WAHEED GUL MD
NPI 1205813763
Internal Medicine - Gastroenterology in Chillicothe, OH

Active since December 27, 2005PECOS EnrolledAccepts Medicare Assignment
83.28/100
CMS Quality Rating
4439 STATE ROUTE 159, SUITE 210, CHILLICOTHE, OH 45601(740) 779-8530(740) 779-8539 Get Directions Write a Review

NPPES record last updated: November 19, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Waheed Gul Md NPPES

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

WAHEED GUL MD (NPI 1205813763) is an individual gastroenterology provider in Chillicothe, Ohio, licensed in Ohio (35.088347) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with Ohio State University State Health System, and is a graduate of Other (1992).

NPPES Registry Identity

NPI1205813763
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameWAHEED GULCredential: MD
Location Address4439 STATE ROUTE 159, SUITE 210Chillicothe, OH 45601-8207
Mailing Address2631 Wyndham DrBeavercreek, OH 45431-8539 · (937) 334-1965
Fax(740) 779-8539
Sole ProprietorNo
Medical School CMSOtherGraduated 1992
Enumeration DateDecember 27, 2005
Last NPPES UpdateNovember 19, 2020
NPPES CertifiedNovember 19, 2020
NPI 1205813763 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License Licensed in OH · 35.088347
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.
Also ListedInternal MedicineTaxonomy 207R00000X · License 37905 (KY)
4439 STATE ROUTE 159, Chillicothe, OH 45601

Other Identifiers 4

Medicaid200509200IN
Other000000311898KY · Anthem Bcbs
Medicaid2670382OH
Medicaid64073877KY

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

Waheed Gul Md 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 ID5890691554
PECOS Enrollment IDI20060928000290
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 14

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.

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.
126 services123 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.
114 services112 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.
104 services94 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.
97 services85 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
84 services82 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.
56 services56 patients

Hospital Affiliations CMS Care Compare 5

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

Ohio State University State Health System

Acute Care Hospitals · Columbus, OH
4/5 CMS rating
OwnershipGovernment - State
CMS Certification Number360085
Location410 West 10th AvenueColumbus, OH 43210 · Franklin County
Emergency services Birthing friendly

Adena Regional Medical Center

Acute Care Hospitals · Chillicothe, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360159
Location272 Hospital RoadChillicothe, OH 45601 · Ross County
Emergency services Birthing friendly

Greenfield Area Medical Center

Critical Access Hospitals · Greenfield, OH
OwnershipVoluntary non-profit - Private
CMS Certification Number361304
Location550 Mirabeau StreetGreenfield, OH 45123 · Highland County
Emergency services

Adena Fayette Medical Center

Critical Access Hospitals · Washington Ch, OH
OwnershipGovernment - Local
CMS Certification Number361331
Location1430 Columbus AvenueWashington Ch, OH 43160 · Fayette County
Emergency services

Adena Pike Medical Center

Critical Access Hospitals · Waverly, OH
OwnershipVoluntary non-profit - Private
CMS Certification Number361334
Location100 Dawn LaneWaverly, OH 45690 · Pike County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45601 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.

83.28/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality58.73
Promoting Interoperability100
Improvement Activities40

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.

Internal Medicine (Nephrology)
4439 STATE ROUTE 159, STE 204
CHILLICOTHE, OH 45601
Internal Medicine
4439 STATE ROUTE 159, SUITE 150
CHILLICOTHE, OH 45601
Otolaryngology (Facial Plastic Surgery)
4439 STATE ROUTE 159, SUITE 100
CHILLICOTHE, OH 45601
Dermatology (Dermatopathology)
4439 STATE ROUTE 159, SUITE G50
CHILLICOTHE, OH 45601
Pediatrics
4439 STATE ROUTE 159, SUITE G10
CHILLICOTHE, OH 45601
Dermatology
4439 STATE ROUTE 159, SUITE 150
CHILLICOTHE, OH 45601
Nurse Practitioner (Pediatrics)
4439 STATE ROUTE 159, SUITE G10
CHILLICOTHE, OH 45601
Pediatrics
4439 STATE ROUTE 159, STE G10
CHILLICOTHE, OH 45601

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 Waheed Gul's NPI number?

The NPI number for Waheed Gul is 1205813763. It was assigned to this individual provider in the NPPES registry on December 27, 2005.

Where is Waheed Gul located?

Waheed Gul practices at 4439 State Route 159 Suite 210, Chillicothe, OH 45601. The listed phone number is (740) 779-8530.

What is Waheed Gul's specialty?

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

Is Waheed Gul enrolled in Medicare?

Yes. Waheed Gul 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 Waheed Gul accept?

Health plans from Anthem Blue Cross and Blue Shield, Antidote Health Plan of Ohio, Inc., CareSource, MedMutual and Molina Healthcare list Waheed Gul 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 Waheed Gul affiliated with any hospitals?

According to CMS data, Waheed Gul is affiliated with Ohio State University State Health System, Adena Regional Medical Center, Greenfield Area Medical Center, Adena Fayette Medical Center and Adena Pike Medical Center.

When was this NPI record last updated?

The NPPES record for Waheed Gul was last updated on November 19, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.