GAURAV KUMAR M.D.
NPI 1225219462
Internal Medicine - Pulmonary Disease in Portage, IN
About Gaurav Kumar M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GAURAV KUMAR M.D. (NPI 1225219462) is an individual pulmonary disease provider in Portage, Indiana, licensed in Indiana (01065464A) and active in the NPI registry since November 2007. He is enrolled in Medicare PECOS, is affiliated with Methodist Hospitals Inc, and is a graduate of University Of Missouri, Kansas City, School Of Medicine (2006).
NPPES Registry Identity
Specialties & Licenses 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Gaurav Kumar M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Areas of Expertise CMS Part B claims 20
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Methodist Hospitals Inc
Acute Care Hospitals · Gary, INSt Catherine Hospital Inc
Acute Care Hospitals · East Chicago, INUnion Hospital Inc
Acute Care Hospitals · Terre Haute, INSt Mary Medical Center Inc
Acute Care Hospitals · Hobart, INNorthwest Health - Porter
Acute Care Hospitals · Valparaiso, INPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 46368 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Reported Quality Measures
Referred Medical Equipment & Supplies CMS DME claims 42
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 12
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PORTAGE, IN 46368
PORTAGE, IN 46368
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Gaurav Kumar's NPI number?
The NPI number for Gaurav Kumar is 1225219462. It was assigned to this individual provider in the NPPES registry on November 15, 2007.
Where is Gaurav Kumar located?
Gaurav Kumar practices at 3156 Willowcreek Rd, Portage, IN 46368. The listed phone number is (219) 762-9444.
What is Gaurav Kumar's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.
Is Gaurav Kumar enrolled in Medicare?
Yes. Gaurav Kumar is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
What insurance does Gaurav Kumar accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource list Gaurav Kumar as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Gaurav Kumar affiliated with any hospitals?
According to CMS data, Gaurav Kumar is affiliated with Methodist Hospitals Inc, St Catherine Hospital Inc, Union Hospital Inc, St Mary Medical Center Inc and Northwest Health - Porter.
When was this NPI record last updated?
The NPPES record for Gaurav Kumar was last updated on May 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.