KAUSTUBH KAILASH SHRIVASTAVA M.D
NPI 1396021770
Internal Medicine in Dayton, OH

Q: What is Kaustubh Shrivastava's NPI number?

The NPI number for Kaustubh Shrivastava is 1396021770. It was assigned to this individual provider in the NPPES registry on October 28, 2011.

Q: What is Kaustubh Shrivastava's specialty?

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

Active since October 28, 2011PECOS EnrolledAccepts Medicare Assignment

84.95/100

CMS Quality Rating

30 E APPLE ST STE NW3300, DAYTON, OH 45409(937) 208-8394(937) 208-8388 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 21, 2022, Mar 17, 2018, Aug 23, 2017 and 1 more (4 updates tracked since 2017).

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About Kaustubh Kailash Shrivastava M.d NPPES

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

KAUSTUBH KAILASH SHRIVASTAVA M.D (NPI 1396021770) is an individual internal medicine provider in Dayton, Ohio, licensed in Ohio (35.130715) and active in the NPI registry since October 2011. He is enrolled in Medicare PECOS, is affiliated with Miami Valley Hospital, and maintains a secondary practice location in Bar Harbor.

NPPES Registry Identity

NPI1396021770

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameKAUSTUBH KAILASH SHRIVASTAVACredential: M.D

Location Address30 E APPLE ST STE NW3300Dayton, OH 45409-2939

Mailing Address61 Ledgelawn AveBar Harbor, ME 04609-1303 · (567) 210-0190

Phone(937) 208-8394

Fax(937) 208-8388

Sole ProprietorYes

Medical School CMSOtherGraduated 2003

Enumeration DateOctober 28, 2011

Last NPPES UpdateJuly 21, 20224 updates tracked since enumeration

✔ NPI 1396021770 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 · 35.130715✔ Licensed in ME · MD19979

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.

30 E APPLE ST STE NW3300, Dayton, OH 45409

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Secondary Practice Location 1

Location 110 Wayman LnBar Harbor, ME 04609-1625 · Phone (207) 288-5081

Accepted Insurance

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

Kaustubh Kailash Shrivastava 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 ID5496975674

PECOS Enrollment IDI20171215001196

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 Kaustubh Shrivastava reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Sinclair Physician Services, LLC

0.2 mi

Hospitalist

1 WYOMING ST
Dayton, OH 45409

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

NPI 1063289601 (937) 208-8000

Mvhe Inc

0.3 mi

Hospitalist

1 WYOMING ST, STE SE 3100B
Dayton, OH 45409

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

NPI 1356394795 (937) 208-8394

Hisey Physician Services, LLC

18 mi

Hospitalist

1 MEDICAL CENTER DR
Middletown, OH 45005

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

NPI 1073380614 (513) 974-2111

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 4

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.

212 services91 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.

193 services74 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.

63 services63 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.

28 services28 patients

Hospital Affiliations CMS Care Compare

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45409 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.

84.95/100

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

Scored as part of a group practice

Quality

80.68

Promoting Interoperability

100

Improvement Activities

Cost

69.16

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.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

1 supplier15 claims15 services$13.34 avg. paid by Medicare

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

1 supplier15 claims15 services$54.42 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 16

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

DR. VIJAY KIRAN JAYANTI MD

Family Medicine