Individual provider Active NPI

Vishnu Das Gaiha, M.D.

  • Cardiovascular Disease Physician
  • Evanston, IL
National Provider Identifier
1437196904
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Practice address
800 Austin St
West Tower Suite 602
Evanston, IL 60202-3439
Phone
(847) 491-1977
Fax
(847) 491-0949
NPI assigned
Jun 1, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X IL Primary

Addresses

Primary practice location

800 Austin St
West Tower Suite 602
Evanston, IL 60202-3439

Mailing address

800 Austin St
West Tower Suite 602
Evanston, IL 60202-3439
Phone (847) 491-1977

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20070130000325 IL Practitioner - Cardiovascular Disease (Cardiology) 0941201248 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1969
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

800 Austin St
Suite 602
Evanston, IL 60202-3446
Phone (847) 491-1977

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
24.14 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
80.47

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036046908ILMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vishnu D Gaiha MD SC Cardiovascular Disease CurrentSince Jan 30, 2007 Accepting new patients

Locations

800 Austin St
Ste 60
Evanston, IL 60202
Phone (847) 491-1977

800 Austin St
Ste 602
Evanston, IL 60202
Phone (847) 433-3361

800 Austin St
Ste 602
Evanston, IL 60202
Phone (847) 491-1977

Organizations & group practices 1

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 7

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": "1149120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1437196904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 AUSTIN ST",
            "address_2": "WEST TOWER SUITE 602",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602023439",
            "telephone_number": "847-491-1977",
            "fax_number": "847-491-0949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 AUSTIN ST",
            "address_2": "WEST TOWER SUITE 602",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602023439",
            "telephone_number": "847-491-1977",
            "fax_number": "847-491-0949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAIHA",
        "first_name": "VISHNU",
        "middle_name": "DAS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evanston, IL

Sources for this page

Verify at the official NPI Registry.