Jatinder N Kaushal, M.D.

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

01037318 Issued in IN

Practice address

412 N Monroe St
Williamsport, IN 47993-1049

Phone

(765) 762-4000

NPI assigned

Jun 9, 2005

Reactivated

Mar 23, 2006

Last updated

Jul 6, 2022By 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 1

Electronic endpoints 1

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

Specialty

Gastroenterology

Education

Other, 1978

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

St Vincent Williamsport HospitalGroup PAC ID 4486636776, 16 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ascension St Vincent Williamsport Hospital, Williamsport, IN, CCN 151307

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jatinder.kaushal.1@7598.direct.athenahealth.com

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.

• St. Vincent Williamsport Hospital

  • Critical Access Hospital
  • Williamsport, IN
  • NPI 1518913565
  Medicare reassignment Care Compare group NPD
• St. Vincent Williamsport Hospital

  dba Ascension St. Vincent Williamsport

  • Critical Access Hospital Clinic/Center
  • Williamsport, IN
  • NPI 1841233061
  NPD
• St. Vincent Williamsport Hospital

  dba Ascension St. Vincent Williamsport

  • Critical Access Hospital Clinic/Center
  • Veedersburg, IN
  • NPI 1730136458
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• St. Vincent Williamsport Hospital

  • Critical Access Hospital
  • Williamsport, IN
  • NPI 1518913565
  Care Compare affiliation

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

{
    "created_epoch": "1118275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657065600000",
    "number": "1295739969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 N MONROE ST",
            "city": "WILLIAMSPORT",
            "state": "IN",
            "postal_code": "479931049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 N MONROE ST",
            "city": "WILLIAMSPORT",
            "state": "IN",
            "postal_code": "479931049",
            "telephone_number": "765-762-4000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "315 W Lincoln Rd",
            "address_purpose": "LOCATION",
            "city": "Kokomo",
            "state": "IN",
            "postal_code": "469023558",
            "country_code": "US",
            "telephone_number": "765-626-0056",
            "fax_number": "765-864-9220",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAUSHAL",
        "first_name": "JATINDER",
        "middle_name": "N",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-09",
        "last_updated": "2022-07-06",
        "certification_date": "2022-07-06",
        "deactivation_date": "2006-03-15",
        "reactivation_date": "2006-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "IN",
            "license": "01037318",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100137720A",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jatinder.kaushal.1@7598.direct.athenahealth.com",
            "affiliation": "Y",
            "affiliationName": "St. Vincent Williamsport Hospital",
            "address_1": "412 N Monroe St",
            "city": "Williamsport",
            "state": "IN",
            "country_code": "US",
            "postal_code": "479931049",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Gastroenterology Physician in Williamsport, IN
• Providers in Williamsport, IN by specialty
• Gastroenterology Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2022; 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.

Verify at the official NPI Registry.