

3156 Willowcreek Rd
Portage, IN 46368-4424

Mailing address

2700 Valparaiso St #2001
# 2001
Valparaiso, IN 46384-2001
Phone (219) 762-9444

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address gaurav.kumar.1@7420.direct.athenahealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20110629000618 IN Practitioner - Critical Care (Intensivists)Practitioner - Pulmonary DiseasePractitioner - Internal Medicine 9638365653 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Critical Care (Intensivists)Also: Internal Medicine, Pulmonary Disease
Education
University of Missouri, Kansas City, School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Methodist Hospitals IncGroup PAC ID 9638063894, 131 clinicians
Medical Associates of Nwi LLCGroup PAC ID 4284812827, 2 clinicians
Inpatient Physician Group LLCGroup PAC ID 4486075959, 3 clinicians

Practice addresses (Care Compare)

2269 W 25TH Ave
Methodist Physicians Group
Gary, IN 46404-3367
Phone (219) 944-4187

3156 Willowcreek Rd
Portage, IN 46368-4424
Phone (219) 762-4999

3156 Willowcreek Rd
Portage, IN 46368-4498
Phone (219) 762-9444

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.93 of 100Reported as individual
Quality
75.54
Improvement activities
40
Cost
68.21

Merit-based Incentive Payment System (MIPS)

Final score
60.58 of 100Reported as individual
Quality
76.2
Improvement activities
0
Cost
74.17

Merit-based Incentive Payment System (MIPS)

Final score
78.64 of 100Reported as group
Quality
56.64
Promoting interoperability
73
Improvement activities
40
Cost
76.72

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01065464AINMDCritical Care Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Methodist Hospitals, Inc CurrentSince Jul 1, 2021 Accepting new patients
Inpatient Physician Group LLC Internal Medicine CurrentSince Jun 28, 2015 Accepting new patients
The Methodist Hospitals, Inc Internal Medicine Current Accepting new patients
La Porte Clinic Company LLC Internal Medicine CurrentSince Mar 26, 2021 Accepting new patients
The Methodist Hospitals, Inc Pulmonary Disease CurrentSince Jul 1, 2021 Accepting new patients
La Porte Clinic Company LLC CurrentSince Mar 26, 2021 Accepting new patients
Medical Associates of Nwi LLC Internal Medicine CurrentSince May 22, 2011 Accepting new patients
Trinity Regional Medical Center Past Accepting new patients

Locations

27350 Network Pl
Chicago, IL 60673

2269 W 25th Ave
Gary, IN 46404
Phone (219) 738-2081

104 E Culver Rd
Ste 105
Knox, IN 46534
Phone (574) 772-7300

1331 State St
Laporte, IN 46350
Phone (219) 326-2415

8701 Broadway
Merrillville, IN 46410
Phone (219) 738-4926

200 E 89th Ave
Merrillville, IN 46410
Phone (219) 738-4926

8777 Broadway
Ste B
Merrillville, IN 46410
Phone (219) 738-5316

3630 Willowcreek Rd
Fl 3
Portage, IN 46368
Phone (219) 364-3800

3156 Willowcreek Rd
Portage, IN 46368
Phone (219) 762-4999

2700 Valparaiso St
#1663
Valparaiso, IN 46383

2700 Valparaiso St
Ste 1663
Valparaiso, IN 46383

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/7420/brand/1/csg/1/fhir/r4
  • Direct secure messaging: gaurav.kumar.p1@direct.northshorehealth.nextgenshare.com
  • Direct secure messaging: gaurav.kumar.1@7420.direct.athenahealth.com
  • Direct secure messaging: gkumar398658@direct.franciscanalliance.org
  • Direct secure messaging: gkumar65215@themethodisthospitals.direct-ci.com

Organizations & group practices 8

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 11

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": "1195084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590624000000",
    "number": "1225219462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 VALPARAISO ST #2001",
            "address_2": "# 2001",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463842001",
            "telephone_number": "219-762-9444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3156 WILLOWCREEK RD",
            "city": "PORTAGE",
            "state": "IN",
            "postal_code": "463684424",
            "telephone_number": "219-762-9444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUMAR",
        "first_name": "GAURAV",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-11-15",
        "last_updated": "2020-05-28",
        "certification_date": "2020-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01065464A",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "IN",
            "license": "01065464A",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "IN",
            "license": "01065464A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gaurav.kumar.1@7420.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3156 Willowcreek Rd",
            "city": "Portage",
            "state": "IN",
            "country_code": "US",
            "postal_code": "463684424",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Portage, IN

Sources for this page

Verify at the official NPI Registry.