Individual provider Active NPI

Gautam Kakade, MD

  • Orthopaedic Surgery Physician
  • Clarion, IA
National Provider Identifier
1992777049
Registry record updated Jan 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
MD-36193 Issued in IA
Practice address
1316 S Main St
Clarion, IA 50525-2019
Phone
(515) 532-2811
NPI assigned
Feb 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X MD-36193 IA Primary
Internal Medicine Physician 207R00000X MD-36193 IA

Addresses

Primary practice location

1316 S Main St
Clarion, IA 50525-2019

Mailing address

1316 S Main St
Clarion, IA 50525-2019
Phone (515) 532-2811

Other identifiers 18

IdentifierTypeStateIssuer
0655001MedicaidIA
0600460MedicaidIA
33444OtherIAWMC FPC - BCBS
66046OtherIAWMC BCBS SNF
03187OtherIABC/BS
P00264034OtherIARR MEDICARE
0283465MedicaidIA
161302OtherIAWMC MEDICARE
163495OtherIAWMC FPC MEDICARE
16Z302OtherIAWMC MEDICARE SKILLED
0475806MedicaidIA
60046OtherIAWMC-BCBS
0293522MedicaidIA
0635011MedicaidIA
29352OtherIAWMC-BCBS ER
0424507MedicaidIA
DA 1838OtherIAWMC FPC - MEDICARE RR
36174OtherIAWMC - BCBS DME

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20051001000035 IA Practitioner - Internal MedicinePractitioner - Orthopedic Surgery 7113952847 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Orthopedic Surgery
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Iowa Specialty Hospital- ClarionGroup PAC ID 3375451347, 94 clinicians
Clarke County Public HospitalGroup PAC ID 1951219328, shared by 4 NPIs, 43 clinicians

Practice addresses (Care Compare)

1316 S Main St
Clarion, IA 50525-2019
Phone (515) 532-2811

215 13TH Ave SW
Clarion Clinic
Clarion, IA 50525-2078
Phone (515) 532-2838

800 S Fillmore St
Osceola, IA 50213-1694

Hospital & facility affiliations

  • Iowa Specialty Hospital - Belmond Hospital, Belmond, IA, CCN 161301
  • Iowa Specialty Hospital - Clarion Hospital, Clarion, IA, CCN 161302
  • Story County Hospital Hospital, Nevada, IA, CCN 161333
  • Clarke County Hospital Hospital, Osceola, IA, CCN 161348
  • Franklin General Hospital Hospital, Hampton, IA, CCN 161308

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement21
Knee replacement15

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Iowa Specialty Hospital- Clarion Current Accepting new patients
Story County Hospital CurrentSince Sep 15, 2020 Accepting new patients
Broadlawns Medical Center CurrentSince Sep 1, 2016 Accepting new patients
Belmond Community Hospital Current Accepting new patients
Clarke County Public Hospital Orthopaedic Surgery CurrentSince Sep 18, 2018 Accepting new patients
Broadlawns Medical Center CurrentSince Sep 1, 2016 Accepting new patients
Clarke County Public Hospital Orthopaedic Surgery CurrentSince Sep 18, 2018 Accepting new patients
Belmond Community Hospital CurrentSince May 1, 2011 Accepting new patients
Story County Hospital CurrentSince Sep 15, 2020 Accepting new patients
St Luke'S Methodist Hospital Current Accepting new patients
Clarke County Public Hospital Current Accepting new patients
Floyd County Memorial Hospital Commission Past Accepting new patients

Locations

403 1st St SE
Belmond, IA 50421
Phone (641) 444-3223

1316 S Main St
Clarion, IA 50525
Phone (515) 532-2811

215 13th Ave SW
Clarion, IA 50525
Phone (515) 532-2836

5901 Thornton Ave
Ste 101
Des Moines, IA 50321
Phone (515) 327-2000

1801 Hickman Rd
Des Moines, IA 50314
Phone (515) 282-2200

2700 1st Ave S
Ste 100
Fort Dodge, IA 50501
Phone (515) 955-6767

840 W US Highway 18
Garner, IA 50438
Phone (641) 925-1500

700 2nd St SE
Ste 101
Hampton, IA 50441
Phone (641) 812-1094

1000 15th St N
Humboldt, IA 50548
Phone (515) 332-4200

640 S 19th St
Nevada, IA 50201
Phone (515) 382-2111

800 S Fillmore St
Ste A
Osceola, IA 50213
Phone (641) 342-2128

800 S Fillmore St
Osceola, IA 50213
Phone (641) 342-2184

Interoperability endpoints

  • Direct secure messaging: gkakade84296@uihcdirect.org
  • Direct secure messaging: gkakade608624@direct.unitypoint.org

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 5

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": "1138924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420416000000",
    "number": "1992777049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1316 S MAIN ST",
            "city": "CLARION",
            "state": "IA",
            "postal_code": "505252019",
            "telephone_number": "515-532-2811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1316 S MAIN ST",
            "city": "CLARION",
            "state": "IA",
            "postal_code": "505252019",
            "telephone_number": "515-532-2811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAKADE",
        "first_name": "GAUTAM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-03",
        "last_updated": "2015-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "IA",
            "license": "MD-36193",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IA",
            "license": "MD-36193",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0655001",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0600460",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WMC FPC - BCBS",
            "identifier": "33444",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WMC BCBS SNF",
            "identifier": "66046",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "03187",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00264034",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0283465",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WMC MEDICARE",
            "identifier": "161302",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WMC FPC MEDICARE",
            "identifier": "163495",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WMC MEDICARE SKILLED",
            "identifier": "16Z302",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0475806",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WMC-BCBS",
            "identifier": "60046",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0293522",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0635011",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WMC-BCBS ER",
            "identifier": "29352",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0424507",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WMC FPC - MEDICARE RR",
            "identifier": "DA 1838",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WMC - BCBS DME",
            "identifier": "36174",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarion, IA

Sources for this page

Verify at the official NPI Registry.