NPIMap

Individual provider Active NPI

Chijioke A. Kalu, M.D.

  • Family Medicine Physician
  • Indianapolis, IN
National Provider Identifier
1326012162
Registry record updated Jan 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
01051495A Issued in IN
Practice address
3834 S Emerson Ave
Building C, Suite 100
Indianapolis, IN 46203
Phone
(317) 782-1577
Fax
(888) 366-7577
NPI assigned
Feb 16, 2006
Last updated
Jan 13, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 01051495A IN Primary
General Practice Physician 208D00000X 01051495A IN

Addresses

Primary practice location

3834 S Emerson Ave
Building C, Suite 100
Indianapolis, IN 46203

Mailing address

PO Box 3299
Carson City, NV 89702-3299
Phone (775) 222-0044

Other identifiers 1

IdentifierTypeStateIssuer
200276860MedicaidIN

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
I20150611001273 IN Practitioner - Family Practice 6103070859 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1987
Medicare assignment
May accept Medicare assignment
Group practices
Post Acute Medical PLLCGroup PAC ID 5193156115, 433 clinicians
Altea Medical Indiana PCGroup PAC ID 4183064389, 24 clinicians

Practice addresses (Care Compare)

1101 E Coolspring Ave
Michigan City, IN 46360-6310
Phone (877) 883-9430

2350 Taft St
Gary, IN 46404-3349
Phone (219) 977-2600

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01051495AINMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Post Acute Medical PLLC CurrentSince Jan 30, 2024 Accepting new patients
Advanced Healthcare Associates LLP CurrentSince Jun 15, 2015 Accepting new patients
Altea Medical Indiana PC CurrentSince Feb 26, 2024 Accepting new patients
Major Hospital Past Accepting new patients

Locations

400 E Rivulon Blvd
Ste 103
Gilbert, AZ 85297

4171 Forest Point Cir
Avon, IN 46123
Phone (317) 745-5184

2300 Parkview Ln
Elwood, IN 46036
Phone (765) 203-2672

580 Lemley St
Franklin, IN 46131
Phone (317) 736-8214

2350 Taft St
Gary, IN 46404
Phone (219) 944-2677

3834 S Emerson Ave
Ste C
Indianapolis, IN 46203
Phone (317) 782-1577

5150 Shelbyville Rd
Indianapolis, IN 46237
Phone (317) 782-1577

3518 S Lafountain St
#3803
Kokomo, IN 46902
Phone (765) 453-4667

1101 E Coolspring Ave
Michigan City, IN 46360
Phone (219) 874-5211

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Harcourt Terrace Nursing and RehabilitationIndianapolis, IN, CCN 155149 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Feb 1, 2024
Apr 17, 2026
Avon Health & Rehabilitation CenterAvon, IN, CCN 155236 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jan 1, 2025
Jan 1, 2025

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 4

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.

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": "1140048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642032000000",
    "number": "1326012162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3299",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897023299",
            "telephone_number": "775-222-0044",
            "fax_number": "888-700-0187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3834 S EMERSON AVE",
            "address_2": "BUILDING C, SUITE 100",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "46203",
            "telephone_number": "317-782-1577",
            "fax_number": "888-366-7577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALU",
        "first_name": "CHIJIOKE",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-16",
        "last_updated": "2022-01-13",
        "certification_date": "2022-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01051495A",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "IN",
            "license": "01051495A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200276860",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.