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KUPUSAMY UMAPATHY M.D.
NPI 1306842786
Internal Medicine - Nephrology in Gary, IN

Active since June 22, 2005PECOS Enrolled

NPPES record last updated: September 28, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Kupusamy Umapathy M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KUPUSAMY UMAPATHY M.D. (NPI 1306842786) is an individual nephrology provider in Gary, Indiana, licensed in Indiana (01036576A) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1306842786
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameKUPUSAMY UMAPATHYCredential: M.D.
Location Address4802 BROADWAYGary, IN 46408-4509
Mailing Address9201 Calumet AveMunster, IN 46321-2807 · (219) 836-2022
Phone(219) 887-4950
Sole ProprietorNo
Enumeration DateJune 22, 2005
Last NPPES UpdateSeptember 28, 2012
✔ NPI 1306842786 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in IN · 01036576A
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
4802 BROADWAY, Gary, IN 46408
Open in Google Maps ↗

Other Identifiers 5

Medicare PIN164210HIN
Medicare UPINE35232
Medicare PIN164220HIN
Medicare PIN703060EIN
Medicaid100087450IN

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kupusamy Umapathy M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show Kupusamy Umapathy reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Edgewater Systems For Balanced Living, Inc
0.9 mi
Federally Qualified Health Center (FQHC)
5495 BROADWAY
Merrillville, IN 46410
  • Reassigned Medicare billing, Indiana enrollment
  • 31 clinicians in this Medicare group
NPI 1407457591 (219) 985-5500
The Methodist Hospitals, Inc
3.3 mi
Internal Medicine
2269 W 25TH AVE
Gary, IN 46404
  • Reassigned Medicare billing, Indiana enrollment
  • 201 clinicians in this Medicare group
NPI 1720290349 (219) 884-2400
Dhhs Ihs Phoenix Area
1,546 mi
Public Health, Federal
1970 PALO VERDE
Havasu Lake, CA 92363
  • Reassigned Medicare billing, Texas enrollment
  • 208 clinicians in this Medicare group
NPI 1396022026 (760) 858-4790

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46408 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NEPHROLOGY SPECIALISTS, P.C.
Internal Medicine (Nephrology)
4802 BROADWAY
GARY, IN 46408
Lake County (219) 887-4950
UMAPATHY MD, PC
Internal Medicine (Nephrology)
4802 BROADWAY
GARY, IN 46408
Lake County (219) 884-2011
TRC - INDIANA LLC
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
4802 BROADWAY
GARY, IN 46408
Lake County (219) 887-1199
TIMOTHY F GARDNER NP
Nurse Practitioner
4802 BROADWAY
GARY, IN 46408
Lake County (219) 887-4950

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 Kupusamy Umapathy's NPI number?

The NPI number for Kupusamy Umapathy is 1306842786. It was assigned to this individual provider in the NPPES registry on June 22, 2005.

Where is Kupusamy Umapathy located?

Kupusamy Umapathy practices at 4802 Broadway, Gary, IN 46408. The listed phone number is (219) 887-4950.

What is Kupusamy Umapathy's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Kupusamy Umapathy enrolled in Medicare?

Yes. Kupusamy Umapathy is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kupusamy Umapathy's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kupusamy Umapathy reassigns Medicare benefits to 3 organizations: Edgewater Systems For Balanced Living, Inc (Merrillville, IN), The Methodist Hospitals, Inc (Gary, IN) and Dhhs Ihs Phoenix Area (Havasu Lake, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kupusamy Umapathy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kupusamy Umapathy was last updated on September 28, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.