Individual provider Active NPI

Gopal Bedi, MD

  • Psychiatry Physician
  • Kalamazoo, MI
National Provider Identifier
1316976608
Registry record updated Sep 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
4301035532 Issued in MI
Practice address
615 E Crosstown Pkwy
Kalamazoo, MI 49001-2501
Phone
(269) 553-7037
NPI assigned
Jul 1, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 20, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 4301035532 MI Primary

Addresses

Primary practice location

615 E Crosstown Pkwy
Kalamazoo, MI 49001-2501

Mailing address

615 E Crosstown Pkwy
Kalamazoo, MI 49001-2501
Phone (269) 553-7037

Other identifiers 1

IdentifierTypeStateIssuer
1530141MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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

Enrollment IDStateProvider typePAC IDDetails
I20050222000570 MI Practitioner - PsychiatryPractitioner - General Practice 2163475930 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: General Practice
Education
Other, 1969
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kalamazoo County Community Mental Health AuthorityGroup PAC ID 5890730337, 38 clinicians

Practice addresses (Care Compare)

418 W Kalamazoo Ave
Kalamazoo, MI 49007-3334
Phone (269) 373-6000

Hospital & facility affiliations

  • Bronson Methodist Hospital Hospital, Kalamazoo, MI, CCN 230017

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Kalamazoo County Community Mental Health Authority CurrentSince Jan 1, 2016 Accepting new patients
Kalamazoo County Community Mental Health Authority CurrentSince Jan 1, 2016 Accepting new patients
MRC Industries Incorporated PastSince Oct 7, 2013 Accepting new patients

Locations

418 W Kalamazoo Ave
Kalamazoo, MI 49007
Phone (269) 373-6000

2030 Portage St
Kalamazoo, MI 49001
Phone (269) 553-7132

1608 Lake St
Kalamazoo, MI 49001
Phone (269) 344-0202

615 E Crosstown Pkwy
Kalamazoo, MI 49001
Phone (269) 373-6000

Organizations & group practices 3

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 1

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": "1151712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474329600000",
    "number": "1316976608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 E CROSSTOWN PKWY",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490012501",
            "telephone_number": "269-553-7037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 E CROSSTOWN PKWY",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490012501",
            "telephone_number": "269-553-7037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEDI",
        "first_name": "GOPAL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-01",
        "last_updated": "2016-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "4301035532",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1530141",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalamazoo, MI

Sources for this page

Verify at the official NPI Registry.