Individual provider Active NPI

Kavitha Marie Nair, M.D.

  • Gastroenterology Physician
  • Indianapolis, IN
National Provider Identifier
1760725345
Registry record updated Oct 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
01082641A Issued in IN
Practice address
1400 N Ritter Ave Ste 370
Indianapolis, IN 46219-3098
Phone
(317) 355-1144
Fax
(317) 355-1155
NPI assigned
Apr 1, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Gastroenterology Physician 207RG0100X 01082641A IN Primary

Addresses

Primary practice location

1400 N Ritter Ave Ste 370
Indianapolis, IN 46219-3098

Mailing address

250 N Shadeland Ave
Indianapolis, IN 46219-4959

Other practice location 1

1648 Pierce Dr., Suite 327
Atlanta, GA 30322-1059
Phone (404) 727-5658

Other practice location 2

550 University Blvd Ste 1710
Indianapolis, IN 46202-5149
Phone (317) 944-0980

Other identifiers 2

IdentifierTypeStateIssuer
300029177MedicaidIN
Q00344292OtherINRAILROAD MEDICARE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address knair2@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
I20190812003870 IN Practitioner - GastroenterologyPractitioner - Internal Medicine 4981907722 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Indiana University School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Community Physicians of Indiana IncGroup PAC ID 1759416662, 1,569 clinicians

Practice addresses (Care Compare)

1400 N Ritter Ave
Suite 370
Indianapolis, IN 46219-3098
Phone (317) 355-1144

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy68
Upper gastrointestinal (GI) endoscopy for acid reflux101

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01082641AINMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Medical Diagnostic Associates, Inc. Gastroenterology CurrentSince Jul 24, 2019 Accepting new patients
Community Physicians of Indiana Inc CurrentSince Oct 18, 2021 Accepting new patients
Community Physicians of Indiana Inc CurrentSince Oct 18, 2021 Accepting new patients
Major Hospital Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

7301 Solutions Ctr
Chicago, IL 60677

5819 Reliable Pkwy
Chicago, IL 60686

7950 N Shadeland Ave
Ste 350
Indianapolis, IN 46250
Phone (317) 578-2600

7400 N Shadeland Ave
Ste 100
Indianapolis, IN 46250
Phone (317) 621-6900

250 N Shadeland Ave
Ste 200
Indianapolis, IN 46219
Phone (317) 962-4836

1400 N Ritter Ave
Ste 370
Indianapolis, IN 46219
Phone (317) 355-1144

720 Eskenazi Ave
Indianapolis, IN 46202
Phone (317) 880-0000

550 University Blvd
Ste 1710
Indianapolis, IN 46202
Phone (317) 944-9269

550 University Blvd
Indianapolis, IN 46202
Phone (217) 274-5000

550 University Blvd
Ofc UH4601
Indianapolis, IN 46202

250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174

7120 Clearvista Dr
Ste 4000
Indianapolis, IN 46256
Phone (317) 621-7444

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 and National Provider Directory roles.

Hospital & facility affiliations 4

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": "1364774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665532800000",
    "number": "1760725345",
    "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": "1400 N RITTER AVE STE 370",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462193098",
            "telephone_number": "317-355-1144",
            "fax_number": "317-355-1155"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1648 Pierce Dr., Suite 327",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303221059",
            "country_code": "US",
            "telephone_number": "404-727-5658",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "550 University Blvd Ste 1710",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462025149",
            "country_code": "US",
            "telephone_number": "317-944-0980",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NAIR",
        "first_name": "KAVITHA",
        "middle_name": "MARIE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-01",
        "last_updated": "2022-10-12",
        "certification_date": "2022-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "IN",
            "license": "01082641A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300029177",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "Q00344292",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "knair2@direct.iuhealth.org",
            "affiliation": "N",
            "address_1": "550 University Blvd Ste 1710",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462025149",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.