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ANIL GOPINATH M.D.
NPI 1376727552
Internal Medicine - Critical Care Medicine in Lexington, KY

Active since December 24, 2007PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
DIVISION OF PULMONARY CRITICAL CARE SLEEP, KENTUCKY CLINIC, L543, LEXINGTON, KY 40536(859) 323-2624(859) 257-2418 Get Directions Write a Review

NPPES record last updated: May 1, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Anil Gopinath M.d. NPPES

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

ANIL GOPINATH M.D. (NPI 1376727552) is an individual critical care medicine provider in Lexington, Kentucky, licensed in Kentucky (44139) and active in the NPI registry since December 2007. He is enrolled in Medicare PECOS, is affiliated with University Of Kentucky Hospital, and is a graduate of Other (1997).

NPPES Registry Identity

NPI1376727552
Entity TypeIndividualMale
Primary Taxonomy207RC0200X
Provider Legal NameANIL GOPINATHCredential: M.D.
Location AddressDIVISION OF PULMONARY CRITICAL CARE SLEEP, KENTUCKY CLINIC, L543Lexington, KY 40536-0001
Mailing AddressDivision Of Pulmonary Critical Care Sleep, Kentucky Clinic, L543Lexington, KY 40536-0001 · (859) 323-2624 · Fax (859) 257-2418
Phone(859) 323-2624
Fax(859) 257-2418
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateDecember 24, 2007
Last NPPES UpdateMay 1, 2015
✔ NPI 1376727552 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RC0200X
License✔ Licensed in KY · 44139
Definition
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X · License 44139 (KY)
Also ListedInternal Medicine · Sleep MedicineTaxonomy 207RS0012X · License 44139 (KY)
DIVISION OF PULMONARY CRITICAL CARE SLEEP, Lexington, KY 40536
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Other Identifiers 1

Medicare PINAJ679ZFL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health 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

Anil Gopinath 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 ID6800966805
PECOS Enrollment IDI20110810000457
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 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.

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.
74 services27 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.
50 services18 patients

Hospital Affiliations CMS Care Compare

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

University Of Kentucky Hospital

Acute Care Hospitals · Lexington, KY
3/5 CMS rating
OwnershipGovernment - State
CMS Certification Number180067
Location800 Rose StreetLexington, KY 40536 · Fayette County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40536 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.

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

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 Anil Gopinath's NPI number?

The NPI number for Anil Gopinath is 1376727552. It was assigned to this individual provider in the NPPES registry on December 24, 2007.

Where is Anil Gopinath located?

Anil Gopinath practices at Division Of Pulmonary Critical Care Sleep Kentucky Clinic, L543, Lexington, KY 40536. The listed phone number is (859) 323-2624.

What is Anil Gopinath's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Is Anil Gopinath enrolled in Medicare?

Yes. Anil Gopinath 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 Anil Gopinath accept?

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

According to CMS data, Anil Gopinath is affiliated with University Of Kentucky Hospital.

When was this NPI record last updated?

The NPPES record for Anil Gopinath was last updated on May 1, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.