Gaurav Kumar, M.D.
NPI 1225219462 · Pulmonary Disease Physician · Portage, IN
Enrolled with Medicare as Practitioner - Critical Care (intensivists) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Gaurav Kumar, M.D. is a Pulmonary Disease Physician provider in Portage, IN (NPI 1225219462).
Provider details
- NPI number
- 1225219462
- Entity type
- Individual
- Primary specialty
- Pulmonary Disease PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 01065464A (IN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
18 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
3,937 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Subsequent Hospital Care With Straightforward Or Low Level of Medical Decision Making, Per Day, If Using Time, at Least 25 Minutes99231 | 857 | $45 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 474 | $117 |
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 424 | $15 |
| Critical Care, First 30-74 Minutes99291 | 405 | $195 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 370 | $73 |
| Initial Hospital Care With Straightforward Or Low-Level Medical Decision Making, If Using Time, at Least 55 Minutes |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 129 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 285 | 90 |
| Fluticasone/Umeclidin/Vilanterbrand: Trelegy Ellipta | 267 | 75 |
| Prednisone | 265 | 110 |
| Montelukast Sodium | 227 | 64 |
| Albuterol Sulfatebrand: Albuterol Sulfate Hfa | 221 | 68 |
| Roflumilast | 214 | 54 |
| Levothyroxine Sodium |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$26,119 across 126 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-11-15
- Last updated
- 2020-05-28
- Certified
- 2020-05-28
Frequently asked questions
- What is Gaurav Kumar's NPI number?
- Gaurav Kumar's National Provider Identifier (NPI) is 1225219462, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Gaurav Kumar's specialty?
- Gaurav Kumar is listed in the NPPES registry with a primary specialty of Pulmonary Disease Physician (Allopathic & Osteopathic Physicians).
- Where is Gaurav Kumar located?
- Gaurav Kumar's practice location on file with NPPES is 3156 Willowcreek Rd, Portage, IN 46368-4424.
- What is Gaurav Kumar's phone number?
- The practice phone number listed in the NPPES registry for Gaurav Kumar is (219) 762-9444.
- Does Gaurav Kumar accept Medicare?
- Gaurav Kumar is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Gaurav Kumar's NPI active?
- Yes — Gaurav Kumar's NPI (1225219462) is active in the NPPES registry as of the last update on 2020-05-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.