Individual provider Active NPI

Kais Yehyawi, MD

  • Cardiovascular Disease Physician
  • Portage, IN
National Provider Identifier
1477555670
Registry record updated Aug 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
01055547A Issued in IN
Practice address
6375 US Highway 6 Ste B
Portage, IN 46368-5218
Phone
(219) 762-0400
Fax
(219) 762-2460
NPI assigned
Jun 1, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2011

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 01055547A IN Primary

Addresses

Primary practice location

6375 US Highway 6 Ste B
Portage, IN 46368-5218

Mailing address

6375 US Highway 6 Ste B
Portage, IN 46368-5218
Phone (219) 762-0400

Other identifiers 2

IdentifierTypeStateIssuer
200350030MedicaidIN
200293540AMedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20041116000064 IN Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 7911961362 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Care Network IncGroup PAC ID 3678737012, 378 clinicians

Practice addresses (Care Compare)

10215 Broadway
Crown Point, IN 46307-8001

1400 S Lake Park Ave
Hobart, IN 46342-6791

1500 S Lake Park Ave
Hobart, IN 46342-6638

3545 Arbor Blvd
Portage, IN 46368-4298

3800 Saint Mary Rd
Valparaiso, IN 46383-3986

4321 Fir St
East Chicago, IN 46312-3049
Phone (219) 392-7005

6375 US Hwy 6
Portage, IN 46368-5218

7651 Harvest Dr
Schererville, IN 46375-3476
Phone (219) 322-5723

901 Macarthur Blvd
Munster, IN 46321-2901
Phone (219) 836-4563

9130 Columbia Ave
Munster, IN 46321-2932

9660 Wicker Ave
Saint John, IN 46373-9487

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting15
Pacemaker insertion or repair1-10
Varicose vein removal1-10
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
Community Care Network Inc CurrentSince Nov 1, 2015 Accepting new patients
Methodist Hospitals Cardiographics, LLC Cardiovascular Disease CurrentSince Jul 1, 2004 Accepting new patients
St Mary'S Hospital Medical Center of Green Bay Inc.-Hospital Sisters Past Accepting new patients
Radiologic Associates of Northwest Indiana, PC Past Accepting new patients

Locations

1500 S Lake Park Ave
Hobart, IN 46342
Phone (219) 942-0551

1400 S Lake Park Ave
Ste 301
Hobart, IN 46342
Phone (219) 762-0400

55 E 86th Ave
Merrillville, IN 46410
Phone 2197691670207

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

9130 Columbia Ave
Ste A
Munster, IN 46321
Phone (219) 365-1166

6375 US Highway 6
Ste B
Portage, IN 46368
Phone (219) 762-0400

Interoperability endpoints

  • Direct secure messaging: kyehyawi7437@ssdirect.comhs.org

Organizations & group practices 4

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 6

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": "1117584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314230400000",
    "number": "1477555670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6375 US HIGHWAY 6 STE B",
            "city": "PORTAGE",
            "state": "IN",
            "postal_code": "463685218",
            "telephone_number": "219-762-0400",
            "fax_number": "219-762-2460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6375 US HIGHWAY 6 STE B",
            "city": "PORTAGE",
            "state": "IN",
            "postal_code": "463685218",
            "telephone_number": "219-762-0400",
            "fax_number": "219-762-2460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YEHYAWI",
        "first_name": "KAIS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-01",
        "last_updated": "2011-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IN",
            "license": "01055547A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200350030",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200293540A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portage, IN

Sources for this page

Verify at the official NPI Registry.