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MR. VENUGOPAL KOMAKULA M.D
NPI 1407115181
Internal Medicine - Sleep Medicine in West Chester, OH

Active since May 15, 2012PECOS EnrolledAccepts Medicare Assignment
78.78/100
CMS Quality Rating
7798 DISCOVERY DR, WEST CHESTER, OH 45069(513) 475-7500(513) 475-7501 Get Directions Write a Review

NPPES record last updated: May 4, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 4, 2021, Aug 31, 2016 (2 updates tracked since 2016).

About Mr. Venugopal Komakula M.d NPPES

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

MR. VENUGOPAL KOMAKULA M.D (NPI 1407115181) is an individual sleep medicine provider in West Chester, Ohio, licensed in Ohio (35139972) and active in the NPI registry since May 2012. He is enrolled in Medicare PECOS, is affiliated with University Of Cincinnati Medical Center, Llc, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1407115181
Entity TypeIndividualMale
Primary Taxonomy207RS0012X
Provider Legal NameMR. VENUGOPAL KOMAKULACredential: M.D
Location Address7798 DISCOVERY DRWest Chester, OH 45069-7745
Mailing Address2830 Victory PkwyCincinnati, OH 45206-1785 · (513) 245-3072 · Fax (513) 585-5511
Phone(513) 475-7500
Fax(513) 475-7501
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateMay 15, 2012
Last NPPES UpdateMay 4, 20212 updates tracked since enumeration
NPPES CertifiedMay 4, 2021
✔ NPI 1407115181 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Sleep MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RS0012X
License✔ Licensed in OH · 35139972
Definition
An Internist who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders.
Also ListedFamily Medicine · Sleep MedicineTaxonomy 207QS1201X · License MD176686 (OR)
7798 DISCOVERY DR, West Chester, OH 45069
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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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Venugopal Komakula 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 ID9133435118
PECOS Enrollment IDI20210813001378
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 8

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 low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
102 services91 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.
63 services52 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
32 services32 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
30 services29 patients
Sleep study in sleep lab with continuous airway pressure (6 years or older) 95811
A sleep study in a sleep lab with continuous airway pressure is a test for individuals aged 6 and above. It monitors your sleep patterns to check for disorders like sleep apnea. Continuous airway pressure helps keep your airways open while you sleep, improving your breathing.
16 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.
16 services14 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 45069 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

Referred Medical Equipment & Supplies CMS DME claims 16

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
19 suppliers294 claims294 services$33.47 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
19 suppliers135 claims135 services$81.57 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
18 suppliers142 claims313 services$31.94 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
14 suppliers120 claims519 services$16.67 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
12 suppliers91 claims468 services$13.49 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
17 suppliers204 claims204 services$47.36 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 11

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

BRIDGET WATSON MD
Student in an Organized Health Care Education/Training Program
7798 DISCOVERY DR
WEST CHESTER, OH 45069
Butler County (513) 475-5135
PAUL RYAN PETSCHE CNP
Nurse Practitioner (Family)
7798 DISCOVERY DR
WEST CHESTER, OH 45069
Butler County (440) 316-2626
ACCELERATED REHABILITATION CENTERS, LTD
Physical Therapist
7798 DISCOVERY DR
WEST CHESTER, OH 45069
Butler County (513) 779-2325
TRIHEALTH OS, LLC
Orthopaedic Surgery (Hand Surgery)
7798 DISCOVERY DR, SUITE A
WEST CHESTER, OH 45069
Butler County (513) 961-4263
EMILY VICTORIA KIM MD
Family Medicine
7798 DISCOVERY DR
WEST CHESTER, OH 45069
Butler County (513) 475-8264
SONAL ANTANI HILL RD, LD
Dietitian, Registered
7798 DISCOVERY DR
WEST CHESTER, OH 45069
Butler County (513) 939-4579
CATHERINE MARY VONDERHAAR CNP
Nurse Practitioner (Family)
7798 DISCOVERY DR
WEST CHESTER, OH 45069
Butler County (440) 316-2626
RACHEL SEELYE SAGE HUNT
Family Medicine
7798 DISCOVERY DR
WEST CHESTER, OH 45069
Butler County (513) 475-8264

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 Venugopal Komakula's NPI number?

The NPI number for Venugopal Komakula is 1407115181. It was assigned to this individual provider in the NPPES registry on May 15, 2012.

Where is Venugopal Komakula located?

Venugopal Komakula practices at 7798 Discovery Dr, West Chester, OH 45069. The listed phone number is (513) 475-7500.

What is Venugopal Komakula's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Sleep Medicine, with taxonomy code 207RS0012X.

Is Venugopal Komakula enrolled in Medicare?

Yes. Venugopal Komakula 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 Venugopal Komakula accept?

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

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

When was this NPI record last updated?

The NPPES record for Venugopal Komakula was last updated on May 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.