ANITHA PILLAI M.D.
NPI 1265447700
Internal Medicine in Glasgow, KY

Active since July 31, 2006PECOS EnrolledAccepts Medicare Assignment
87.62/100
CMS Quality Rating
1301 N RACE ST, GLASGOW, KY 42141(270) 651-4353(270) 659-3383 Get Directions Write a Review

NPPES record last updated: April 20, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Anitha Pillai M.d. NPPES

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

ANITHA PILLAI M.D. (NPI 1265447700) is an individual internal medicine provider in Glasgow, Kentucky, licensed in Kentucky (44226) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with T J Samson Community Hospital, and is a graduate of Other (1999).

NPPES Registry Identity

NPI1265447700
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameANITHA PILLAICredential: M.D.
Location Address1301 N RACE STGlasgow, KY 42141-3454
Mailing Address1301 N Race StGlasgow, KY 42141-3454 · (270) 659-3381 · Fax (270) 659-3383
Fax(270) 659-3383
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateJuly 31, 2006
Last NPPES UpdateApril 20, 2021
NPPES CertifiedApril 20, 2021
NPI 1265447700 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses Licensed in KY · 44226 Licensed in VA · 0101245090 Licensed in GA · 64244
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.

Also ListedHospitalistTaxonomy 208M00000X · License 64244 (GA)
1301 N RACE ST, Glasgow, KY 42141

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

Anitha Pillai 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 ID3173541877
PECOS Enrollment IDI20110404000104
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.

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.
284 services130 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.
273 services136 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
156 services147 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.
100 services95 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
27 services16 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.
12 services12 patients

Hospital Affiliations CMS Care Compare 5

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

T J Samson Community Hospital

Acute Care Hospitals · Glasgow, KY
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number180017
Location1301 North Race StreetGlasgow, KY 42141 · Barren County
Emergency services Birthing friendly

Norton Hospitals, Inc

Acute Care Hospitals · Louisville, KY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180088
Location200 East Chestnut StreetLouisville, KY 40202 · Jefferson County
Emergency services Birthing friendly

Monroe County Medical Center

Acute Care Hospitals · Tompkinsville, KY
1/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number180105
Location529 Capp Harlan RoadTompkinsville, KY 42167 · Monroe County
Emergency services

Tj Health Columbia

Acute Care Hospitals · Columbia, KY
OwnershipGovernment - Hospital District or Authority
CMS Certification Number180149
Location901 Westlake DriveColumbia, KY 42728 · Adair County
Emergency services

Tristar Centennial Medical Center

Acute Care Hospitals · Nashville, TN
4/5 CMS rating
OwnershipProprietary
CMS Certification Number440161
Location2300 Patterson StreetNashville, TN 37203 · Davidson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 42141 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
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
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.

87.62/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40
Cost47.2

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
6 suppliers24 claims24 services$17.23 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
6 suppliers31 claims31 services$99.67 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Emergency Medicine
1301 N RACE ST
GLASGOW, KY 42141
General Acute Care Hospital
1301 N RACE ST
GLASGOW, KY 42141
Internal Medicine
1301 N RACE ST
GLASGOW, KY 42141
Anesthesiology
1301 N RACE ST
GLASGOW, KY 42141
Nurse Practitioner (Family)
1301 N RACE ST
GLASGOW, KY 42141
Anesthesiology
1301 N RACE ST
GLASGOW, KY 42141
Pharmacy (Community/Retail Pharmacy)
1301 N RACE ST
GLASGOW, KY 42141
Nurse Practitioner (Family)
1301 N RACE ST
GLASGOW, KY 42141

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 Anitha Pillai's NPI number?

The NPI number for Anitha Pillai is 1265447700. It was assigned to this individual provider in the NPPES registry on July 31, 2006.

Where is Anitha Pillai located?

Anitha Pillai practices at 1301 N Race St, Glasgow, KY 42141. The listed phone number is (270) 651-4353.

What is Anitha Pillai's specialty?

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

Is Anitha Pillai enrolled in Medicare?

Yes. Anitha Pillai 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 Anitha Pillai accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health and Ambetter of Tennessee list Anitha Pillai 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 Anitha Pillai affiliated with any hospitals?

According to CMS data, Anitha Pillai is affiliated with T J Samson Community Hospital, Norton Hospitals, Inc, Monroe County Medical Center, Tj Health Columbia and Tristar Centennial Medical Center.

When was this NPI record last updated?

The NPPES record for Anitha Pillai was last updated on April 20, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.