KAMAL KUMAR TIWARI (NPI# 1578558789) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578558789 |
| Entity Type | Individual |
| Full Name | KAMAL KUMAR TIWARI |
| Credential | M.D. |
| Practice Address |
2920 Mcintyre Dr Suite 150 Bloomington IN 47403-4221 |
| Mailing Address |
Po Box 5635 Attn Manoj Kumar Bloomington IN 47407-5635 |
| Practice Telephone | 8123337246 |
| Practice Fax Number | 8123334471 |
| Mailing Telephone | 8123375003 |
| Mailing Fax Number | 8123375010 |
| Enumeration Date | 2005-09-14 |
| Last Update Date | 2010-02-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207L00000X | Anesthesiology | 01034945A | IN | Allopathic & Osteopathic Physicians |
| N | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
01034945A | IN | Allopathic & Osteopathic Physicians |
| Y | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
01034945A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 100184000A | 05 | |
| IN | 100184000D | 05 | |
| IN | 100184000J | 05 | |
| IN | PMC ANTHEM | 000000076245 | 01 |
| IN | SIA ANTHEM | 000000378036 | 01 |
| IN | 100184000F | 05 | |
| IN | 100184000C | 05 | |
| IN | 100184000E | 05 |
| Street Address |
2920 MCINTYRE DR SUITE 150 |
| City | BLOOMINGTON |
| State | IN |
| Zip Code | 47403-4221 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649265869 | Janis Farquhar Stevenson | Nurse Practitioner | 2920 Mcintyre Dr, Suite 150, Bloomington, IN 47403-4221 | 2005-09-14 |
| 1962685487 | Jennifer Long | Nurse Practitioner | 2920 Mcintyre Dr, Suite 305, Bloomington, IN 47403-4221 | 2007-12-06 |
| 1356532113 | Bloomington Sleep Specialists, LLC | Internal Medicine | 2920 Mcintyre Dr, Suite 350, Bloomington, IN 47403-4221 | 2007-08-07 |
| 1982762415 | Wygonda Kay Rogers | Nurse Practitioner | 2920 Mcintyre Dr, Suite 305, Bloomington, IN 47403-4221 | 2006-12-05 |
| 1699854745 | Ent Associates of Southern Indiana, P.C. | Otolaryngology | 2920 Mcintyre Dr, Suite 350, Bloomington, IN 47403-4221 | 2006-11-02 |
| 1952487639 | Alice B Wood | Obstetrics & Gynecology | 2920 Mcintyre Dr, Suite 250, Bloomington, IN 47403-4221 | 2006-10-27 |
| 1609952332 | Andy J. Stafford | Obstetrics & Gynecology | 2920 Mcintyre Dr, Suite 250, Bloomington, IN 47403-4221 | 2006-10-27 |
| 1467538124 | Robert E Wrenn | Obstetrics & Gynecology | 2920 Mcintyre Dr, Suite 250, Bloomington, IN 47403-4221 | 2006-10-27 |
| 1629182233 | Monroe Surgical Associates | Obstetrics & Gynecology | 2920 Mcintyre Dr, Suite 150, Bloomington, IN 47403-4221 | 2006-08-19 |
| 1205843323 | Quyen Ngoc Tran | Nurse Anesthetist, Certified Registered | 2920 Mcintyre Dr, Suite 150, Bloomington, IN 47403-4221 | 2006-08-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043783673 | Brook Whitaker | Registered Nurse | 4011 S. Monroe Medical Park Blvd, Bloomington, IN 47403 | 2019-01-07 |
| 1598251175 | Jacob Edward Lundorf | Nurse Practitioner | 2100 S Liberty Dr Ste B, Bloomington, IN 47403 | 2018-07-06 |
| 1568973717 | Gregory Thomas Dougan | Physician Assistant | 418 South Landmark Avenue, Bloomington, IN 47403 | 2017-10-16 |
| 1295276160 | Indiana Center for Recovery, LLC | Substance Abuse Rehabilitation Facility | 1004 W 1st Street, Bloomington, IN 47403 | 2017-03-13 |
| 1144694217 | Kayla Dewolf | Specialist/Technologist | 1471 W Allen St, Bloomington, IN 47403 | 2015-11-30 |
| 1164806444 | Monroe Hosoital | General Acute Care Hospital | 4011 Monroe Medical Park, Bloomington, IN 47403 | 2015-07-16 |
| 1821411588 | Jennifer Turner | Occupational Therapy Assistant | 1023 West Main St, Swiss Villa, Vevay, IN 47403 | 2014-01-30 |
| 1104170232 | Kendall Basore | Social Worker | 445 S. Landmark Ave., Bloomington, IN 47403 | 2012-10-26 |
| 1568715886 | Indiana Hearing LLC | Hearing Aid Equipment | 2019 S Liberty Dr, Bloomington, IN 47403 | 2012-10-24 |
| 1679870232 | Accurate Hearing Services | Clinic/Center | 1355 W Second St, #3, Bloomington, IN 47403 | 2011-02-17 |
| Find all providers in zip 47403 | ||||
| Taxonomy Code | 208VP0014X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pain Medicine |
| Specialization | Interventional Pain Medicine |
| Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366987513 | Gary Gettelfinger Md Dabpm LLC | Pain Medicine | 1619 N Prairie Green Ct, Bloomington, IN 47408-8701 | 2016-12-27 |
| 1093118127 | Kristi Chioni | Pain Medicine | 2203 Eastland Dr, Bloomington, IL 61704-7918 | 2014-10-03 |
| 1528233111 | Applied Pain Institute, LLC | Pain Medicine | 1015 S Mercer Ave, Bloomington, IL 61701-7107 | 2008-04-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578176087 | Pg Pro LLC | Pain Medicine | 4715 Statesmen Dr Ste Ab, Indianapolis, IN 46250-5642 | 2020-08-25 |
| 1942818109 | Advanced Pain Treatment of Chicago Sc | Pain Medicine | 1950 45th St Ste 101, Munster, IN 46321-3958 | 2020-07-14 |
| 1871050781 | Pain Management Solution LLC | Pain Medicine | 4010 W Goeller Blvd Ste C, Columbus, IN 47201-8312 | 2019-02-27 |
| 1841764495 | Pain Management Centers of America, Psc | Pain Medicine | 1717 S State Road 57 Ste F, Washington, IN 47501-4179 | 2019-01-16 |
| 1982185641 | Midwest Pain Institute Center for Minimally Invasive Spine PC | Pain Medicine | 7301 N Shadeland Ave Ste 1a, Indianapolis, IN 46250-2085 | 2018-08-22 |
| 1679088405 | Advanced Pain Care Clinic Psc | Pain Medicine | 5320 Weston Rd, Evansville, IN 47712-3701 | 2017-12-01 |
| 1730612698 | Advanced Pain Care Clinic Psc | Pain Medicine | 1813 Willow St Ste 3b, Vincennes, IN 47591 | 2017-04-07 |
| 1053785774 | Michael P Royalty Md LLC | Pain Medicine | 4888 Lost Lake Ct, Boonville, IN 47601 | 2015-11-18 |
| 1801938642 | Michael G. Cassaro, Md, Psc | Pain Medicine | 200 Missouri Ave, Suite B, Jeffersonville, IN 47130-3061 | 2007-02-12 |
| 1497841068 | Gavin D Chartier LLC | Pain Medicine | 328 N 2nd St, Suite 308, Vincennes, IN 47591-1351 | 2006-10-04 |
| Find all providers with the same taxonomy | ||||
| City | BLOOMINGTON |
| Zip Code | 47403 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.