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DR. ROOPA KARTAN MD
NPI 1164411609
Pediatrics in Marysville, OH

Active since October 18, 2005PECOS Enrolled
10190 US HIGHWAY 42 STE 120A, MARYSVILLE, OH 43040(937) 644-1920(937) 644-2024 Get Directions Write a Review

NPPES record last updated: October 20, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 7, 2023, Jan 25, 2022, Sep 28, 2021 and 1 more (4 updates tracked since 2016).

About Dr. Roopa Kartan Md NPPES

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

DR. ROOPA KARTAN MD (NPI 1164411609) is an individual pediatrics provider in Marysville, Ohio, licensed in Ohio (35.068161) and active in the NPI registry since October 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164411609
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. ROOPA KARTANCredential: MD
Location Address10190 US HIGHWAY 42 STE 120AMarysville, OH 43040-9525
Mailing AddressPo Box 7527Dublin, OH 43017-0727
Phone(937) 644-1920
Fax(937) 644-2024
Sole ProprietorNo
Enumeration DateOctober 18, 2005
Last NPPES UpdateOctober 20, 20254 updates tracked since enumeration
NPPES CertifiedOctober 20, 2025
✔ NPI 1164411609 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in OH · 35.068161
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
10190 US HIGHWAY 42 STE 120A, Marysville, OH 43040
Open in Google Maps ↗

Other Identifiers 2

Medicaid01575783PA
OtherMD058790LPA · Medical Lic Number

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, MedMutual and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Roopa Kartan Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Roopa Kartan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ohiohealth Corporation
14 mi
Cardiovascular Disease
3705 OLENTANGY RIVER RD, SUITE 100
Columbus, OH 43214
  • Reassigned Medicare billing, Ohio enrollment
  • 3,314 clinicians in this Medicare group
NPI 1194979526 (614) 262-6772

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43040 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
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.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MISHA DILIP YAJNIK M.D.
Pediatrics
10190 US HIGHWAY 42 STE 120A
MARYSVILLE, OH 43040
Union County (937) 644-1920

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 Roopa Kartan's NPI number?

The NPI number for Roopa Kartan is 1164411609. It was assigned to this individual provider in the NPPES registry on October 18, 2005.

Where is Roopa Kartan located?

Roopa Kartan practices at 10190 Us Highway 42 Ste 120A, Marysville, OH 43040. The listed phone number is (937) 644-1920.

What is Roopa Kartan's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Roopa Kartan enrolled in Medicare?

Yes. Roopa Kartan is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Roopa Kartan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Roopa Kartan reassigns Medicare benefits to Ohiohealth Corporation (Columbus, OH). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Roopa Kartan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Roopa Kartan accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, MedMutual and UnitedHealthcare list Roopa Kartan 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.

When was this NPI record last updated?

The NPPES record for Roopa Kartan was last updated on October 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.