DR. KELASH KUMAR M.D
NPI 1326499542
Internal Medicine in Cincinnati, OH

Q: What is Kelash Kumar's NPI number?

The NPI number for Kelash Kumar is 1326499542. It was assigned to this individual provider in the NPPES registry on June 29, 2016.

Q: What is Kelash Kumar's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kelash Kumar was last updated on May 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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 June 29, 2016PECOS EnrolledAccepts Medicare Assignment

87.63/100

CMS Quality Rating

200 ALBERT SABIN WAY, CINCINNATI, OH 45267(513) 475-7500(513) 584-2090 Get Directions Write a Review

NPPES record last updated: May 20, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 20, 2025, Jun 8, 2022, May 2, 2022 and 1 more (4 updates tracked since 2016).

On this page

About Dr. Kelash Kumar M.d NPPES

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

DR. KELASH KUMAR M.D (NPI 1326499542) is an individual internal medicine provider in Cincinnati, Ohio, licensed in Ohio (35.136832) and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS, is affiliated with University Of Cincinnati Medical Center, Llc, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1326499542

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameDR. KELASH KUMARCredential: M.D

Location Address200 ALBERT SABIN WAYCincinnati, OH 45267-1450

Mailing AddressPo Box 636256Cincinnati, OH 45263-6256 · (513) 585-6200 · Fax (513) 245-3672

Phone(513) 475-7500

Fax(513) 584-2090

Sole ProprietorNo

Medical School CMSOtherGraduated 2012

Enumeration DateJune 29, 2016

Last NPPES UpdateMay 20, 20254 updates tracked since enumeration

NPPES CertifiedMay 20, 2025

✔ NPI 1326499542 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Licenses✔ Licensed in OH · 35.136832✔ Licensed in MN · 70976✔ Licensed in MI · 4301109825

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.

200 ALBERT SABIN WAY, Cincinnati, OH 45267

Open in Google Maps ↗

Secondary Practice Locations 3

Location 12450 Riverside AveMinneapolis, MN 55454-1450 · Phone (612) 672-6000

Location 24777 E Galbraith RdCincinnati, OH 45236-2725 · Phone (513) 686-5439

Location 36500 Excelsior BlvdSt Louis Park, MN 55426-4702 · Phone (952) 993-5000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, MedMutual and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Kelash Kumar 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 ID2466739560

PECOS Enrollment IDI20190830001841, I20250207001199

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.

Medicare Billing Reassignments

Medicare enrollment records show Kelash Kumar reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Of Cincinnati Physicians Company, LLC

0.2 mi

Family Medicine

3188 BELLEVUE AVE
Cincinnati, OH 45219

Reassigned Medicare billing, Ohio enrollment
2,038 clinicians in this Medicare group

NPI 1801840434 (513) 584-1000

Medical Housecalls LLC

3.2 mi

Family

4850 SMITH RD STE 250
Cincinnati, OH 45212

Reassigned Medicare billing, Kentucky and Ohio enrollments
11 clinicians in this Medicare group

NPI 1962745083 (513) 699-9090

Supportive Healthcare Skilled LLC

5.2 mi

Family

4001 ROSSLYN DR
Cincinnati, OH 45209

Reassigned Medicare billing, Ohio enrollment
65 clinicians in this Medicare group

NPI 1316838352 (513) 314-7617

Usacs Integrated Acute Care Services Of Ohio, LLC

66 mi

Internal Medicine

100 MEDICAL CENTER DR
Springfield, OH 45504

Reassigned Medicare billing, Ohio enrollment
494 clinicians in this Medicare group

NPI 1043805690 (844) 474-4019

Hospitalist Medicine Physicians Of Ohio, Professional Corporation

106 mi

Internal Medicine

6001 E BROAD ST
Columbus, OH 43213

Reassigned Medicare billing, Ohio enrollment
776 clinicians in this Medicare group

NPI 1043572290 (614) 234-7535

Hospitalist Medicine Physicians Of Richland County, Ltd

201 mi

Internal Medicine

1320 MERCY DR NW
Canton, OH 44708

Reassigned Medicare billing, Ohio enrollment
456 clinicians in this Medicare group

NPI 1639119027 (330) 489-1000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

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.

