Individual provider Active NPI

Majd Kanbour, MD

  • Cardiovascular Disease Physician
  • Merrillville, IN
National Provider Identifier
1427346501
Registry record updated Aug 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
01084036A Issued in IN
Practice address
5800 Broadway
Merrillville, IN 46410-2601
Phone
(219) 884-9180
NPI assigned
Jul 11, 2011
Last updated
Aug 25, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine Physician 207R00000X 01084036A IN
Cardiovascular Disease Physician 207RC0000X 01084036A IN Primary
Interventional Cardiology Physician 207RI0011X 01084036A IN

Addresses

Primary practice location

5800 Broadway
Merrillville, IN 46410-2601

Mailing address

6121 Cleveland St
Merrillville, IN 46410-2302
Phone (219) 738-5985

Other practice location 1

3500 Franciscan Way Ste 400
Michigan City, IN 46360-0021
Phone (219) 878-8200

Other practice location 2

200 E 89th Ave
Merrillville, IN 46410-7318
Phone (219) 738-5330

Other practice location 3

2400 17th St
Columbus, IN 47201-5351
Phone (812) 379-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, IN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20140808001977 OH Practitioner - Internal Medicine 4284872680
I20200630002082 IN Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal MedicinePractitioner - Interventional Radiology 4284872680 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology), Internal Medicine
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Methodist Hospitals IncGroup PAC ID 9638063894, 131 clinicians
Methodist Hospitals Cardiographics, LLCGroup PAC ID 0749244499, 9 clinicians

Practice addresses (Care Compare)

2400 17TH St
Columbus, IN 47201-5351
Phone (812) 376-5974

5800 Broadway
Merrillville, IN 46410-2601
Phone (219) 884-9180

600 Richard Gordon Hatcher Blvd
Gary, IN 46402-6001
Phone (219) 886-4000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting14
Pacemaker insertion or repair1-10
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Columbus Regional Health Physicians, LLC Internal Medicine CurrentSince Aug 18, 2023 Accepting new patients
Methodist Hospitals Cardiographics, LLC Cardiovascular Disease CurrentSince Feb 1, 2022 Accepting new patients
The Methodist Hospitals, Inc Internal Medicine Current Accepting new patients
The Methodist Hospitals, Inc CurrentSince Jan 1, 2022 Accepting new patients
Columbus Regional Health Physicians, LLC CurrentSince Aug 18, 2023 Accepting new patients
The Methodist Hospitals, Inc Internal Medicine CurrentSince Jan 1, 2022 Accepting new patients
The Methodist Hospitals, Inc. Past Accepting new patients

Locations

27350 Network Pl
Chicago, IL 60673

2400 17th St
Columbus, IN 47201
Phone (812) 373-3025

2269 W 25th Ave
Gary, IN 46404
Phone (219) 738-2081

200 E 89th Ave
Merrillville, IN 46410
Phone (219) 738-4926

5800 Broadway
Merrillville, IN 46410
Phone (219) 884-9180

6121 Cleveland St
Merrillville, IN 46410
Phone (219) 738-5985

8701 Broadway
Merrillville, IN 46410
Phone (219) 738-4926

1781 Morthland Dr
Valparaiso, IN 46385
Phone (219) 299-2736

Interoperability endpoints

  • Direct secure messaging: mkanbour132402@themethodisthospitals.direct-ci.com
  • Direct secure messaging: mkanbour47941@edirect.crh.org

Organizations & group practices 7

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 4

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": "1310342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692921600000",
    "number": "1427346501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6121 CLEVELAND ST",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464102302",
            "telephone_number": "219-738-5985",
            "fax_number": "317-865-1479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5800 BROADWAY",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464102601",
            "telephone_number": "219-884-9180"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3500 Franciscan Way Ste 400",
            "address_purpose": "LOCATION",
            "city": "Michigan City",
            "state": "IN",
            "postal_code": "463600021",
            "country_code": "US",
            "telephone_number": "219-878-8200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 E 89th Ave",
            "address_purpose": "LOCATION",
            "city": "Merrillville",
            "state": "IN",
            "postal_code": "464107318",
            "country_code": "US",
            "telephone_number": "219-738-5330",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2400 17th St",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "IN",
            "postal_code": "472015351",
            "country_code": "US",
            "telephone_number": "812-379-2020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KANBOUR",
        "first_name": "MAJD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-11",
        "last_updated": "2023-08-25",
        "certification_date": "2023-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01084036A",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IN",
            "license": "01084036A",
            "primary": true
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "IN",
            "license": "01084036A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merrillville, IN

Sources for this page

Verify at the official NPI Registry.