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

Q: 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.

Q: What is Waheed Gul's specialty?

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

Q: 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.

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: November 08, 2026.

On this page

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

Phone(740) 779-8530

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

Open in Google Maps ↗

Other Identifiers 4

Medicaid200509200IN

Other000000311898KY · Anthem Bcbs

Medicaid2670382OH

Medicaid64073877KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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 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.

Medicare Billing Reassignment

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

Adena Medical Group LLC

0.3 mi

Family Medicine

272 HOSPITAL RD
Chillicothe, OH 45601

Reassigned Medicare billing, Ohio enrollment
763 clinicians in this Medicare group

NPI 1235468083 (740) 779-7500

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

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

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.

51 services50 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

43 services43 patients

Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43235

This procedure, known as an upper endoscopy, involves inserting a thin, flexible tube with a camera down the throat to examine the esophagus, stomach, and upper small bowel. It helps diagnose conditions like ulcers or inflammation.

42 services39 patients

Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk G0121

Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.

27 services27 patients

Removal of large bowel tissue using a flexible endoscope 45390

This procedure, known as a colonoscopy, involves using a flexible endoscope to examine and potentially remove tissue from the large intestine. The endoscope allows the doctor to view the bowel lining directly and remove any abnormal tissue for further analysis.

23 services22 patients

Insertion of guide wire with dilation of esophagus using a flexible endoscope 43248

This is a procedure where a thin tube, called an endoscope, is gently passed through your mouth into your esophagus. A guide wire is then inserted to help widen any narrow areas. This helps improve swallowing and reduce discomfort.

20 services20 patients

Diagnostic exam of large bowel using a flexible endoscope 45378

This procedure, known as a colonoscopy, involves using a flexible tube with a light and camera to examine the large intestine. It helps detect any abnormalities such as polyps or inflammation. It's a standard procedure to ensure gut health.

13 services13 patients

Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221

Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.

13 services13 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

Quality

58.73

Promoting Interoperability

100

Improvement Activities

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.

GOPI K GUNDUMALLA MD

Internal Medicine (Nephrology)

4439 STATE ROUTE 159, STE 204
CHILLICOTHE, OH 45601

Ross County (740) 779-8728

REEM MOHAMMAD KHEIRO ALSHIYYAB MD

Internal Medicine

4439 STATE ROUTE 159, SUITE 150
CHILLICOTHE, OH 45601

Ross County (740) 779-7070

ADENA HEALTH SYSTEM

Otolaryngology (Facial Plastic Surgery)

4439 STATE ROUTE 159, SUITE 100
CHILLICOTHE, OH 45601

Ross County (740) 779-4393

DR. LINDSEY DOHSE M.D.

Dermatology (Dermatopathology)

4439 STATE ROUTE 159, SUITE G50
CHILLICOTHE, OH 45601

Ross County (570) 779-8580

ALESSANDRO L. MARANZANA M.D.

Pediatrics

4439 STATE ROUTE 159, SUITE G10
CHILLICOTHE, OH 45601

Ross County (740) 779-4300

OHIO DERMATOLOGY AND SKIN CANCER, LTD

Dermatology

4439 STATE ROUTE 159, SUITE 150
CHILLICOTHE, OH 45601

Ross County (740) 779-4700

MICHELLE LYNN SMITH CNP

Nurse Practitioner (Pediatrics)

4439 STATE ROUTE 159, SUITE G10
CHILLICOTHE, OH 45601

Ross County (740) 779-4300

LOIS B JETTY MD

Pediatrics

4439 STATE ROUTE 159, STE G10
CHILLICOTHE, OH 45601

Ross County (740) 779-4300

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.

Which organization bills Medicare for Waheed Gul's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Waheed Gul reassigns Medicare benefits to Adena Medical Group LLC (Chillicothe, 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 Waheed Gul's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Waheed Gul accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Antidote Health Plan of Ohio, Inc. and 2 other insurers 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.