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VINAYAK S KULKARNI M.D.
NPI 1104820695
Internal Medicine - Gastroenterology in Cincinnati, OH

Active since June 13, 2005PECOS EnrolledAccepts Medicare Assignment
22.46/100
CMS Quality Rating
9200 MONTGOMERY RD, SUITE 3A, CINCINNATI, OH 45242(513) 936-8700(513) 936-8702 Get Directions Write a Review

NPPES record last updated: September 6, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Vinayak S Kulkarni M.d. NPPES

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

VINAYAK S KULKARNI M.D. (NPI 1104820695) is an individual gastroenterology provider in Cincinnati, Ohio, licensed in Ohio (35-047317) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with The Jewish Hospital-mercy Health, and is a graduate of Other (1971).

NPPES Registry Identity

NPI1104820695
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameVINAYAK S KULKARNICredential: M.D.
Location Address9200 MONTGOMERY RD, SUITE 3ACincinnati, OH 45242-7789
Mailing AddressPo Box 632958Cincinnati, OH 45263-2958 · (513) 451-9698 · Fax (513) 451-9699
Phone(513) 936-8700
Fax(513) 936-8702
Sole ProprietorNo
Medical School CMSOtherGraduated 1971
Enumeration DateJune 13, 2005
Last NPPES UpdateSeptember 6, 2011
✔ NPI 1104820695 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in OH · 35-047317
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
9200 MONTGOMERY RD, Cincinnati, OH 45242
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Other Identifiers 4

Medicare PINKU0551066OH
Medicare UPINA80907OH
Medicaid0626353OH
Other100010953OH · Railroad Medicare

Accepted Insurance

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

Vinayak S Kulkarni 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 ID9133013188
PECOS Enrollment IDI20080630000575
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 10

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.

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.
112 services99 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
100 services98 patients
Colorectal cancer screening; colonoscopy on individual at high risk G0105
Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.
35 services35 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
30 services30 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
29 services29 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.
27 services26 patients

Hospital Affiliations CMS Care Compare 2

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

The Jewish Hospital-Mercy Health

Acute Care Hospitals · Cincinnati, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360016
Location4777 East Galbraith RoadCincinnati, OH 45236 · Hamilton County
Emergency services

Highland District Hospital

Critical Access Hospitals · Hillsboro, OH
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number361332
Location1275 North High StreetHillsboro, OH 45133 · Highland County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45242 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

22.46/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0
Cost74.89

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.

DR. REBECCA ULSH D.C.
Chiropractor (Nutrition)
9200 MONTGOMERY RD, SUITE 10B
CINCINNATI, OH 45242
Hamilton County (513) 791-1888
KATHERINE M NGUYEN
Audiologist-Hearing Aid Fitter
9200 MONTGOMERY RD, SUITE 2B
CINCINNATI, OH 45242
Hamilton County (513) 891-8700
DR. MARY V. RINSKY PH.D.
Psychologist (Clinical)
9200 MONTGOMERY RD, #10A
CINCINNATI, OH 45242
Hamilton County (513) 791-3313
DR. ELIZABETH STOCKLEY MUELLER D.D.S.
Dentist (Pediatric Dentistry)
9200 MONTGOMERY RD, SUITE 4B
MONTGOMERY, OH 45242
Hamilton County (513) 791-3660
COLLEEN MARIE WEBER MA, LPC
Counselor (Professional)
9200 MONTGOMERY RD, BUILDING D, SUITE 15B
CINCINNATI, OH 45242
Hamilton County (513) 600-2554
JAMES HALL, MD
Internal Medicine
9200 MONTGOMERY RD, SUITE 7B
CINCINNATI, OH 45242
Hamilton County (513) 791-1161
MS. ELIZABETH ANNE BOYD M.S.W., LISW, LPCC
Counselor (Professional)
9200 MONTGOMERY RD, SUITE 14B
CINCINNATI, OH 45242
Hamilton County (513) 791-7922
KULDIP K SINGH MD INC
Psychiatry & Neurology (Psychiatry)
9200 MONTGOMERY RD, SUITE 16-A
MONTGOMERY, OH 45242
Hamilton County (513) 791-6767

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 Vinayak Kulkarni's NPI number?

The NPI number for Vinayak Kulkarni is 1104820695. It was assigned to this individual provider in the NPPES registry on June 13, 2005.

Where is Vinayak Kulkarni located?

Vinayak Kulkarni practices at 9200 Montgomery Rd Suite 3A, Cincinnati, OH 45242. The listed phone number is (513) 936-8700.

What is Vinayak Kulkarni's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Vinayak Kulkarni enrolled in Medicare?

Yes. Vinayak Kulkarni 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 Vinayak Kulkarni accept?

Health plans from Molina Healthcare and UnitedHealthcare list Vinayak Kulkarni 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 Vinayak Kulkarni affiliated with any hospitals?

According to CMS data, Vinayak Kulkarni is affiliated with The Jewish Hospital-Mercy Health and Highland District Hospital.

When was this NPI record last updated?

The NPPES record for Vinayak Kulkarni was last updated on September 6, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.