KIRAN BHATIA M.D.
NPI 1154366284
Obstetrics & Gynecology - Gynecology in Florence, KY

Active since June 20, 2006PECOS EnrolledAccepts Medicare Assignment
90.38/100
CMS Quality Rating
7370 TURFWAY RD, STE 390, FLORENCE, KY 41042(859) 212-5125(859) 212-5099 Get Directions Write a Review

NPPES record last updated: February 20, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 14, 2018, Aug 9, 2018, Jan 30, 2017 (3 updates tracked since 2017).

About Kiran Bhatia M.d. NPPES

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

KIRAN BHATIA M.D. (NPI 1154366284) is an individual gynecology provider in Florence, Kentucky, licensed in Kentucky (31178) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, is affiliated with St Elizabeth Edgewood, and is a graduate of Other (1974).

NPPES Registry Identity

NPI1154366284
Entity TypeIndividualFemale
Primary Taxonomy207VG0400X
Provider Legal NameKIRAN BHATIACredential: M.D.
Location Address7370 TURFWAY RD, STE 390Florence, KY 41042
Mailing AddressPo Box 635283Cincinnati, OH 45263-5283 · (859) 212-5125 · Fax (859) 212-5099
Fax(859) 212-5099
Sole ProprietorNo
Medical School CMSOtherGraduated 1974
Enumeration DateJune 20, 2006
Last NPPES UpdateFebruary 20, 20243 updates tracked since enumeration
NPPES CertifiedFebruary 20, 2024
NPI 1154366284 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyObstetrics & Gynecology · GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207VG0400X
License Licensed in KY · 31178
Definition
A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee
Also ListedObstetrics & GynecologyTaxonomy 207V00000X · License 31178 (KY)
Also ListedObstetrics & Gynecology · ObstetricsTaxonomy 207VX0000X · License 31178 (KY)
7370 TURFWAY RD, Florence, KY 41042

Other Identifiers 1

Medicaid64311780KY

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

Kiran Bhatia 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 ID4183622160
PECOS Enrollment IDI20120215000080
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

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.

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

St Elizabeth Edgewood

Acute Care Hospitals · Edgewood, KY
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number180035
Location1 Medical Village DriveEdgewood, KY 41017 · Kenton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 41042 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
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
Most-billed visit code 99213
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.

90.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.76
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
33%51 patients2/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Urology
7370 TURFWAY RD
FLORENCE, KY 41042
Ophthalmology
7370 TURFWAY RD, SUITE 300
FLORENCE, KY 41042
Pediatrics (Adolescent Medicine)
7370 TURFWAY RD, SUITE 280
FLORENCE, KY 41042
Nurse Practitioner
7370 TURFWAY RD
FLORENCE, KY 41042
Family Medicine
7370 TURFWAY RD, SUITE 100
FLORENCE, KY 41042
Obstetrics & Gynecology
7370 TURFWAY RD
FLORENCE, KY 41042
Internal Medicine (Infectious Disease)
7370 TURFWAY RD
FLORENCE, KY 41042
Obstetrics & Gynecology
7370 TURFWAY RD
FLORENCE, KY 41042

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 Kiran Bhatia's NPI number?

The NPI number for Kiran Bhatia is 1154366284. It was assigned to this individual provider in the NPPES registry on June 20, 2006.

Where is Kiran Bhatia located?

Kiran Bhatia practices at 7370 Turfway Rd Ste 390, Florence, KY 41042. The listed phone number is (859) 212-5125.

What is Kiran Bhatia's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecology, with taxonomy code 207VG0400X.

Is Kiran Bhatia enrolled in Medicare?

Yes. Kiran Bhatia 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 Kiran Bhatia accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and CareSource list Kiran Bhatia 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 Kiran Bhatia affiliated with any hospitals?

According to CMS data, Kiran Bhatia is affiliated with St Elizabeth Edgewood.

When was this NPI record last updated?

The NPPES record for Kiran Bhatia was last updated on February 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.