Active NPI
Kavish Rohatgi, MBBS
- Family Medicine Physician
- Council Bluffs, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 38956
- Practice address
- 3135 W Broadway
Council Bluffs, IA 51501-3359 - Phone
- (712) 328-9100
- Fax
- (712) 328-0095
- NPI assigned
- Jul 25, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 38956 | IA | Primary |
| Family Medicine Physician | 207Q00000X | 25852 | NE |
Addresses
Primary practice location
3135 W Broadway
Council Bluffs, IA 51501-3359
Mailing address
7261 Mercy Rd
Omaha, NE 68124-2311
Phone (402) 398-6255
Other practice location 1
2201 W Broadway
Suite 9
Council Bluffs, IA 51501-3605
Phone (712) 328-9100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA, NE
- 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
- Family Practice
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Alegent Creighton Clinic
Practice addresses (Care Compare)
16901 Lakeside Hills CT
Omaha, NE 68130-2318
Phone (855) 524-4001
16909 Lakeside Hills CT
Omaha, NE 68130-4661
3135 W Broadway
Council Bluffs, IA 51501-3359
Phone (712) 328-9100
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 38956 | IA | MD | Family Medicine Physician |
| 25852 | NE | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alegent Creighton Clinic | Family Medicine | Current | Accepting new patients |
| Alegent Creighton Clinic | Family Medicine | Current | Accepting new patients |
Locations
3135 W Broadway
Council Bluffs, IA 51501
Phone (712) 242-2040
800 Mercy Dr
Council Bluffs, IA 51503
Phone (712) 328-5000
2201 W Broadway
Ste 9
Council Bluffs, IA 51501
Phone (712) 328-9100
800 Mercy Dr
Ste 220
Council Bluffs, IA 51503
Phone (712) 388-2660
3135 W Broadway
Ste 100
Council Bluffs, IA 51501
Phone (712) 242-2040
2771 Solution Ctr
Chicago, IL 60677
7101 Newport Ave
Omaha, NE 68152
Phone (402) 572-2905
7261 Mercy Rd
Omaha, NE 68124
Phone (402) 398-6248
16909 Lakeside Hills Ct
Ste 401
Omaha, NE 68130
Phone (402) 827-4920
Interoperability endpoints
- krohatgi8634@achce.catholichealth.net
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.
-
- Family Medicine Physician
- Council Bluffs, IA
- NPI 1598811069
-
- Family Medicine Physician
- Omaha, NE
- NPI 1548287907
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Council Bluffs, IA
- NPI 1265517759
-
- General Acute Care Hospital
- Omaha, NE
- NPI 1649355132
-
- Psychiatric Hospital Unit
- Omaha, NE
- NPI 1396969499
-
- General Acute Care Hospital
- Omaha, NE
- NPI 1508941097
-
- General Acute Care Hospital
- Omaha, NE
- NPI 1912085184
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185321600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1710177944",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7261 MERCY RD",
"city": "OMAHA",
"state": "NE",
"postal_code": "681242311",
"telephone_number": "14023986255"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3135 W BROADWAY",
"city": "COUNCIL BLUFFS",
"state": "IA",
"postal_code": "515013359",
"telephone_number": "712-328-9100",
"fax_number": "712-328-0095"
}
],
"practiceLocations": [
{
"address_1": "2201 W Broadway",
"address_2": "Suite 9",
"address_purpose": "LOCATION",
"city": "Council Bluffs",
"state": "IA",
"postal_code": "515013605",
"country_code": "US",
"telephone_number": "712-328-9100",
"fax_number": "712-328-0451",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROHATGI",
"first_name": "KAVISH",
"name_prefix": "Dr.",
"credential": "MBBS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-07-25",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IA",
"license": "38956",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NE",
"license": "25852",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Council Bluffs, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.