Active NPI
Kais Yehyawi, MD
- Cardiovascular Disease Physician
- Portage, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 01055547A
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200350030 | Medicaid | IN | |
| 200293540A | Medicaid | IN |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Other, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
- St Mary Medical Center Inc
- St Catherine Hospital Inc
- Community Hospital
- Methodist Hospitals Inc
- Powers Health Rehabilitation Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 15 |
| Pacemaker insertion or repair | 1-10 |
| Varicose vein removal | 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 |
|---|---|---|---|
| Community Care Network Inc | Current | Accepting new patients | |
| Methodist Hospitals Cardiographics, LLC | Cardiovascular Disease | Current | 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
- 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.
-
- Family Medicine Physician
- St John, IN
- NPI 1457610487
-
- Cardiovascular Disease Physician
- Merrillville, IN
- NPI 1609825686
-
- Diagnostic Radiology Physician
- Valparaiso, IN
- NPI 1235186867
-
- General Acute Care Hospital
- Green Bay, WI
- NPI 1649246877
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rehabilitation Hospital
- Crown Point, IN
- NPI 1801301437
Inpatient rehabilitation facility
-
- General Acute Care Hospital
- Munster, IN
- NPI 1003918210
-
- General Acute Care Hospital
- East Chicago, IN
- NPI 1689776882
-
- General Acute Care Hospital
- Hobart, IN
- NPI 1558463745
-
- 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": "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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2011; 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.