Active NPI
Krishna Rogers
- Prosthetics Case Management
- Gary, IN
National Provider Identifier
1285235317
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetics Case Management
- License
- BC21100079
- Practice address
- 663 Roosevelt St
Gary, IN 46404-1311 - Phone
- (708) 985-6387
- NPI assigned
- Nov 4, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetics Case Management | 1744P3200X | BC21100079 | IN | Primary |
Addresses
Primary practice location
663 Roosevelt St
Gary, IN 46404-1311
Mailing address
663 Roosevelt St
Gary, IN 46404-1311
Phone (708) 985-6387
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Indiana | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BC21100079 | IN | MD | Prosthetics Case Management |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604448000000",
"number": "1285235317",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "663 ROOSEVELT ST",
"city": "GARY",
"state": "IN",
"postal_code": "464041311",
"telephone_number": "708-985-6387"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "663 ROOSEVELT ST",
"city": "GARY",
"state": "IN",
"postal_code": "464041311",
"telephone_number": "708-985-6387"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROGERS",
"first_name": "KRISHNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-11-04",
"last_updated": "2020-11-04",
"certification_date": "2020-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "1744P3200X",
"taxonomy_group": "",
"desc": "Specialist, Prosthetics Case Management",
"state": "IN",
"license": "BC21100079",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Indiana",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "663 Roosevelt St",
"city": "Gary",
"state": "IN",
"country_code": "US",
"postal_code": "464041311",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Gary, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.