MR. KOBIE I DOUGLAS (MD) – Psychiatry Physician, NPI 1497850663

MR. KOBIE I DOUGLAS (MD) is a healthcare provider. based in Gary, Indiana. specializing in PSYCHIATRY. They hold the professional credentials MD. They hold a License No. 036-115467 (IL). The NPI Number for MR. KOBIE I DOUGLAS (MD) is 1497850663

Main info

Male
Sole Proprietor
26 Years Of Experience
Accepts Medicare Assignment
Name
MR. KOBIE I DOUGLAS (MD)
NPI
1497850663
Phone
(219) 885-4264
Address
1100 W 6TH AVE
Enumeration Date
13 September 2006
Last Update Date
22 November 2013

Doctor Profile

Medical School Name
HOWARD UNIVERSITY COLLEGE OF MEDICINE
Secondary Phone
2197694005
Graduation Year
2000 (26 years ago)
PAC ID
2860458536
Group Practice PAC ID
5991600355
Professional Enrollment ID
I20131115000035
Address ID
IN464106123ME8555XSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness75
Years active:19State licenses:2Digital endpointsOther names

529 PSYCHIATRY in IN

Loading map...

Provider Addresses for MR. KOBIE I DOUGLAS (MD)

  • 1100, West 6th Avenue, Downtown West, Gary, Lake County, Indiana, 46402, United States

    GARY, IN 464021711

    Phone: (219) 885-4264

    Fax: (219) 882-0962

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 10 Open Payments records for all available years, with a total value of $244.

Total Amount is formed as General ($244) + Research ($0) + Ownership ($0) = $244.

Last reported payment date: 2024-11-11 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($168).

Total Amount

$244

General + Research + Ownership

Payments

10

Total payment records

General Amount

$244

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-11

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2013-11-15

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20131115000035IPsychiatryINTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99211Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional12042$0
View full utilization report →

Insurance plans in this area (ZIP 46402)

Loading plans...

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5991600355View full group profile

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Is MR. KOBIE I DOUGLAS (MD) listed with a National Provider Identifier?
Yes — MR. KOBIE I DOUGLAS (MD) has NPI 1497850663 on file in the registry.
Is MR. KOBIE I DOUGLAS (MD) shown as active in public data?
Registry records indicate MR. KOBIE I DOUGLAS (MD) maintains an active NPI.
What kind of doctor is MR. KOBIE I DOUGLAS (MD)?
MR. KOBIE I DOUGLAS (MD) is associated with Psychiatry Physician in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for MR. KOBIE I DOUGLAS (MD)?
Travel planning: use Gary, Indiana as the reference point for MR. KOBIE I DOUGLAS (MD), then confirm.
When was this NPI issued?
Enumeration for MR. KOBIE I DOUGLAS (MD) is noted as September 13, 2006 where the registry provides it.

Similar Providers

MARIO M ROBBINS (DO)

Psychiatry Physician
3903 E LINCOLN HWY
NPI: 1538151717

MR. MATHEW V CASTELINO (MD)

Psychiatry Physician
1100, West 6th Avenue, Downtown West, Gary, Lake County, Indiana, 46402, United States
NPI: 1912970229

DR. PAMELA V. TRAN (M.D.)

Psychiatry Physician
1100 W 6TH AVE
NPI: 1447386131

MR. MUHAMMAD BUTT (MD)

Psychiatry Physician
1100 W 6TH AVE
NPI: 1881722833
12028 S VAN BEVEREN DR
NPI: 1376677138
2377 E 70TH PL
NPI: 1790805448

PAUL L. HANNAH (M.D.)

Psychiatry Physician
3787 GRANT ST
NPI: 1992920169

DR. MARTHA F. HERNANDEZ (M.D.)

Psychiatry Physician
3787 GRANT ST
NPI: 1528284452

WILLOWGLEN ACADEMY-IN, INC

Psychiatry Physician
308 E 21ST AVE
NPI: 1972933349