Active NPI
Gehna Kishore, MD
- Internal Medicine Physician
- Avon, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 01099645A
- Practice address
- 1111 Ronald Reagan Pkwy
Avon, IN 46123-7085 - Phone
- (317) 217-3627
- NPI assigned
- Jun 28, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | 35.154879 | OH | |
| Internal Medicine Physician | 207R00000X | 57.254423 | OH | |
| Internal Medicine Physician | 207R00000X | 01099645A | IN | Primary |
Addresses
Primary practice location
1111 Ronald Reagan Pkwy
Avon, IN 46123-7085
Mailing address
250 N Shadeland Ave
Indianapolis, IN 46219-4959
Other practice location 1
375 Dixmyth Ave
Cincinnati, OH 45220-2475
Phone (513) 862-3306
Other practice location 2
10500 Montgomery Rd
Montgomery, OH 45242-4402
Phone (513) 865-2246
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300131522 | Medicaid | IN | |
| 1106378882 | Other | IN | ANTHEM PTAN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | GKISHORE@DIRECT.IUHEALTH.ORG | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, IN
- 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
- Hospitalist
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10500 Montgomery Rd
Montgomery, OH 45242-4402
Phone (513) 865-2246
1111 N Ronald Reagan Pkwy
Avon, IN 46123-7085
Phone (317) 944-7744
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 57.254423 | OH | MD | Internal Medicine Physician |
| 35.154879 | OH | MD | Hospitalist Physician |
Organizations & group practices 2
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.
-
- Obstetrics Physician
- Cincinnati, OH
- NPI 1811215742
-
- General Practice Physician
- Indianapolis, IN
- NPI 1326893777
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Indianapolis, IN
- NPI 1144266024
-
- General Acute Care Hospital
- Cincinnati, OH
- NPI 1457964041
-
- General Acute Care Hospital
- Montgomery, OH
- NPI 1477166064
-
- General Acute Care Hospital
- Cincinnati, OH
- NPI 1508835828
-
- General Acute Care Hospital
- Cincinnati, OH
- NPI 1740893320
-
- General Acute Care Hospital
- Cincinnati, OH
- NPI 1851904445
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1687910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783987200000",
"number": "1639856958",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 N SHADELAND AVE",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462194959"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 RONALD REAGAN PKWY",
"city": "AVON",
"state": "IN",
"postal_code": "461237085",
"telephone_number": "317-217-3627"
}
],
"practiceLocations": [
{
"address_1": "375 Dixmyth Ave",
"address_purpose": "LOCATION",
"city": "Cincinnati",
"state": "OH",
"postal_code": "452202475",
"country_code": "US",
"telephone_number": "513-862-3306",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "10500 Montgomery Rd",
"address_purpose": "LOCATION",
"city": "Montgomery",
"state": "OH",
"postal_code": "452424402",
"country_code": "US",
"telephone_number": "513-865-2246",
"fax_number": "513-865-5552",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KISHORE",
"first_name": "GEHNA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-06-28",
"last_updated": "2026-07-14",
"certification_date": "2026-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "OH",
"license": "35.154879",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OH",
"license": "57.254423",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IN",
"license": "01099645A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "300131522",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM PTAN",
"identifier": "1106378882",
"state": "IN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "GKISHORE@DIRECT.IUHEALTH.ORG",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1111 Ronald Reagan Pkwy",
"city": "Avon",
"state": "IN",
"country_code": "US",
"postal_code": "461237085",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Avon, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2026; 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.