1. Home
  2. Directory
  3. West Virginia
  4. Summersville
  5. Internal Medicine
  6. NPI Profile

AMIT KAUSHAL M.D
NPI 1023494382
Internal Medicine in Summersville, WV

Active since August 09, 2015PECOS EnrolledAccepts Medicare Assignment
82.99/100
CMS Quality Rating
400 FAIRVIEW HEIGHTS RD, SUMMERSVILLE, WV 26651(304) 872-8601 Get Directions Write a Review

NPPES record last updated: January 5, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 5, 2024, May 1, 2018 (2 updates tracked since 2018).

About Amit Kaushal M.d NPPES

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

AMIT KAUSHAL M.D (NPI 1023494382) is an individual internal medicine provider in Summersville, West Virginia, licensed in West Virginia (32503) and active in the NPI registry since August 2015. He is enrolled in Medicare PECOS, is affiliated with Garrett Regional Medical Center, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1023494382
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameAMIT KAUSHALCredential: M.D
Location Address400 FAIRVIEW HEIGHTS RDSummersville, WV 26651-9308
Mailing Address801 Broadway N, Department Of Internal MedicineFargo, ND 58102-3641 · (701) 234-2000
Phone(304) 872-8601
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateAugust 9, 2015
Last NPPES UpdateJanuary 5, 20242 updates tracked since enumeration
NPPES CertifiedJanuary 5, 2024
✔ NPI 1023494382 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in WV · 32503✔ Licensed in ND · RL13670
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
400 FAIRVIEW HEIGHTS RD, Summersville, WV 26651
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Molina Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Amit Kaushal 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 ID446507354
PECOS Enrollment IDI20230712002294
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.

Areas of Expertise CMS Part B claims 8

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
77 services46 patients
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212
This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.
60 services19 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.
59 services35 patients
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.
54 services45 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
35 services35 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
35 services26 patients

Hospital Affiliations CMS Care Compare 4

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

Garrett Regional Medical Center

Acute Care Hospitals · Oakland, MD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210017
Location251 North Fourth StreetOakland, MD 21550 · Garrett County
Emergency services Birthing friendly

West Virginia University Hospitals, Inc

Acute Care Hospitals · Morgantown, WV
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510001
Location1 Medical Center DriveMorgantown, WV 26506 · Monongalia County
Emergency services Birthing friendly

United Hospital Center, Inc

Acute Care Hospitals · Bridgeport, WV
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510006
Location327 Medical Park DriveBridgeport, WV 26330 · Harrison County
Emergency services Birthing friendly

Mon Health Medical Center

Acute Care Hospitals · Morgantown, WV
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510024
Location1200 Jd Anderson DriveMorgantown, WV 26505 · Monongalia County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 26651 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
$124.46 typical visit price
range $53.20 – $164.59
Typical copayment $31.11 (range $13.30 – $41.14)
Most-billed visit code 99204
Established Patient
$94.81 typical visit price
range $16.47 – $133.29
Typical copayment $23.70 (range $4.11 – $33.32)
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.

82.99/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality87.06
Promoting Interoperability99
Improvement Activities40
Cost57.08

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.

BANDY B MULLINS MD
Surgery
400 FAIRVIEW HEIGHTS RD
SUMMERSVILLE, WV 26651
Nicholas County (304) 872-8404
WEST VIRGINIA HEALTH CARE COOPERATIVE INC
General Acute Care Hospital (Critical Access)
400 FAIRVIEW HEIGHTS RD
SUMMERSVILLE, WV 26651
Nicholas County (304) 872-8402
SUMMERSVILLE REGIONAL MEDICAL CENTER
General Acute Care Hospital (Critical Access)
400 FAIRVIEW HEIGHTS RD
SUMMERSVILLE, WV 26651
Nicholas County (304) 872-2891
NICHOLAS EMERGENCY GROUP, PLLC
Emergency Medicine
400 FAIRVIEW HEIGHTS RD
SUMMERSVILLE, WV 26651
Nicholas County (304) 872-2891
SUMMERSVILLE PEDIATRICS INC.
Specialist
400 FAIRVIEW HEIGHTS RD, SUITE 302
SUMMERSVILLE, WV 26651
Nicholas County (304) 872-7063
DR. RACHEL DAVIS PHARMD
Pharmacist
400 FAIRVIEW HEIGHTS RD
SUMMERSVILLE, WV 26651
Nicholas County (304) 872-8437
SUMMERSVILLE REGIONAL MEDICAL CENTER
Nursing Facility/Intermediate Care Facility
400 FAIRVIEW HEIGHTS RD
SUMMERSVILLE, WV 26651
Nicholas County (304) 872-2891
WEST VIRGINIA HEALTH CARE COOPERATIVE INC
Nursing Facility/Intermediate Care Facility
400 FAIRVIEW HEIGHTS RD
SUMMERSVILLE, WV 26651
Nicholas County (304) 872-8402

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 Amit Kaushal's NPI number?

The NPI number for Amit Kaushal is 1023494382. It was assigned to this individual provider in the NPPES registry on August 9, 2015.

Where is Amit Kaushal located?

Amit Kaushal practices at 400 Fairview Heights Rd, Summersville, WV 26651. The listed phone number is (304) 872-8601.

What is Amit Kaushal's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Amit Kaushal enrolled in Medicare?

Yes. Amit Kaushal 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.

What insurance does Amit Kaushal accept?

Health plans from CareSource and Molina Healthcare list Amit Kaushal 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 Amit Kaushal affiliated with any hospitals?

According to CMS data, Amit Kaushal is affiliated with Garrett Regional Medical Center, West Virginia University Hospitals, Inc, United Hospital Center, Inc and Mon Health Medical Center.

When was this NPI record last updated?

The NPPES record for Amit Kaushal was last updated on January 5, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.