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DR. KAJAL PATEL PURANIK M.D.
NPI 1891135620
Family Medicine in Portage, IN

Active since June 25, 2013PECOS EnrolledAccepts Medicare Assignment
87.95/100
CMS Quality Rating
3630 WILLOWCREEK RD, PORTAGE, IN 46368(219) 364-3700 Get Directions Write a Review

NPPES record last updated: September 14, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 14, 2020, Nov 14, 2017 (2 updates tracked since 2017).

About Dr. Kajal Patel Puranik M.d. NPPES

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

DR. KAJAL PATEL PURANIK M.D. (NPI 1891135620) is an individual family medicine provider in Portage, Indiana, licensed in Indiana (01075990A) and active in the NPI registry since June 2013. She is enrolled in Medicare PECOS, is affiliated with St Mary Medical Center Inc, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1891135620
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. KAJAL PATEL PURANIKCredential: M.D.
Location Address3630 WILLOWCREEK RDPortage, IN 46368-5075
Mailing Address2022 Kelle DrChesterton, IN 46304-8708 · (219) 364-3616 · Fax (219) 364-3610
Phone(219) 364-3700
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateJune 25, 2013
Last NPPES UpdateSeptember 14, 20202 updates tracked since enumeration
NPPES CertifiedSeptember 14, 2020
✔ NPI 1891135620 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IN · 01075990A
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
3630 WILLOWCREEK RD, Portage, IN 46368
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Other Names 1

Former Name (1)Dr. Kajal Patel Md

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Kajal Patel Puranik 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.

PECOS PAC ID7113225392
PECOS Enrollment IDI20160803000058
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 Reassignment

Medicare enrollment records show Kajal Puranik reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Porter Physician Services LLC
Same address
Internal Medicine
3630 WILLOWCREEK RD
Portage, IN 46368
  • Reassigned Medicare billing, Indiana enrollment
  • 177 clinicians in this Medicare group
NPI 1457566309 (219) 759-5791

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

Areas of Expertise CMS Part B claims 4

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
364 services170 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
107 services107 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
82 services60 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
55 services37 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Mary Medical Center Inc

Acute Care Hospitals · Hobart, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150034
Location1500 S Lake Park AveHobart, IN 46342 · Lake County
Emergency services Birthing friendly

Northwest Health - Porter

Acute Care Hospitals · Valparaiso, IN
3/5 CMS rating
OwnershipProprietary
CMS Certification Number150035
Location85 East Us Hwy 6Valparaiso, IN 46383 · Porter County
Emergency services Birthing friendly

Physician 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.

New Patient
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
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.

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.

87.95/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.04
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
62%262 patients3/55-star benchmark: 92%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
60%487 patients3/55-star benchmark: 85%
Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
14%159 patients1/55-star benchmark: 100%
Diabetes: Medical Attention for Nephropathy
The percentage of patients 18-75 years of age with diabetes who had a nephropathy screening test or evidence of nephropathy during the measurement period
86%159 patients4/55-star benchmark: 99%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%2,945 patients5/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
52%248 patients3/55-star benchmark: 90%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
84%1,219 patients4/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 100% · 774 patients
Patients tobacco: 15% · 119 patients
81%773 patients4/55-star benchmark: 98%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
8 suppliers17 claims39 services$6.01 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
3 suppliers12 claims69 services$1.66 avg. paid by Medicare
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620
DME-Drugs Administered Through DME · category DG006N
3 suppliers17 claims2,700 services$0.08 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
2 suppliers16 claims16 services$25.67 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

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

ATLANTIC SILVERSIDE EMERGENCY PHYSICIANS LLC
Emergency Medicine
3630 WILLOWCREEK RD
PORTAGE, IN 46368
Porter County (469) 401-2386
KOTA MEDICAL PC
Internal Medicine (Gastroenterology)
3630 WILLOWCREEK RD
PORTAGE, IN 46368
Porter County (219) 759-5812
RANGA KOTA MD, PC
Internal Medicine (Gastroenterology)
3630 WILLOWCREEK RD
PORTAGE, IN 46368
Porter County (219) 759-5812
PORTER HOSPITAL LLC
Rehabilitation Unit
3630 WILLOWCREEK RD
PORTAGE, IN 46368
Porter County (219) 263-4600
ASSOCIATES IN SURGERY, PC
Surgery
3630 WILLOWCREEK RD, SUITE 3
PORTAGE, IN 46368
Porter County (219) 759-4577
DR. SHANE DAVID BUSH M.D.
Family Medicine
3630 WILLOWCREEK RD
PORTAGE, IN 46368
Porter County (219) 364-3700
HEATHER BOLAN
Speech-Language Pathologist
3630 WILLOWCREEK RD
PORTAGE, IN 46368
Porter County (219) 364-3000
PORTER GROUP SERVICES, LLC
Hospitalist
3630 WILLOWCREEK RD
PORTAGE, IN 46368
Porter County (219) 364-3000

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 Kajal Puranik's NPI number?

The NPI number for Kajal Puranik is 1891135620. It was assigned to this individual provider in the NPPES registry on June 25, 2013. The provider is also known as Dr. Kajal Patel MD.

Where is Kajal Puranik located?

Kajal Puranik practices at 3630 Willowcreek Rd, Portage, IN 46368. The listed phone number is (219) 364-3700.

What is Kajal Puranik's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Kajal Puranik enrolled in Medicare?

Yes. Kajal Puranik 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.

Which organization bills Medicare for Kajal Puranik's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kajal Puranik reassigns Medicare benefits to Porter Physician Services LLC (Portage, IN). The 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 Kajal Puranik's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kajal Puranik accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Anthem Blue Cross and Blue Shield list Kajal Puranik 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 Kajal Puranik affiliated with any hospitals?

According to CMS data, Kajal Puranik is affiliated with St Mary Medical Center Inc and Northwest Health - Porter.

When was this NPI record last updated?

The NPPES record for Kajal Puranik was last updated on September 14, 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.