Organization Active NPI

Jatinder N Kaushal MD Inc

  • Gastroenterology Physician
  • Kokomo, IN
National Provider Identifier
1386848133
Registry record updated Jan 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
01037318 Issued in IN
Legal business name
JATINDER N KAUSHAL MD INC
Practice address
315 W Lincoln Rd
Suite a
Kokomo, IN 46902-3851
Phone
(765) 626-0056
Fax
(765) 864-9220
NPI assigned
Jun 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2009

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

Authorized official

Name
Yvette Longfellow
Title
Office Manager
Phone
(765) 626-0056

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RG0100X 01037318 IN Primary

Addresses

Primary practice location

315 W Lincoln Rd
Suite a
Kokomo, IN 46902-3851

Mailing address

315 W Lincoln Rd
Suite a
Kokomo, IN 46902-3851
Phone (765) 626-0056

Other identifiers 2

IdentifierTypeStateIssuer
100137720MedicaidIN
100012718OtherINRAILROAD MEDICARE

National Provider Directory

National Provider Directory

Locations

315 W Lincoln Rd
Ste A
Kokomo, IN 46902
Phone (765) 626-0056

NPI Registry JSON

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

{
    "created_epoch": "1181779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232582400000",
    "number": "1386848133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 W LINCOLN RD",
            "address_2": "SUITE A",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469023851",
            "telephone_number": "765-626-0056",
            "fax_number": "765-864-9220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 W LINCOLN RD",
            "address_2": "SUITE A",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469023851",
            "telephone_number": "765-626-0056",
            "fax_number": "765-864-9220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JATINDER N KAUSHAL MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-14",
        "last_updated": "2009-01-22",
        "status": "A",
        "authorized_official_last_name": "LONGFELLOW",
        "authorized_official_first_name": "YVETTE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "765-626-0056"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "IN",
            "license": "01037318",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100137720",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "100012718",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kokomo, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.