GAURAV KUMAR (M.D.) – Pulmonary Disease Physician, NPI 1225219462
Pulmonary Disease Physician
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Profile Insights
NPPES metrics only — not quality of care.
466 PULMONARY DISEASE in IN
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Provider Addresses for GAURAV KUMAR (M.D.)
2001, Valparaiso Street, Valparaiso, Porter County, Indiana, 46383, United States
# 2001
VALPARAISO, IN 463842001
Phone: (219) 762-9444
Type: Mailing
3156, Willowcreek Road, Portage, Porter County, Indiana, 46368, United States
PORTAGE, IN 463684424
Phone: (219) 762-9444
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 245 Open Payments records for all available years, with a total value of $38,631.
Total Amount is formed as General ($38,631) + Research ($0) + Ownership ($0) = $38,631.
Last reported payment date: 2024-12-20 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($33,497).
Total Amount
$38,631
General + Research + Ownership
Payments
245
Total payment records
General Amount
$38,631
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AstraZeneca Pharmaceuticals LP | $33,497 |
| Pulmonx Corporation | $546 |
| Fresenius USA Marketing, Inc. | $500 |
| United Therapeutics Corporation | $283 |
| Actelion Pharmaceuticals US, Inc. | $186 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2011-06-29
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20110629000618 | I | Critical Care (Intensivists) | IN | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 659 | 240 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 512 | 258 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 473 | 315 | $0 |
| 99291 | Critical care, first 30-74 minutes | 383 | 131 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 325 | 246 | $0 |
Insurance plans in this area (ZIP 46384)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| CRITICAL CARE (INTENSIVISTS) | IN | 36556 | Insertion of central venous catheter for infusion, patient 5 years or older | 15 | 15 |
| CRITICAL CARE (INTENSIVISTS) | IN | 83036 | Hemoglobin A1C level | 77 | 52 |
| CRITICAL CARE (INTENSIVISTS) | IN | 94060 | Measurement and graphic recording of the amount and speed of breathed air, before and following medication administration | 71 | 71 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Orthopedic Surgery | IN | |
| Nurse Practitioner | IN | |
| O P T O M E T R Y | IN | |
| Orthopedic Surgery | IL | |
| U R O L O G Y | MI | |
| Orthopedic Surgery | IN | |
| Nurse Practitioner | IL | |
| Hospitalist, Internal Medicine | IN | |
| Nurse Practitioner | IN | |
| Orthopedic Surgery, Hand Surgery | WA |
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