KND Development 59, LLC

Primary specialty

Hospitalist PhysicianTaxonomy code 208M00000X

Legal business name

KND DEVELOPMENT 59, LLC

Practice address

5454 Hohman Ave
Hammond, IN 46320-1931

Phone

(219) 937-9900

Fax

(502) 596-4150

NPI assigned

Jul 18, 2011

Organization subpart

Yes

Parent organization

KINDRED HEALTHCARE, INCAs reported in NPPES

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

Authorized official

Name

Linda L Fisher

Title

DVP Revenue Cycle

Phone

(502) 596-7358

Specialties & licenses 1

Addresses

Other names 1

• 4845 KH NORTHWEST INDIANA Other name

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• KND Development 59 LLC

  • Hospitalist Physician
  • Indianapolis, IN
  • NPI 1710216312

  O20101108000398

  Same enrollment
• KND Development 59, LLC

  • Hospitalist Physician
  • Indianapolis, IN
  • NPI 1699123554

  O20101108000398

  Same enrollment

Part of

Presence Covenant Medical Center

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bushra R Rafeeq, MD

  • Internal Medicine Physician
  • Indianapolis, IN
  • NPI 1366607616
  NPD

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

{
    "created_epoch": "1310947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593561600000",
    "number": "1235427899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "680 S 4TH ST",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402022407",
            "telephone_number": "502-596-7358",
            "fax_number": "833-501-9731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5454 HOHMAN AVE",
            "city": "HAMMOND",
            "state": "IN",
            "postal_code": "463201931",
            "telephone_number": "219-937-9900",
            "fax_number": "502-596-4150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KND DEVELOPMENT 59, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KINDRED HEALTHCARE, INC",
        "enumeration_date": "2011-07-18",
        "last_updated": "2020-07-01",
        "certification_date": "2020-07-01",
        "status": "A",
        "authorized_official_last_name": "FISHER",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DVP REVENUE CYCLE",
        "authorized_official_telephone_number": "502-596-7358"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Hospitalist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "4845 KH NORTHWEST INDIANA",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "4845 KH NORTHWEST INDIANA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Christopher Keown-Belous, PHD
• Alisha Kettner, CRNA
• Kimberley Foster
• Lindsey Renee King, MSN,APRN,FNP-C,CMS
• Daniel M. Knaver, LCSW
• Joseph W Knight, DO
• Joseph Robert Kolanko, D.C.
• Karen Kolodziej
• Carly Renee Kowalski
• Martha Socorro Kozub, APN

• Hospitalist Physician in Hammond, IN
• Providers in Hammond, IN by specialty
• Hospitalist Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.