Active NPI
Majd Kanbour, MD
- Cardiovascular Disease Physician
- Merrillville, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 01084036A
- Practice address
- 5800 Broadway
Merrillville, IN 46410-2601 - Phone
- (219) 884-9180
- NPI assigned
- Jul 11, 2011
- Last updated
- Aug 25, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Interventional Cardiology
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 14 |
| Pacemaker insertion or repair | 1-10 |
| Leg revascularization (restoring blood flow) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Columbus Regional Health Physicians, LLC | Internal Medicine | Current | Accepting new patients |
| Methodist Hospitals Cardiographics, LLC | Cardiovascular Disease | Current | Accepting new patients |
| The Methodist Hospitals, Inc | Internal Medicine | Current | Accepting new patients |
| The Methodist Hospitals, Inc | Current | Accepting new patients | |
| Columbus Regional Health Physicians, LLC | Current | Accepting new patients | |
| The Methodist Hospitals, Inc | Internal Medicine | Current | 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
- mkanbour132402@themethodisthospitals.direct-ci.com
- 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.
-
- Internal Medicine Physician
- Columbus, IN
- NPI 1336510098
-
- Cardiovascular Disease Physician
- Merrillville, IN
- NPI 1609825686
-
dba Methodist Northlake Physicians
- Internal Medicine Physician
- Gary, IN
- NPI 1720290349
-
- Family Medicine Physician
- Columbus, IN
- NPI 1740650225
-
dba The Neuroscience Institute of NWI
- Neurology Physician
- Gary, IN
- NPI 1720290588
-
dba Methodist Cardiology Services
- Cardiovascular Disease Physician
- Gary, IN
- NPI 1912573585
Internal Medicine
-
dba Methodist Surgical Services
- Surgery Physician
- Gary, IN
- NPI 1609104033
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Columbus, IN
- NPI 1104998624
-
- General Acute Care Hospital
- Hobart, IN
- NPI 1558463745
-
dba St Mary Wound Clinic
- General Acute Care Hospital
- Hobart, IN
- NPI 1962504175
-
- General Acute Care Hospital
- Gary, IN
- NPI 1467504555
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.