Active NPI
Indar Mohan Jhamb, M.D.
- Allergy & Immunology Physician
- Bowling Green, KY
National Provider Identifier
1790876407
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology Physician
- License
- 20856
- Practice address
- 1217 Ashley Cir
Bowling Green, KY 42104-3383 - Phone
- (270) 782-3237
- Fax
- (270) 782-1412
- NPI assigned
- Sep 27, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Allergy & Immunology Physician | 207K00000X | 20856 | KY | Primary |
Addresses
Primary practice location
1217 Ashley Cir
Bowling Green, KY 42104-3383
Mailing address
186 Talbott Dr
Bowling Green, KY 42103-1322
Phone (270) 782-0466
Other identifiers 15
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000-550426 | Other | PA | BS |
| 1790983377 | Other | KY | MEDICAID NPI |
| K004831 | Other | KY | CHAMPUS |
| 0028731 | Other | TN | BCBS |
| 02-00002 | Other | UH | |
| 4263926 | Other | AETNA | |
| 61101 | Other | HUMANA | |
| 64208564 | Medicaid | KY | |
| 45641453 | Other | KY | EPSDT |
| 18D0325833 | Other | CLIA | |
| 6368 | Other | CHA | |
| 000000048215 | Other | KY | BCBS |
| 7305 | Other | ALTERNATIVE HEALTH | |
| 7305V665.1 | Other | GE | |
| P020 | Other | HEALTHWISE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20081125000408 | KY | Practitioner - Allergy/Immunology | 1456411198 | Practice locations: Bowling Green, KY |
Care Compare profile
Medicare Care Compare- Specialty
- Allergy/Immunology
- Education
- Other, 1974
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1217 Ashley Cir
Bowling Green, KY 42104-3383
Phone (270) 782-3237
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20856 | KY | MD | Allergy & Immunology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Indar M. Jhamb, M.D. | Allergy & Immunology | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Allergy & Immunology Physician
- Bowling Green, KY
- NPI 1790983377
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bowling Green, KY
- NPI 1043293608
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1315958400000",
"number": "1790876407",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "186 TALBOTT DR",
"city": "BOWLING GREEN",
"state": "KY",
"postal_code": "421031322",
"telephone_number": "270-782-0466"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1217 ASHLEY CIR",
"city": "BOWLING GREEN",
"state": "KY",
"postal_code": "421043383",
"telephone_number": "270-782-3237",
"fax_number": "270-782-1412"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JHAMB",
"first_name": "INDAR",
"middle_name": "MOHAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-27",
"last_updated": "2011-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "207K00000X",
"taxonomy_group": "",
"desc": "Allergy & Immunology",
"state": "KY",
"license": "20856",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BS",
"identifier": "000-550426",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID NPI",
"identifier": "1790983377",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHAMPUS",
"identifier": "K004831",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "0028731",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UH",
"identifier": "02-00002",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4263926",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA",
"identifier": "61101",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64208564",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EPSDT",
"identifier": "45641453",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CLIA",
"identifier": "18D0325833",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHA",
"identifier": "6368",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "000000048215",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ALTERNATIVE HEALTH",
"identifier": "7305",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GE",
"identifier": "7305V665.1",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHWISE",
"identifier": "P020",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bowling Green, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2011; 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.