NPIMap

Individual provider Active NPI

Aswin Ratna Kansakar

  • Internal Medicine Physician
  • Monticello, IN
National Provider Identifier
1467975573
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
01083081A Issued in IN
Practice address
810 S 6TH St
Monticello, IN 47960-8201
Phone
(574) 583-6543
NPI assigned
Jul 20, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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
Internal Medicine Physician 207R00000X 01083081A IN Primary

Addresses

Primary practice location

810 S 6TH St
Monticello, IN 47960-8201

Mailing address

1200 W White River Blvd
Muncie, IN 47303-4988

Other practice location 1

355 Ridge Ave
Evanston, IL 60202-3328
Phone (847) 316-4000

Other identifiers 1

IdentifierTypeStateIssuer
300038529MedicaidIN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220502000427 MO Practitioner - Internal MedicinePractitioner - Family Practice 8022439660 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Family Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mercy Clinic East Communities 573 clinicians

Practice addresses (Care Compare)

1237 Water Tower PL
Arnold, MO 63010-2107
Phone (636) 282-9899

Hospital & facility affiliations

  • Amedisys Home Health of Missouri Home health agency, Hillsboro, MO, CCN 267270
  • Mercy Home Health Home health agency, Saint Louis, MO, CCN 267253
  • Dover Home Health Mo STL Metro, LLC Home health agency, St Louis, MO, CCN 267684
  • Mercy Hospital South Hospital, Saint Louis, MO, CCN 260077
  • Mercy Hospital St Louis Hospital, Saint Louis, MO, CCN 260020
  • Mercy Hospital Jefferson Hospital, Crystal City, MO, CCN 260023
  • SSM Health Rehabilitation Hospital Inpatient rehabilitation facility, Richmond Heights, MO, CCN 263031

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ste Genevieve County Memorial Hospital CurrentSince Apr 1, 2022 Accepting new patients
Ste Genevieve County Memorial Hospital Current Accepting new patients
Mercy Clinic East Communities Internal Medicine CurrentSince Feb 17, 2025 Accepting new patients

Locations

1237 Water Tower Pl
Ste A
Arnold, MO 63010
Phone (363) 213-1906

1237 Water Tower Pl
Arnold, MO 63010
Phone (636) 282-9899

621 S New Ballas Rd
Ste 189A
Saint Louis, MO 63141
Phone (314) 251-6335

621 S New Ballas Rd
Ste 4017B
Saint Louis, MO 63141
Phone (314) 872-9192

800 Ste Genevieve Dr
Ste Genevieve, MO 63670
Phone (573) 883-2571

753 Pointe Basse Dr
Ste Genevieve, MO 63670
Phone (573) 883-2782

120 Plaza Dr
Ste Genevieve, MO 63670
Phone (573) 883-1199

Organizations & group practices 8

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 8

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": "1500508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1467975573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 W WHITE RIVER BLVD",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473034988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 S 6TH ST",
            "city": "MONTICELLO",
            "state": "IN",
            "postal_code": "479608201",
            "telephone_number": "574-583-6543"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "355 Ridge Ave",
            "address_purpose": "LOCATION",
            "city": "Evanston",
            "state": "IL",
            "postal_code": "602023328",
            "country_code": "US",
            "telephone_number": "847-316-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KANSAKAR",
        "first_name": "ASWIN",
        "middle_name": "RATNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-20",
        "last_updated": "2022-07-21",
        "certification_date": "2020-08-24",
        "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": "01083081A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300038529",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monticello, IN

Sources for this page

Verify at the official NPI Registry.