DR. NITESH RATNAKAR M.D.; FACG
NPI 1285667410
Internal Medicine - Gastroenterology in Elkins, WV

Q: What is Nitesh Ratnakar's NPI number?

The NPI number for Nitesh Ratnakar is 1285667410. It was assigned to this individual provider in the NPPES registry on July 9, 2006.

Q: What is Nitesh Ratnakar'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 Nitesh Ratnakar was last updated on November 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 July 09, 2006PECOS EnrolledAccepts Medicare Assignment

31.44/100

CMS Quality Rating

55 CHENOWETH CREEK RD, ELKINS, WV 26241(304) 637-2360(304) 637-2362 Get Directions Write a Review

NPPES record last updated: November 1, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Dr. Nitesh Ratnakar M.d.; Facg NPPES

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

DR. NITESH RATNAKAR M.D.; FACG (NPI 1285667410) is an individual gastroenterology provider in Elkins, West Virginia, licensed in West Virginia (22218) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1998).

NPPES Registry Identity

NPI1285667410

Entity TypeIndividualMale

Primary Taxonomy207RG0100X

Provider Legal NameDR. NITESH RATNAKARCredential: M.D.; FACG

Location Address55 CHENOWETH CREEK RDElkins, WV 26241-9237

Mailing AddressPo Box 6230Wheeling, WV 26003-0722 · (304) 242-7106 · Fax (304) 242-7108

Phone(304) 637-2360

Fax(304) 637-2362

Sole ProprietorNo

Medical School CMSOtherGraduated 1998

Enumeration DateJuly 9, 2006

Last NPPES UpdateNovember 1, 2021

NPPES CertifiedNovember 1, 2021

✔ NPI 1285667410 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

Licenses✔ Licensed in WV · 22218✔ Licensed in OH · 35.096331

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 22218 (WV)

Also ListedInternal Medicine · Geriatric MedicineTaxonomy 207RG0300X · License 22218 (WV)

55 CHENOWETH CREEK RD, Elkins, WV 26241

Open in Google Maps ↗

Other Identifiers 7

Other05723713Ecfmg

OtherP00917561WV · Railroad Medicare

Other001880418WV · Mountain State Bcbs

Medicaid3130356OH

OtherWV22218WV · Health Plan

Medicaid3810005835WV

OtherP00337365WV · Railroad Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Antidote Health Plan of Ohio, Inc., CareSource, MedMutual and more.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

Dr. Nitesh Ratnakar M.d.; Facg 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 ID1153324561

PECOS Enrollment IDI20110912000422

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 17

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.

Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439

Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.

586 services149 patients

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490

Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.

293 services149 patients

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.

173 services172 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.

107 services107 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.

84 services84 patients

Principal care management services for a single high-risk disease, first 30 minutes of clinical staff time directed by health care professional, per calendar month 99426

Principal care management services focus on managing a single high-risk disease. This involves a health care professional directing clinical staff for the first 30 minutes each month. The aim is to monitor your health, coordinate care, and provide necessary support for your disease management.

55 services41 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.

49 services49 patients

Biopsy of small bowel (except ileum) using an endoscope 44361

A small bowel biopsy involves using a thin, flexible tube called an endoscope to examine the small intestine and take a small tissue sample. This sample is then examined under a microscope for any abnormalities. It's a safe, minimally invasive procedure.

40 services40 patients

Dilation of esophagus 43450

Dilation of the esophagus is a procedure aimed to stretch or open up your esophagus (the tube connecting your mouth to your stomach) when it's narrow. It helps to improve swallowing and alleviate discomfort. It's typically performed using a flexible tube or balloon, under sedation.

30 services25 patients

Tying of multiple internal hemorrhoid groups 46946

Tying of multiple internal hemorrhoid groups is a procedure to treat internal hemorrhoids, which are swollen blood vessels in the rectum. It involves tying off the hemorrhoids to cut off their blood supply, causing them to shrink and eventually fall off. This is done to alleviate discomfort and bleeding.

26 services19 patients

Insertion of wire and dilation of esophagus using an endoscope 43196

This procedure involves using a thin, flexible tube called an endoscope to insert a wire into your esophagus. The wire helps to widen or dilate the esophagus, making it easier for food and liquid to pass through. It's typically done to treat narrowing of the esophagus.

19 services17 patients

Injection beneath lining of large bowel using a flexible endoscope 45381

This procedure involves a flexible tube, called an endoscope, being inserted into the large bowel. A small needle is then passed through the tube to inject medication under the bowel lining. This is typically done to treat inflammation or bleeding.

19 services19 patients

Diagnostic exam of small bowel (including lower small intestine) using an endoscope 44376

This procedure involves using a thin, flexible tube with a camera, called an endoscope, to examine your small bowel. It helps in identifying issues like inflammation or abnormal growths. It's a safe procedure with minimal discomfort.

15 services15 patients

Destruction of polyp or growth of large bowel using a flexible endoscope 45388

This procedure involves the removal of a polyp or growth in the large bowel. A flexible endoscope, a thin tube with a camera, is inserted through the rectum to visualize and remove the growth. This helps maintain bowel health and prevent complications.

13 services13 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.

12 services12 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.

11 services11 patients

Removal of polyps or growths of esophagus, stomach, and/or upper small bowel using an endoscope with mechanical snare 43251

This procedure involves the use of a thin, flexible instrument called an endoscope to visualize and remove abnormal growths, known as polyps, from the esophagus, stomach, or upper small bowel. A tool called a mechanical snare is used to safely cut and remove these growths.

11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 26241 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

$124.46 typical visit price

range $53.20 – $164.59

Typical copayment $31.11 (range $13.30 – $41.14)

Most-billed visit code 99204

Established Patient

$94.81 typical visit price

range $16.47 – $133.29

Typical copayment $23.70 (range $4.11 – $33.32)

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.

31.44/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

26.66

Improvement Activities

Cost

58.04

Reported Quality Measures

Colorectal Cancer Screening

Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer

100%461 patients5/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 3

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

TAYLOR LINDSEY MCDONALD APRN, FNP-C

Nurse Practitioner (Family)

55 CHENOWETH CREEK RD
ELKINS, WV 26241

Randolph County (304) 637-5006

TIFFANY LEANN CARR FNP-BC

Nurse Practitioner (Family)

55 CHENOWETH CREEK RD
ELKINS, WV 26241

Randolph County (304) 637-5006

MICHELLE LYNN RATNAKAR PA-C

Physician Assistant

55 CHENOWETH CREEK RD
ELKINS, WV 26241

Randolph County (304) 637-2360

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 Nitesh Ratnakar's NPI number?

The NPI number for Nitesh Ratnakar is 1285667410. It was assigned to this individual provider in the NPPES registry on July 9, 2006.

Where is Nitesh Ratnakar located?

Nitesh Ratnakar practices at 55 Chenoweth Creek Rd, Elkins, WV 26241. The listed phone number is (304) 637-2360.

What is Nitesh Ratnakar's specialty?

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

Is Nitesh Ratnakar enrolled in Medicare?

Yes. Nitesh Ratnakar 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 Nitesh Ratnakar accept?

Health plans from Antidote Health Plan of Ohio, Inc., CareSource, MedMutual and Oscar Insurance Corporation of Ohio list Nitesh Ratnakar 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.

When was this NPI record last updated?

The NPPES record for Nitesh Ratnakar was last updated on November 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.