1. Home
  2. Directory
  3. Ohio
  4. Cincinnati
  5. Family Medicine
  6. NPI Profile

PRIYANKA KAKAR MD
NPI 1205928959
Family Medicine in Cincinnati, OH

Active since September 29, 2006PECOS EnrolledAccepts Medicare Assignment
7545 BEECHMONT AVE STE K, CINCINNATI, OH 45255(513) 564-4277(513) 564-4278 Get Directions Write a Review

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

Record update history: May 20, 2026, Sep 12, 2022, Aug 27, 2019 (3 updates tracked since 2019).

About Priyanka Kakar Md NPPES

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

PRIYANKA KAKAR MD (NPI 1205928959) is an individual family medicine provider in Cincinnati, Ohio, licensed in Ohio (35.137258) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS, is affiliated with The Jewish Hospital-mercy Health, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1205928959
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NamePRIYANKA KAKARCredential: MD
Location Address7545 BEECHMONT AVE STE KCincinnati, OH 45255-4231
Mailing Address7545 Beechmont Ave Ste KCincinnati, OH 45255-4231 · (513) 564-4277 · Fax (513) 564-4278
Phone(513) 564-4277
Fax(513) 564-4278
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateSeptember 29, 2006
Last NPPES UpdateMay 20, 20263 updates tracked since enumeration
NPPES CertifiedMay 20, 2026
✔ NPI 1205928959 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in OH · 35.137258✔ Licensed in IN · 01066595
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
7545 BEECHMONT AVE STE K, Cincinnati, OH 45255
Open in Google Maps ↗

Secondary Practice Locations 3

Location 14859 Nixon Park Dr Ste AMason, OH 45040 · Phone (513) 492-5940 · Fax (513) 492-5941
Location 2400 Legacy Plz WLA Porte, IN 46350-5296 · Phone (219) 326-1775 · Fax (219) 326-1951
Location 310475 Reading Rd Ste 405Cincinnati, OH 45241-2500 · Phone (513) 585-9600 · Fax (513) 585-9668

Other Identifiers 1

Medicaid200959030IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Antidote Health Plan of Ohio, Inc., CareSource 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

Priyanka Kakar 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 ID5698812733
PECOS Enrollment IDI20191003002091
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 Reassignments

2

Medicare enrollment records show Priyanka Kakar reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

The Christ Hospital Medical Associates, LLC
9.3 mi
Internal Medicine
2139 AUBURN AVE
Cincinnati, OH 45219
  • Reassigned Medicare billing, Ohio enrollment
  • 288 clinicians in this Medicare group
NPI 1114107919 (513) 351-9900
Mvhe Inc
19 mi
Family Medicine
4859 NIXON PARK DR, STE A
Mason, OH 45040
  • Reassigned Medicare billing, Ohio enrollment
  • 744 clinicians in this Medicare group
NPI 1083841555 (513) 492-5940

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 3

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.
68 services33 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.
38 services21 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
11 services11 patients

Hospital Affiliations CMS Care Compare 4

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

Mercy Health - Fairfield Hospital

Acute Care Hospitals · Fairfield, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360056
Location3000 Mack RoadFairfield, OH 45014 · Butler County
Emergency services Birthing friendly

Christ Hospital

Acute Care Hospitals · Cincinnati, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360163
Location2139 Auburn AvenueCincinnati, OH 45219 · Hamilton County
Emergency services Birthing friendly

Mercy Health - West Hospital

Acute Care Hospitals · Cincinnati, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360234
Location3300 Mercy Health BlvdCincinnati, OH 45211 · Hamilton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45255 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 5

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

MR. ALAN DALE GRUBER MSW, LISW
Social Worker (Clinical)
7545 BEECHMONT AVE STE K
CINCINNATI, OH 45255
Hamilton County (513) 564-4277
SAMANTHA EILEEN KROGER
Nurse Practitioner (Gerontology)
7545 BEECHMONT AVE STE K
CINCINNATI, OH 45255
Hamilton County (513) 564-4277
TYLER JOHNSON
Family Medicine
7545 BEECHMONT AVE STE K
CINCINNATI, OH 45255
Hamilton County (513) 564-4277
HELINA RUDD NP
Nurse Practitioner (Family)
7545 BEECHMONT AVE STE K
CINCINNATI, OH 45255
Hamilton County (513) 564-4277
BRETT HEMMANN PHARMD
Pharmacist
7545 BEECHMONT AVE STE K
CINCINNATI, OH 45255
Hamilton County (513) 263-9260

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 Priyanka Kakar's NPI number?

The NPI number for Priyanka Kakar is 1205928959. It was assigned to this individual provider in the NPPES registry on September 29, 2006.

Where is Priyanka Kakar located?

Priyanka Kakar practices at 7545 Beechmont Ave Ste K, Cincinnati, OH 45255. The listed phone number is (513) 564-4277.

What is Priyanka Kakar's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Priyanka Kakar enrolled in Medicare?

Yes. Priyanka Kakar 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 organizations bill Medicare for Priyanka Kakar's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Priyanka Kakar reassigns Medicare benefits to 2 organizations: The Christ Hospital Medical Associates, LLC (Cincinnati, OH) and Mvhe Inc (Mason, OH). Each 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 Priyanka Kakar's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Priyanka Kakar accept?

Health plans from Anthem Blue Cross and Blue Shield, Antidote Health Plan of Ohio, Inc., CareSource, MedMutual and UnitedHealthcare list Priyanka Kakar 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 Priyanka Kakar affiliated with any hospitals?

According to CMS data, Priyanka Kakar is affiliated with The Jewish Hospital-Mercy Health, Mercy Health - Fairfield Hospital, Christ Hospital and Mercy Health - West Hospital.

When was this NPI record last updated?

The NPPES record for Priyanka Kakar was last updated on May 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.