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ALAN GEORGE SMULIAN M.D.
NPI 1356309876
Internal Medicine - Infectious Disease in Cincinnati, OH

Active since May 03, 2006PECOS EnrolledAccepts Medicare Assignment
78.78/100
CMS Quality Rating
231 ALBERT SABIN WAY, ML 0560, CINCINNATI, OH 45267(513) 584-6977(513) 584-0359 Get Directions Write a Review

NPPES record last updated: August 11, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Alan George Smulian M.d. NPPES

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

ALAN GEORGE SMULIAN M.D. (NPI 1356309876) is an individual infectious disease provider in Cincinnati, Ohio, licensed in Ohio (35-061050) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with University Of Cincinnati Medical Center, Llc, and is a graduate of Other (1980).

NPPES Registry Identity

NPI1356309876
Entity TypeIndividualMale
Primary Taxonomy207RI0200X
Provider Legal NameALAN GEORGE SMULIANCredential: M.D.
Location Address231 ALBERT SABIN WAY, ML 0560Cincinnati, OH 45267-0560
Mailing AddressPo Box 636256, Central CredentialingCincinnati, OH 45263-6256 · (513) 585-5504 · Fax (513) 585-5511
Phone(513) 584-6977
Fax(513) 584-0359
Sole ProprietorNo
Medical School CMSOtherGraduated 1980
Enumeration DateMay 3, 2006
Last NPPES UpdateAugust 11, 2017
✔ NPI 1356309876 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
License✔ Licensed in OH · 35-061050
Definition
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
Also ListedInternal MedicineTaxonomy 207R00000X · License 35-061050 (OH)
231 ALBERT SABIN WAY, Cincinnati, OH 45267
Open in Google Maps ↗

Other Identifiers 5

Medicare PINH042450OH
Medicaid0825549OH
Medicaid64867260KY
Medicare UPINE92094
Medicaid200351540IN

Accepted Insurance

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

Alan George Smulian 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 ID547289381
PECOS Enrollment IDI20051122000144
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.

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.
29 services18 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.
26 services18 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.
15 services15 patients
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.
13 services12 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.
11 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

West Chester Hospital

Acute Care Hospitals · West Chester, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360354
Location7700 University DriveWest Chester, OH 45069 · Butler County
Emergency services Birthing friendly

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.

78.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.42
Promoting Interoperability100
Improvement Activities40
Cost58.86

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.

AHMED ELSAYED SARHAN MD
Student in an Organized Health Care Education/Training Program
231 ALBERT SABIN WAY
CINCINNATI, OH 45267
Hamilton County (513) 558-3903
JENNA NICOLE WHITROCK
Student in an Organized Health Care Education/Training Program
231 ALBERT SABIN WAY, ML 0558
CINCINNATI, OH 45267
Hamilton County (217) 617-7664
WARREN BACK
Student in an Organized Health Care Education/Training Program
231 ALBERT SABIN WAY
CINCINNATI, OH 45267
Hamilton County (513) 558-7333
NOELLE KIPP
Student in an Organized Health Care Education/Training Program
231 ALBERT SABIN WAY
CINCINNATI, OH 45267
Hamilton County (513) 558-2978
HEATHER NICOLE KALEY
Thoracic Surgery (Cardiothoracic Vascular Surgery)
231 ALBERT SABIN WAY
CINCINNATI, OH 45267
Hamilton County (720) 254-5993
LAURA BENDER
Student in an Organized Health Care Education/Training Program
231 ALBERT SABIN WAY
CINCINNATI, OH 45267
Hamilton County (216) 538-3356
KAVYA KEERTHI VADLAMUDI
Student in an Organized Health Care Education/Training Program
231 ALBERT SABIN WAY
CINCINNATI, OH 45267
Hamilton County (513) 558-1051
GREGORY RETZINGER MD
Pathology (Clinical Pathology/Laboratory Medicine)
231 ALBERT SABIN WAY, DEPARTMENT OF PATHOLOGY
CINCINNATI, OH 45267
Hamilton County (513) 558-4500

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 Alan Smulian's NPI number?

The NPI number for Alan Smulian is 1356309876. It was assigned to this individual provider in the NPPES registry on May 3, 2006.

Where is Alan Smulian located?

Alan Smulian practices at 231 Albert Sabin Way Ml 0560, Cincinnati, OH 45267. The listed phone number is (513) 584-6977.

What is Alan Smulian's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Alan Smulian enrolled in Medicare?

Yes. Alan Smulian 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 Alan Smulian accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, Molina Healthcare and Oscar Health Insurance list Alan Smulian 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 Alan Smulian affiliated with any hospitals?

According to CMS data, Alan Smulian is affiliated with University Of Cincinnati Medical Center, LLC and West Chester Hospital.

When was this NPI record last updated?

The NPPES record for Alan Smulian was last updated on August 11, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.