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.

36 services36 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.

13 services11 patients

Hospital Affiliations CMS Care Compare 2

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

University Of Cincinnati Medical Center, LLC

Acute Care Hospitals · Cincinnati, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360003

Location3188 Bellevue AvenueCincinnati, OH 45219 · Hamilton County

Emergency services Birthing friendly

The Jewish Hospital-Mercy Health

Acute Care Hospitals · Cincinnati, OH

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360016

Location4777 East Galbraith RoadCincinnati, OH 45236 · Hamilton County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45267 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.

87.63/100

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

Scored as part of a group practice

Quality

83.78

Promoting Interoperability

100

Improvement Activities

Cost

71.59

Other Providers at the Same Location NPPES 11

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

DR. BINH THAI NGUYEN MD

Plastic Surgery

200 ALBERT SABIN WAY
CINCINNATI, OH 45267

Hamilton County (513) 558-4363

CARL JACK FICHTENBAUM M.D.

Internal Medicine (Infectious Disease)

200 ALBERT SABIN WAY, # 405
CINCINNATI, OH 45267

Hamilton County (513) 584-6977

FATEHI ELZEIN

Internal Medicine (Infectious Disease)

200 ALBERT SABIN WAY
CINCINNATI, OH 45267

Hamilton County (513) 441-4397

JAYA SHARMA

Nurse Practitioner (Family)

200 ALBERT SABIN WAY
CINCINNATI, OH 45267

Hamilton County (513) 475-7500

JOSHUA MICHAEL CLARK MD

Internal Medicine (Pulmonary Disease)

200 ALBERT SABIN WAY
CINCINNATI, OH 45267

Hamilton County (513) 475-8523

CLINICAL TRIALS PHARMACY

Pharmacy (Community/Retail Pharmacy)

200 ALBERT SABIN WAY
CINCINNATI, OH 45267

Hamilton County (513) 584-8817

DR. TODD MICHAEL JACOBS DMD

Dentist (Oral and Maxillofacial Surgery)

200 ALBERT SABIN WAY
CINCINNATI, OH 45267

Hamilton County (859) 394-2899

DR. JAMES DAVID MORRISON DMD

Oral & Maxillofacial Surgery

200 ALBERT SABIN WAY
CINCINNATI, OH 45267

Hamilton County (513) 475-8783

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 Kelash Kumar's NPI number?

The NPI number for Kelash Kumar is 1326499542. It was assigned to this individual provider in the NPPES registry on June 29, 2016.

Where is Kelash Kumar located?

Kelash Kumar practices at 200 Albert Sabin Way, Cincinnati, OH 45267. The listed phone number is (513) 475-7500.

What is Kelash Kumar's specialty?

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

Is Kelash Kumar enrolled in Medicare?

Yes. Kelash 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.

Which organizations bill Medicare for Kelash Kumar's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelash Kumar reassigns Medicare benefits to 6 organizations: University Of Cincinnati Physicians Company, LLC (Cincinnati, OH), Medical Housecalls LLC (Cincinnati, OH), Supportive Healthcare Skilled LLC (Cincinnati, OH), Usacs Integrated Acute Care Services Of Ohio, LLC (Springfield, OH), Hospitalist Medicine Physicians Of Ohio, Professional Corporation (Columbus, OH) and 1 more organization, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kelash Kumar's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kelash Kumar accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, MedMutual, Oscar Health Insurance and Paramount list Kelash 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 Kelash Kumar affiliated with any hospitals?

According to CMS data, Kelash Kumar is affiliated with University Of Cincinnati Medical Center, LLC and The Jewish Hospital-Mercy Health.

When was this NPI record last updated?

The NPPES record for Kelash Kumar was last updated on May 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.