Active NPI
Nilanjan B Gajare, M.D.
- Psychiatry Physician
- Kalamazoo, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 4301046636
- Practice address
- 1312 Oakland Dr
Kalamazoo, MI 49008-1205 - Phone
- (269) 337-3199
- NPI assigned
- Aug 15, 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 4301046636 | MI | Primary |
Addresses
Primary practice location
1312 Oakland Dr
Kalamazoo, MI 49008-1205
Mailing address
8540 Colony LN
Kalamazoo, MI 49009-4578
Phone (269) 337-3199
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10-4866766 | Medicaid | MI | |
| 1972616191 | Medicaid | MI | |
| 260C976440 | Other | MI | BC PROVIDER # |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | direct@direct.bronsonhg.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 1977
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1007 E Wells St
South Haven, MI 49090-9612
Phone (269) 637-5297
25401 Harper Ave
Saint Clair Shores, MI 48081-2240
Phone (586) 466-6912
3285 122ND Ave
Allegan, MI 49010-9511
Phone (616) 673-6617
5340 Holiday Ter
Suite 9
Kalamazoo, MI 49009-2196
Phone 26938144463
540 Jenner Dr
Allegan, MI 49010-1517
Phone (269) 673-6617
61899 M
Suite 43
Bangor, MI 49013-9621
Phone (269) 427-5671
Hospital & facility affiliations
- Bronson Lakeview Hospital
- Bronson South Haven Hospital
- Beacon Allegan
- Borgess Medical Center
- Bronson Methodist Hospital
- Beacon Plainwell
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allegan County Community Mental Health Services | Current | Accepting new patients | |
| County of Macomb | Current | Accepting new patients | |
| County of Macomb | Current | Accepting new patients | |
| Allegan County Community Mental Health Services | Current | Accepting new patients | |
| Case Management of Michigan, Inc. | Current | Accepting new patients | |
| Van Buren Community Mental Health Authority | Psychiatry | Current | Accepting new patients |
| State of Michigan Office of Financial Management | Past | Accepting new patients | |
| Consumer Services, Inc. | Past | Accepting new patients | |
| Consumer Services, Inc. | Past | Accepting new patients | |
| Mental Health Clinic | Psychiatry | Past | Accepting new patients |
Locations
3285 122nd Ave
Allegan, MI 49010
Phone (269) 673-6617
540 Jenner Dr
Allegan, MI 49010
Phone (269) 673-6617
61899 M 43
Bangor, MI 49013
Phone (269) 427-5671
19800 Hall Rd
Clinton Twp, MI 48038
Phone (586) 854-4804
5340 Holiday Ter
Kalamazoo, MI 49009
Phone (269) 372-4140
5340 Holiday Ter
Ste 9
Kalamazoo, MI 49009
Phone (269) 381-4446
801 Hazen St
Ste C
Paw Paw, MI 49079
Phone (269) 657-5574
801 Hazen St
Paw Paw, MI 49079
Phone (269) 655-3334
1007 Wells St
South Haven, MI 49090
Phone (269) 637-5297
25401 Harper Ave
St Clr Shores, MI 48081
Phone (586) 466-6912
Organizations & group practices 10
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Allegan, MI
- NPI 1215989231
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Clinton TWP, MI
- NPI 1942532197
-
- Psychiatry Physician
- Paw Paw, MI
- NPI 1003878554
-
- Case Management Agency
- Kalamazoo, MI
- NPI 1043286537
-
- Primary Care Clinic/Center
- Allegan, MI
- NPI 1528570322
-
- Public Health or Welfare Agency
- Mount Clemens, MI
- NPI 1760462253
-
- Adult Mental Health Clinic/Center
- Mason, MI
- NPI 1306876735
-
- Clinical Social Worker
- Mason, MI
- NPI 1700066339
-
- Psychiatry Physician
- Portage, MI
- NPI 1184822769
-
- Psychiatric Hospital
- Kalamazoo, MI
- NPI 1194736587
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Allegan, MI
- NPI 1295803377
-
- Long Term Care Hospital
- Plainwell, MI
- NPI 1154504892
Long-term care hospital
-
- General Acute Care Hospital
- Kalamazoo, MI
- NPI 1568416311
-
- Critical Access Hospital
- Paw Paw, MI
- NPI 1962508259
-
- General Acute Care Hospital
- Kalamazoo, MI
- NPI 1831116441
-
- General Acute Care Hospital
- South Haven, MI
- NPI 1346275856
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701043200000",
"number": "1972616191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8540 COLONY LN",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490094578",
"telephone_number": "269-337-3199"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1312 OAKLAND DR",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490081205",
"telephone_number": "269-337-3199"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAJARE",
"first_name": "NILANJAN",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-15",
"last_updated": "2023-11-27",
"certification_date": "2020-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MI",
"license": "4301046636",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10-4866766",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1972616191",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC PROVIDER #",
"identifier": "260C976440",
"state": "MI"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "direct@direct.bronsonhg.org",
"affiliation": "Y",
"endpointDescription": "Bronson Healthcare Group Direct address",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Continuity of Care Document",
"address_1": "601 John St",
"city": "Kalamazoo",
"state": "MI",
"country_code": "US",
"postal_code": "490075341",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Kalamazoo, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.