Jay Kaushik Joshi, M.D., M.B.A.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

01074818A Issued in IN

Practice address

11360 Broadway
Crown Point, IN 46307-7197

Phone

(219) 301-2624

NPI assigned

May 10, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Master of Business Administration, Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Prestige 2

  • General Practice Physician
  • Crown Point, IN
  • NPI 1174222830
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1304985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689292800000",
    "number": "1497047435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 578220",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606577303",
            "telephone_number": "773-935-4700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11360 BROADWAY",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463077197",
            "telephone_number": "219-301-2624"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7134 Calumet Ave",
            "address_purpose": "LOCATION",
            "city": "Hammond",
            "state": "IN",
            "postal_code": "463242406",
            "country_code": "US",
            "telephone_number": "219-301-2624",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOSHI",
        "first_name": "JAY",
        "middle_name": "KAUSHIK",
        "name_prefix": "Dr.",
        "credential": "M.D., M.B.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-10",
        "last_updated": "2023-07-14",
        "certification_date": "2023-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "IN",
            "license": "01074818A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01074818A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jonathan S. Burke, DDS, PC
• Juana Jones-Felton, APRN- FNP
• Montrez Jones
• John S. Jordan, D.C.
• Joseph a. Kacmar, M.D., P.C.
• Ma Lourdes Juliano
• Claudia Louise Jurgensen, FNP
• Joseph A Kacmar, M.D.
• Hayssam Kadah, M.D.
• Deepika Kakkera, MD

• General Practice Physician in Crown Point, IN
• Providers in Crown Point, IN by specialty
• General Practice Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.