NPIMap

Individual provider Active NPI

Gaurav Kakked, MBBS

  • Gastroenterology Physician
  • Chicago, IL
National Provider Identifier
1396276853
Registry record updated Jun 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
036164071 Issued in IL
Practice address
1725 W Harrison St Ste 207
Chicago, IL 60612-3988
Phone
(312) 942-5861
NPI assigned
Mar 24, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 4351046982 MI
Gastroenterology Physician 207RG0100X 036164071 IL Primary

Addresses

Primary practice location

1725 W Harrison St Ste 207
Chicago, IL 60612-3988

Mailing address

1725 W Harrison St Ste 207
Chicago, IL 60612-3988
Phone (312) 942-5861

Other practice location 1

3601 W 13 Mile Rd
Royal Oak, MI 48073-6712
Phone (248) 898-5000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, ME, PA3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20230801000156 IL Practitioner - Gastroenterology 6709122997 Reassigns benefits to 1 organization
I20240813002351 ME Practitioner - GastroenterologyPractitioner - Internal Medicine 6709122997 Reassigns benefits to 3 organizations
I20251024000215 PA Practitioner - Gastroenterology 6709122997 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Regional Gastroenterology Associates of Lancaster, LTD.Group PAC ID 4688575434, 248 clinicians
Central Maine Medical CenterGroup PAC ID 2567379563, 344 clinicians

Practice addresses (Care Compare)

1011 Reed Ave
Suite 300
Wyomissing, PA 19610-2002
Phone (610) 374-4401

300 Main St
Lewiston, ME 04240-7027
Phone (207) 795-0111

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.02 of 100Reported as group
Quality
59.99
Promoting interoperability
99
Improvement activities
40
Cost
74.25

Merit-based Incentive Payment System (MIPS)

Final score
84.57 of 100Reported as group
Quality
66.56
Promoting interoperability
99
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy59
Upper gastrointestinal (GI) endoscopy for acid reflux182

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036164071ILMDGastroenterology Physician
4351046982MIMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Central Maine Medical Center CurrentSince Sep 30, 2024 Accepting new patients
Rush University Medical Center Gastroenterology CurrentSince Jul 1, 2023 Accepting new patients
Rush University Medical Group CurrentSince Jul 1, 2023 Accepting new patients
Bridgton Hospital CurrentSince Sep 30, 2024 Accepting new patients
Bridgton Hospital CurrentSince Sep 30, 2024 Accepting new patients
Midatlantic Endoscopy LLC Current Accepting new patients
Central Maine Medical Center Current Accepting new patients
Regional Gastroenterology Associates of Lancaster, LTD. CurrentSince Dec 1, 2025 Accepting new patients
Rumford Hospital CurrentSince Sep 30, 2024 Accepting new patients
Regional Gastroenterology Associates of Lancaster, LTD. Gastroenterology CurrentSince Dec 1, 2025 Accepting new patients
Rumford Hospital CurrentSince Sep 30, 2024 Accepting new patients
Central Maine Medical Center CurrentSince Sep 30, 2024 Accepting new patients

Locations

1725 W Harrison St
Ste 207
Chicago, IL 60612

1700 W Van Buren St
#500
Chicago, IL 60612
Phone (312) 563-2875

75 Remittance Dr
Dept 1611
Chicago, IL 60675

10 Hospital Dr
Bridgton, ME 04009
Phone (207) 647-6000

300 Main St
Lewiston, ME 04240
Phone (207) 795-2400

77 Bates St
Ste 202
Lewiston, ME 04240
Phone (207) 784-5784

420 Franklin St
Rumford, ME 04276
Phone (207) 364-4581

2112 Harrisburg Pike
Ste 202
Lancaster, PA 17601
Phone (717) 544-3500

475 Enterprise Dr
Ste 202
Royersford, PA 19468
Phone (610) 674-4401

100 E Lancaster Ave
Ste 252
Wynnewood, PA 19096
Phone (610) 896-7360

1011 Reed Ave
Ste 300
Wyomissing, PA 19610
Phone (610) 374-4401

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/4517c430-03bf-4e32-b324-1387cc4e73f3/

Organizations & group practices 12

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 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": "1490313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686096000000",
    "number": "1396276853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1725 W HARRISON ST STE 207",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606123988",
            "telephone_number": "312-942-5861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1725 W HARRISON ST STE 207",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606123988",
            "telephone_number": "312-942-5861"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3601 W 13 Mile Rd",
            "address_purpose": "LOCATION",
            "city": "Royal Oak",
            "state": "MI",
            "postal_code": "480736712",
            "country_code": "US",
            "telephone_number": "248-898-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAKKED",
        "first_name": "GAURAV",
        "name_prefix": "Dr.",
        "credential": "MBBS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-24",
        "last_updated": "2023-06-07",
        "certification_date": "2023-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MI",
            "license": "4351046982",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "IL",
            "license": "036164071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.