KIRSHAN LAL MD
NPI 1316964398
Hospitalist in Dayton, OH

Active since July 16, 2006PECOS EnrolledAccepts Medicare Assignment
84.5/100
CMS Quality Rating
2200 PHILADELPHIA DR, STE 441, DAYTON, OH 45406(937) 734-4690(937) 567-4186 Get Directions Write a Review

NPPES record last updated: May 5, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 5, 2023, Jan 19, 2021 (2 updates tracked since 2021).

About Kirshan Lal Md NPPES

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

KIRSHAN LAL MD (NPI 1316964398) is an individual hospitalist provider in Dayton, Ohio, licensed in Ohio (35.092771) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Miami Valley Hospital, and maintains a secondary practice location in Kettering.

NPPES Registry Identity

NPI1316964398
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameKIRSHAN LALCredential: MD
Location Address2200 PHILADELPHIA DR, STE 441Dayton, OH 45406-1840
Mailing Address1 Prestige Pl Ste 550Miamisburg, OH 45342-6115 · (937) 762-1305 · Fax (937) 522-7513
Fax(937) 567-4186
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateJuly 16, 2006
Last NPPES UpdateMay 5, 20232 updates tracked since enumeration
NPPES CertifiedMay 5, 2023
NPI 1316964398 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License Licensed in OH · 35.092771
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License 01061017A (IN), 35.092771 (OH)
2200 PHILADELPHIA DR, Dayton, OH 45406

Secondary Practice Location 1

Location 13535 Southern BlvdKettering, OH 45429-1221 · Phone (937) 395-6665

Other Identifiers 1

Medicaid2914510OH

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

Kirshan Lal 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 ID7315956323
PECOS Enrollment IDI20090323000320
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 5

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 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.
267 services121 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.
146 services63 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.
99 services98 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.
56 services55 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.
21 services21 patients

Hospital Affiliations CMS Care Compare 4

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

Kettering Health Main Campus

Acute Care Hospitals · Kettering, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360079
Location3535 Southern BoulevardKettering, OH 45429 · Montgomery County
Emergency services Birthing friendly

Kettering Health Dayton

Acute Care Hospitals · Dayton, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360133
Location405 Grand AvenueDayton, OH 45405 · Montgomery County
Birthing friendly

Upper Valley Medical Center

Acute Care Hospitals · Troy, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360174
Location3130 North County Road 25ATroy, OH 45373 · Miami County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45406 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.

84.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.16
Promoting Interoperability100
Improvement Activities40
Cost67.18

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.

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
2 suppliers17 claims17 services$55.73 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier13 claims13 services$28.13 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.

Psychiatry & Neurology (Psychiatry)
2200 PHILADELPHIA DR, SUITE 4505
DAYTON, OH 45406
Family Medicine
2200 PHILADELPHIA DR, SUITE 441
DAYTON, OH 45406
Internal Medicine
2200 PHILADELPHIA DR, 441
DAYTON, OH 45406
Perfusionist
2200 PHILADELPHIA DR, SUITE 301
DAYTON, OH 45406
Registered Nurse (Registered Nurse First Assistant)
2200 PHILADELPHIA DR, SUITE 101
DAYTON, OH 45406
Perfusionist
2200 PHILADELPHIA DR, SUITE 301
DAYTON, OH 45406
Internal Medicine (Pulmonary Disease)
2200 PHILADELPHIA DR, SUITE 548
DAYTON, OH 45406
Nurse Practitioner (Family)
2200 PHILADELPHIA DR, SUITE 441
DAYTON, OH 45406

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 Kirshan Lal's NPI number?

The NPI number for Kirshan Lal is 1316964398. It was assigned to this individual provider in the NPPES registry on July 16, 2006.

Where is Kirshan Lal located?

Kirshan Lal practices at 2200 Philadelphia Dr Ste 441, Dayton, OH 45406. The listed phone number is (937) 734-4690.

What is Kirshan Lal's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Kirshan Lal enrolled in Medicare?

Yes. Kirshan Lal 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 Kirshan Lal accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and Oscar Health Insurance list Kirshan Lal 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 Kirshan Lal affiliated with any hospitals?

According to CMS data, Kirshan Lal is affiliated with Miami Valley Hospital, Kettering Health Main Campus, Kettering Health Dayton and Upper Valley Medical Center.

When was this NPI record last updated?

The NPPES record for Kirshan Lal was last updated on May 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.