ASHOK KUMAR MD
NPI 1215458229
Internal Medicine in Dayton, OH

Active since June 29, 2017PECOS EnrolledAccepts Medicare Assignment
84.95/100
CMS Quality Rating
30 E APPLE ST STE NW3300, DAYTON, OH 45409(937) 208-8394(937) 641-2780 Get Directions Write a Review

NPPES record last updated: August 6, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 6, 2020, Jun 29, 2017 (2 updates tracked since 2017).

About Ashok Kumar Md NPPES

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

ASHOK KUMAR MD (NPI 1215458229) is an individual internal medicine provider in Dayton, Ohio, licensed in Ohio (35.138189) and active in the NPI registry since June 2017. He is enrolled in Medicare PECOS, is affiliated with Miami Valley Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1215458229
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameASHOK KUMARCredential: MD
Location Address30 E APPLE ST STE NW3300Dayton, OH 45409-2939
Mailing Address3170 Kettering Blvd Bldg B3Moraine, OH 45439-1924 · (937) 991-3188
Fax(937) 641-2780
Sole ProprietorYes
Medical School CMSOtherGraduated 2010
Enumeration DateJune 29, 2017
Last NPPES UpdateAugust 6, 20202 updates tracked since enumeration
NPPES CertifiedAugust 6, 2020
NPI 1215458229 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in OH · 35.138189
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

30 E APPLE ST STE NW3300, Dayton, OH 45409

Secondary Practice Locations 2

Location 11 Medical Center DrMiddletown, OH 45005-2584 · Phone (513) 705-4754 · Fax (937) 641-2780
Location 23130 N County Road 25ATroy, OH 45373-1337 · Phone (937) 440-4466 · Fax (937) 641-2780

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

Ashok Kumar 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 ID4789006313
PECOS Enrollment IDI20200626001365
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 4

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
317 services114 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
235 services104 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
115 services114 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
28 services27 patients

Hospital Affiliations CMS Care Compare

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

Miami Valley Hospital

Acute Care Hospitals · Dayton, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360051
LocationOne Wyoming StreetDayton, OH 45409 · Montgomery County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45409 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.

84.95/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.68
Promoting Interoperability100
Improvement Activities40
Cost69.16

Other Providers at the Same Location NPPES 17

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

Family Medicine
30 E APPLE ST STE NW3300
DAYTON, OH 45409
Internal Medicine
30 E APPLE ST STE NW3300
DAYTON, OH 45409
Internal Medicine
30 E APPLE ST STE NW3300
DAYTON, OH 45409
Internal Medicine (Infectious Disease)
30 E APPLE ST STE NW3300
DAYTON, OH 45409
Hospitalist
30 E APPLE ST STE NW3300
DAYTON, OH 45409
Internal Medicine
30 E APPLE ST STE NW3300
DAYTON, OH 45409
Internal Medicine
30 E APPLE ST STE NW3300
DAYTON, OH 45409
Hospitalist
30 E APPLE ST STE NW3300
DAYTON, OH 45409

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 Ashok Kumar's NPI number?

The NPI number for Ashok Kumar is 1215458229. It was assigned to this individual provider in the NPPES registry on June 29, 2017.

Where is Ashok Kumar located?

Ashok Kumar practices at 30 E Apple St Ste Nw3300, Dayton, OH 45409. The listed phone number is (937) 208-8394.

What is Ashok Kumar's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Ashok Kumar enrolled in Medicare?

Yes. Ashok Kumar 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 Ashok Kumar accept?

Health plans from CareSource list Ashok Kumar 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 Ashok Kumar affiliated with any hospitals?

According to CMS data, Ashok Kumar is affiliated with Miami Valley Hospital.

When was this NPI record last updated?

The NPPES record for Ashok Kumar was last updated on August 6, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.