Individual provider Active NPI

Kamal Girgis, MD

  • Internal Medicine Physician
  • Bedford, IN
National Provider Identifier
1659365484
Registry record updated Dec 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
01046224A Issued in IN
Practice address
2900 W 16TH Street
Bedford, IN 47421-3510
Phone
(812) 278-8800
Fax
(812) 275-1359
NPI assigned
Sep 8, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 01046224A IN Primary

Addresses

Primary practice location

2900 W 16TH Street
Bedford, IN 47421-3510

Mailing address

2900 W 16TH Street
Bedford, IN 47421-3510

Other identifiers 1

IdentifierTypeStateIssuer
200188740MedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address KGIRGIS1@direct.iuhealth.org

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
I20090505000280 IN Practitioner - Internal Medicine 9032267810 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Indiana University School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Iu Health Medical Group LLCGroup PAC ID 9638617913, 4,382 clinicians

Practice addresses (Care Compare)

1701 N Senate Blvd
Indianapolis, IN 46202-1239
Phone (888) 484-3258

2900 16TH St
Bedford, IN 47421-3510
Phone (888) 484-3258

642 W Hospital Rd
Indiana University So in Phy Inc
Paoli, IN 47454-9672
Phone (888) 484-3258

707 W 2ND St
Bloomington, IN 47403-2209
Phone (888) 484-3258

719 W 2ND St
Bloomington, IN 47403-2209
Phone (888) 484-3258

727 W 2ND St
Bloomington, IN 47403-2209
Phone (888) 484-3258

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Iu Health Medical Group, LLC CurrentSince Jan 1, 2026 Accepting new patients

Locations

2900 16th St
Bedford, IN 47421
Phone (812) 275-1200

727 W 2nd St
Bloomington, IN 47403
Phone (812) 353-3450

1701 Senate Blvd
Indianapolis, IN 46202
Phone (317) 612-2754

Interoperability endpoints

  • Direct secure messaging: kgirgis@yourcarecommunity.org
  • Direct secure messaging: kgirgis1@direct.iuhealth.org

Ownership & related parties

All facility ownership & control disclosures 6

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Indiana University Health Paoli HospitalPaoli, IN, CCN 151306 Hospital Corporate Director Jan 1, 2026
Indiana University Health Paoli HospitalPaoli, IN, CCN 15Z306 Hospital Corporate Director Jan 1, 2026
Iu Health Bloomington HospitalBloomington, IN, CCN 150051 Hospital Corporate Director Jan 1, 2026
Indiana University Health Bedford HospitalBedford, IN, CCN 151328 Hospital Corporate Director Jan 1, 2026
Indiana University Health Bedford HospitalBedford, IN, CCN 15Z328 Hospital Corporate Director Jan 1, 2026
Iu Health Paoli Family and Internal MedicinePaoli, IN, CCN 158557 Rural health clinic Corporate Director Jan 1, 2026

Owned or controlled facilities with NPI records 7

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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.

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": "1126137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607990400000",
    "number": "1659365484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 W 16TH STREET",
            "city": "BEDFORD",
            "state": "IN",
            "postal_code": "474213510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 W 16TH STREET",
            "city": "BEDFORD",
            "state": "IN",
            "postal_code": "474213510",
            "telephone_number": "812-278-8800",
            "fax_number": "812-275-1359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIRGIS",
        "first_name": "KAMAL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-08",
        "last_updated": "2020-12-15",
        "certification_date": "2020-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01046224A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200188740",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "KGIRGIS1@direct.iuhealth.org",
            "affiliation": "N",
            "address_1": "2900 W 16TH STREET",
            "city": "BEDFORD",
            "state": "IN",
            "country_code": "US",
            "postal_code": "474213510",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bedford, IN

Sources for this page

Verify at the official NPI Registry.