Individual provider Active NPI

Nilanjan B Gajare, M.D.

  • Psychiatry Physician
  • Kalamazoo, MI
National Provider Identifier
1972616191
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
4301046636 Issued in MI
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

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
10-4866766MedicaidMI
1972616191MedicaidMI
260C976440OtherMIBC PROVIDER #

Electronic endpoints 1

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040603000373 MI Practitioner - Psychiatry 5597747550 Reassigns benefits to 4 organizations

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
Van Buren Community Mental Health AuthorityGroup PAC ID 6800863788, 22 clinicians
County of MacombGroup PAC ID 4880581404, 81 clinicians
Allegan County Community Mental Health ServicesGroup PAC ID 1153317607, 25 clinicians

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 Hospital, Paw Paw, MI, CCN 231332
  • Bronson South Haven Hospital Hospital, South Haven, MI, CCN 230085
  • Beacon Allegan Hospital, Allegan, MI, CCN 231328
  • Borgess Medical Center Hospital, Kalamazoo, MI, CCN 230117
  • Bronson Methodist Hospital Hospital, Kalamazoo, MI, CCN 230017
  • Beacon Plainwell Long-term care hospital, Plainwell, MI, CCN 232034

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Allegan County Community Mental Health Services CurrentSince Mar 27, 2007 Accepting new patients
County of Macomb CurrentSince Feb 21, 2025 Accepting new patients
County of Macomb CurrentSince Feb 21, 2025 Accepting new patients
Allegan County Community Mental Health Services CurrentSince Mar 27, 2007 Accepting new patients
Case Management of Michigan, Inc. CurrentSince Oct 18, 2014 Accepting new patients
Van Buren Community Mental Health Authority Psychiatry CurrentSince Oct 11, 2010 Accepting new patients
State of Michigan Office of Financial Management Past Accepting new patients
Consumer Services, Inc. PastSince Apr 17, 2022 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.

Hospital & facility affiliations 6

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": "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

Verify at the official NPI Registry.