Active NPI
Abdulkader M Kulam, M.D.
- Anesthesiology Physician
- Merrillville, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 01056404A
- Practice address
- 8701 Broadway
Merrillville, IN 46410-7035 - Phone
- (219) 738-5500
- NPI assigned
- May 24, 2006
- Last updated
- Apr 4, 2018
- 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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 01056404A | IN | Primary |
Addresses
Primary practice location
8701 Broadway
Merrillville, IN 46410-7035
Mailing address
19627 S la Grange Rd
Mokena, IL 60448-9360
Phone (708) 326-1633
Other practice location 1
600 Grant St
Gary, IN 46402-6001
Phone (219) 886-4000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 050090422 | Other | IN | RR MCARE |
| 100440660 | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Other, 1971
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4411 Washington Ave
Suite 100
Evansville, IN 47714-0805
Phone (313) 637-9861
600 Grant St
Gary, IN 46402-6001
Phone (888) 851-4642
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01056404A | IN | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesia Dynamics LLC | Anesthesiology | Current | Accepting new patients |
| Redreef Anesthesia Associates Chartered Indiana LLC | Anesthesiology | Current | Accepting new patients |
| Crawford Avenue Anesthesia Provider Services Urbana, LLC | Anesthesiology | Past | Accepting new patients |
| Summit Anesthesia, LLC | Anesthesiology | Past | Accepting new patients |
Locations
11051 Broadway
Ste B
Crown Point, IN 46307
Phone (219) 308-0193
4411 Washington Ave
Ste 100
Evansville, IN 47714
Phone (313) 637-9861
8701 Broadway
Merrillville, IN 46410
Phone (219) 738-4926
Organizations & group practices 5
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.
-
- Anesthesiology Physician
- Gary, IN
- NPI 1215783766
-
- Anesthesiology Physician
- Mokena, IL
- NPI 1962512335
-
- Anesthesiology Physician
- Fort Wayne, IN
- NPI 1649368085
-
- Anesthesiology Physician
- Urbana, IL
- NPI 1134566615
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- 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": "1148428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1522800000000",
"number": "1629023791",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19627 S LA GRANGE RD",
"city": "MOKENA",
"state": "IL",
"postal_code": "604489360",
"telephone_number": "708-326-1633",
"fax_number": "708-326-1672"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8701 BROADWAY",
"city": "MERRILLVILLE",
"state": "IN",
"postal_code": "464107035",
"telephone_number": "219-738-5500"
}
],
"practiceLocations": [
{
"address_1": "600 Grant St",
"address_purpose": "LOCATION",
"city": "Gary",
"state": "IN",
"postal_code": "464026001",
"country_code": "US",
"telephone_number": "219-886-4000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KULAM",
"first_name": "ABDULKADER",
"middle_name": "M",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-24",
"last_updated": "2018-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "IN",
"license": "01056404A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MCARE",
"identifier": "050090422",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100440660",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Merrillville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2018; 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.