VINAY VERMANI M.D.
NPI 1245264449
Internal Medicine - Hematology & Oncology in Ashland, KY

Active since July 11, 2006PECOS EnrolledAccepts Medicare Assignment
82.94/100
CMS Quality Rating
617 23RD ST STE 19, ASHLAND, KY 41101(606) 325-2221(606) 324-1326 Get Directions Write a Review

NPPES record last updated: October 20, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Vinay Vermani M.d. NPPES

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

VINAY VERMANI M.D. (NPI 1245264449) is an individual hematology & oncology provider in Ashland, Kentucky, licensed in Kentucky (23951) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with King's Daughters' Medical Center, and is a graduate of Other (1976).

NPPES Registry Identity

NPI1245264449
Entity TypeIndividualMale
Primary Taxonomy207RH0003X
Provider Legal NameVINAY VERMANICredential: M.D.
Location Address617 23RD ST STE 19Ashland, KY 41101-2845
Mailing AddressPo Box 2379Ashland, KY 41105-2379 · (606) 408-6200 · Fax (606) 408-6612
Fax(606) 324-1326
Sole ProprietorNo
Medical School CMSOtherGraduated 1976
Enumeration DateJuly 11, 2006
Last NPPES UpdateOctober 20, 2015
NPI 1245264449 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License Licensed in KY · 23951
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
Also ListedSpecialistTaxonomy 174400000X · License 23951 (KY)
617 23RD ST STE 19, Ashland, KY 41101

Other Identifiers 10

Medicaid0699043OH
Medicare PINK137050KY
Other000000051618KY · Bc/bs
Other611311131001WV · Bc/bs Mt. State
Other611311131005WV · Bc/bs Huntington
Medicaid64239510KY
Medicaid0073355000WV
Other000000935733KY · Anthem Bcbs
Other611311131002WV · Bc/bs Pt Pleasant
Medicare UPINC68859KY

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

Vinay Vermani M.d. 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 ID1850371568
PECOS Enrollment IDI20091211000100
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 6

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 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.
218 services124 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.
147 services69 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
122 services78 patients
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.
105 services75 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.
74 services70 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
30 services21 patients

Hospital Affiliations CMS Care Compare

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

King's Daughters' Medical Center

Acute Care Hospitals · Ashland, KY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180009
Location2201 Lexington AvenueAshland, KY 41101 · Boyd County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 41101 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
$162.27 typical visit price
range $52.76 – $162.27
Typical copayment $40.56 (range $13.19 – $40.56)
Most-billed visit code 99205
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

82.94/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.01
Promoting Interoperability100
Improvement Activities40
Cost65.57

Other Providers at the Same Location NPPES 8

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

Nurse Practitioner (Family)
617 23RD ST STE 19
ASHLAND, KY 41101
Internal Medicine (Hematology & Oncology)
617 23RD ST STE 19
ASHLAND, KY 41101
Surgery (Surgical Oncology)
617 23RD ST STE 19
ASHLAND, KY 41101
Nurse Practitioner (Family)
617 23RD ST STE 19
ASHLAND, KY 41101
Nurse Practitioner (Family)
617 23RD ST STE 19
ASHLAND, KY 41101
Nurse Practitioner (Family)
617 23RD ST STE 19
ASHLAND, KY 41101
Internal Medicine (Hematology & Oncology)
617 23RD ST STE 19
ASHLAND, KY 41101
Physician Assistant
617 23RD ST STE 19
ASHLAND, KY 41101

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 Vinay Vermani's NPI number?

The NPI number for Vinay Vermani is 1245264449. It was assigned to this individual provider in the NPPES registry on July 11, 2006.

Where is Vinay Vermani located?

Vinay Vermani practices at 617 23rd St Ste 19, Ashland, KY 41101. The listed phone number is (606) 325-2221.

What is Vinay Vermani's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Vinay Vermani enrolled in Medicare?

Yes. Vinay Vermani 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 Vinay Vermani accept?

Health plans from CareSource and Molina Healthcare list Vinay Vermani 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 Vinay Vermani affiliated with any hospitals?

According to CMS data, Vinay Vermani is affiliated with King's Daughters' Medical Center.

When was this NPI record last updated?

The NPPES record for Vinay Vermani was last updated on October 20, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.