Gitasree Devi Borthakur, M.D.
Individual provider Active NPI Diagnostic Radiology Physician · Indianapolis, IN
NPI 1891054656 · NPPES record last updated Aug 15, 2022
Key facts
- NPI
- 1891054656
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Diagnostic Radiology Physician 2085R0202X
- License
- A148478 (CA)
- Practice address
- 9998 Crosspoint Blvd
Ste 200
Indianapolis, IN 46256-3307 - Phone
- (317) 806-8260
- Fax
- (317) 806-8296
- NPI assigned
- May 14, 2012
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Diagnostic Radiology
- Education
- Northeastern Ohio University College of Medicine, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Radiology of Indiana P C
Practice addresses (Care Compare)
690 Greystone Park NE
Atlanta, GA 30324-5285
Phone (330) 819-3145
9998 Crosspoint Blvd
Suite 200
Indianapolis, IN 46256-3307
Phone (317) 579-2150
Hospital & facility affiliations
- Community Hospital of Anderson and Madison County
- Community Hospital East
- Franciscan Health Indianapolis
- Community Howard Regional Health Inc.
- Community Hospital South, Inc.
Merit-based Incentive Payment System (MIPS)
- Final score
- 72.2 of 100
- Quality
- 71.68
- Improvement activities
- 40
- Cost
- 59.26
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (3 enrollments) in CA, IN, GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170626000595 | CA | Practitioner - Diagnostic Radiology | 3375842859 | |
| I20180608000615 | IN | Practitioner - Diagnostic Radiology | 3375842859 | Reassigns benefits to 3 organizations |
| I20200909000959 | GA | Practitioner - Diagnostic Radiology | 3375842859 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 148478 | CA | MD | Marriage & Family Therapist |
| A148478 | CA | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Radiology of Indiana P C | Diagnostic Radiology | Current |
Accepting new patients |
| Decatur County Memorial Hospital | Current |
Accepting new patients | |
| Decatur County Memorial Hospital | Current |
Accepting new patients | |
| Decatur County Memorial Hospital | Current |
Accepting new patients | |
| Hancock Health Gateway Services Inc | Current |
Accepting new patients | |
| Kern Radiology Medical Group, Inc | Diagnostic Radiology | Past | Accepting new patients |
| Hancock Health Gateway Services, Inc. | Past | Accepting new patients |
Locations
26 Six Pine Ranch Rd
Batesville, IN 47006
Phone (812) 934-5252
6189 W John L Modglin Dr
Ste 103
Greenfield, IN 46140
Phone (317) 866-7301
720 N Lincoln St
Greensburg, IN 47240
Phone (812) 522-2349
7340 Shadeland Sta
Ste 200
Indianapolis, IN 46256
9998 Crosspoint Blvd
Ste 200
Indianapolis, IN 46256
Interoperability endpoints
- gborthakur401703@direct.franciscanalliance.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | A148478 | CA | Yes |
Addresses
Primary practice location
9998 Crosspoint Blvd
Ste 200
Indianapolis, IN 46256-3307
Mailing address
9998 Crosspoint Blvd
Ste 200
Indianapolis, IN 46256-3307
Phone (317) 806-8260
Other providers in Indianapolis, IN
- Rizza Mae Borres
- Brianna Margo Borri
- Gregory H Borschel
- Natascia Veronica Borsellino
- Lawrence J Bortenschlager
- Michael D Bortone
- Julie J Borum
- Erin E Boschert
- Bhaskar David S Bose
- Courtney Bose
All providers in Indianapolis, IN · Diagnostic Radiology Physician in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 15, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.