RAMESH KAUL MD, FCCP, MS
NPI 1073563466
Internal Medicine - Pulmonary Disease in New Castle, PA

Active since May 10, 2006PECOS EnrolledAccepts Medicare Assignment
10.74/100
CMS Quality Rating
2602 WILMINGTON RD, SUITE 102, NEW CASTLE, PA 16105(724) 657-5285(724) 657-6714 Get Directions Write a Review

NPPES record last updated: August 22, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ramesh Kaul Md, Fccp, Ms NPPES

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

RAMESH KAUL MD, FCCP, MS (NPI 1073563466) is an individual pulmonary disease provider in New Castle, Pennsylvania, licensed in Pennsylvania (MD066031L) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Upmc Jameson, and maintains a secondary practice location in Aliquippa.

NPPES Registry Identity

NPI1073563466
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameRAMESH KAULCredential: MD, FCCP, MS
Location Address2602 WILMINGTON RD, SUITE 102New Castle, PA 16105-1537
Mailing Address2602 Wilmington Rd, Suite 102New Castle, PA 16105-1537 · (724) 657-5285 · Fax (724) 657-6714
Fax(724) 657-6714
Sole ProprietorYes
Medical School CMSOtherGraduated 1977
Enumeration DateMay 10, 2006
Last NPPES UpdateAugust 22, 2024
NPPES CertifiedAugust 22, 2024
NPI 1073563466 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License Licensed in PA · MD066031L
Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

Also ListedInternal MedicineTaxonomy 207R00000X · License MD066031L (PA)
Also ListedInternal Medicine · Sleep MedicineTaxonomy 207RS0012X · License MD066031L (PA)
2602 WILMINGTON RD, New Castle, PA 16105

Secondary Practice Location 1

Location 12020 Main StAliquippa, PA 15001-2742 · Phone (724) 788-1567 · Fax (724) 788-1569

Other Identifiers 3

Medicaid0016796160016PA
Other614059PA · Highmarkbcbs
Medicaid2153619OH

Accepted 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

Ramesh Kaul Md, Fccp, Ms 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 ID1658382304
PECOS Enrollment IDI20070503000555
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 13

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 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
607 services51 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.
276 services129 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.
100 services46 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
93 services17 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
87 services17 patients
Test to determine lung volumes using sensors 94726
This test, called spirometry, measures lung capacity using sensors. You breathe into a mouthpiece attached to a device that records the amount and rate of air you inhale and exhale. It helps diagnose and monitor lung conditions.
56 services56 patients

Hospital Affiliations CMS Care Compare 4

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

Upmc Jameson

Acute Care Hospitals · New Castle, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390016
Location1211 Wilmington AvenueNew Castle, PA 16105 · Lawrence County
Emergency services

Heritage Valley Beaver

Acute Care Hospitals · Beaver, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390036
Location1000 Dutch Ridge RoadBeaver, PA 15009 · Beaver County
Emergency services

Butler Memorial Hospital

Acute Care Hospitals · Butler, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390168
LocationOne Hospital WayButler, PA 16001 · Butler County
Emergency services Birthing friendly

Upmc Horizon

Acute Care Hospitals · Greenville, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390178
Location110 North Main StreetGreenville, PA 16125 · Mercer County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16105 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

10.74/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0
Cost35.81

Referred Medical Equipment & Supplies CMS DME claims 32

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.) A4314
DME-Orthotic Devices · category DF000N
1 supplier34 claims34 services$23.20 avg. paid by Medicare
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357
DME-Orthotic Devices · category DF000N
1 supplier32 claims32 services$8.89 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
5 suppliers11 claims11 services$35.46 avg. paid by Medicare
Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing A6196
DME-Medical/Surgical Supplies · category DA023N
1 supplier11 claims222 services$7.14 avg. paid by Medicare
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003
DME-Other DME · category DE000N
2 suppliers18 claims40 services$1.55 avg. paid by Medicare
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable A7005
DME-Other DME · category DE000N
2 suppliers11 claims11 services$15.40 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Nurse Practitioner (Adult Health)
2602 WILMINGTON RD
NEW CASTLE, PA 16105
Internal Medicine (Hematology & Oncology)
2602 WILMINGTON RD, SUITE 101
NEW CASTLE, PA 16105
Internal Medicine
2602 WILMINGTON RD, SUITE 208
NEW CASTLE, PA 16105
Internal Medicine (Cardiovascular Disease)
2602 WILMINGTON RD, SUITE 200
NEW CASTLE, PA 16105
Obstetrics & Gynecology
2602 WILMINGTON RD, SUITE 102
NEW CASTLE, PA 16105
Internal Medicine (Cardiovascular Disease)
2602 WILMINGTON RD, SUITE 200
NEW CASTLE, PA 16105
Radiology (Radiation Oncology)
2602 WILMINGTON RD, SUITE 104
NEW CASTLE, PA 16105
Pharmacy (Community/Retail Pharmacy)
2602 WILMINGTON RD, # 100
NEW CASTLE, PA 16105

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 Ramesh Kaul's NPI number?

The NPI number for Ramesh Kaul is 1073563466. It was assigned to this individual provider in the NPPES registry on May 10, 2006.

Where is Ramesh Kaul located?

Ramesh Kaul practices at 2602 Wilmington Rd Suite 102, New Castle, PA 16105. The listed phone number is (724) 657-5285.

What is Ramesh Kaul's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Ramesh Kaul enrolled in Medicare?

Yes. Ramesh Kaul 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 Ramesh Kaul accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Ramesh Kaul 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 Ramesh Kaul affiliated with any hospitals?

According to CMS data, Ramesh Kaul is affiliated with Upmc Jameson, Heritage Valley Beaver, Butler Memorial Hospital and Upmc Horizon.

When was this NPI record last updated?

The NPPES record for Ramesh Kaul was last updated on August 22, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.