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DR. NEAL KUNAL KAUSHAL M.D., MBA
NPI 1447542238
Internal Medicine - Gastroenterology in Edmond, OK

Active since May 11, 2011PECOS EnrolledAccepts Medicare Assignment
79.22/100
CMS Quality Rating
4509 INTEGRIS PKWY STE 300, EDMOND, OK 73034(405) 657-3704(405) 657-3892 Get Directions Write a Review

NPPES record last updated: June 18, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 18, 2025, Dec 27, 2017 (2 updates tracked since 2017).

About Dr. Neal Kunal Kaushal M.d., Mba NPPES

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

DR. NEAL KUNAL KAUSHAL M.D., MBA (NPI 1447542238) is an individual gastroenterology provider in Edmond, Oklahoma, licensed in Oklahoma (42319) and active in the NPI registry since May 2011. He is enrolled in Medicare PECOS, is affiliated with Integris Baptist Medical Center, Inc, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1447542238
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameDR. NEAL KUNAL KAUSHALCredential: M.D., MBA
Location Address4509 INTEGRIS PKWY STE 300Edmond, OK 73034-8696
Mailing Address3001 Quail Springs Pkwy Fl 5Oklahoma City, OK 73134-2640 · (405) 657-3704 · Fax (405) 657-3892
Phone(405) 657-3704
Fax(405) 657-3892
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateMay 11, 2011
Last NPPES UpdateJune 18, 20252 updates tracked since enumeration
NPPES CertifiedJune 18, 2025
✔ NPI 1447542238 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in OK · 42319
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
4509 INTEGRIS PKWY STE 300, Edmond, OK 73034
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma, CommunityCare, Mending Health.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. Neal Kunal Kaushal M.d., Mba 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 ID547534679
PECOS Enrollment IDI20240127000587
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

4

Medicare enrollment records show Neal Kaushal reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Integris Ambulatory Care Corporation
8.8 mi
Family Medicine
3001 QUAIL SPRINGS PKWY
Oklahoma City, OK 73134
  • Reassigned Medicare billing, Oklahoma enrollment
  • 1,058 clinicians in this Medicare group
NPI 1750333936 (405) 951-2298
Mercy Hospital Oklahoma City, Inc
11 mi
Physical Therapist
4300 W MEMORIAL RD
Oklahoma City, OK 73120
  • Reassigned Medicare billing, Oklahoma enrollment
  • 110 clinicians in this Medicare group
NPI 1922192186 (405) 936-5041
Sonora Community Hospital
1,272 mi
Family Medicine
18661 HIGHWAY 120
Groveland, CA 95321
  • Reassigned Medicare billing, California enrollment
  • Also billed through NPI 1033100854 (California)
  • 172 clinicians in this Medicare group
NPI 1356332274 (209) 962-7121
Enloe Medical Center
1,360 mi
Gastroenterology
111 RALEY BLVD, SUITE 100
Chico, CA 95928
  • Reassigned Medicare billing, California enrollment
  • 42 clinicians in this Medicare group
NPI 1801226162 (530) 894-8800

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 9

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.
78 services64 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.
54 services54 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.
45 services45 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
43 services42 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
29 services29 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.
22 services14 patients

Hospital Affiliations CMS Care Compare 3

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

Integris Baptist Medical Center, Inc

Acute Care Hospitals · Oklahoma City, OK
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370028
Location3300 Northwest ExpresswayOklahoma City, OK 73112 · Oklahoma County
Emergency services Birthing friendly

Integris Southwest Medical Center

Acute Care Hospitals · Oklahoma City, OK
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370106
Location4401 South Western AvenueOklahoma City, OK 73109 · Oklahoma County
Emergency services Birthing friendly

Integris Health Edmond Hospital

Acute Care Hospitals · Edmond, OK
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370236
Location4801 Integris ParkwayEdmond, OK 73034 · Oklahoma County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73034 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
$123.06 typical visit price
range $53.00 – $162.61
Typical copayment $30.76 (range $13.25 – $40.65)
Most-billed visit code 99204
Established Patient
$94.27 typical visit price
range $16.68 – $132.40
Typical copayment $23.56 (range $4.17 – $33.10)
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.

79.22/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality86.14
Promoting Interoperability97
Improvement Activities40
Cost47.11

Other Providers at the Same Location NPPES 7

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

MUSTANG FOOT & ANKLE CLINIC, LLC
Podiatrist (Foot & Ankle Surgery)
4509 INTEGRIS PKWY STE 300
EDMOND, OK 73034
Oklahoma County (405) 376-1115
CLAIRE ELAINE CREECY APRN
Nurse Practitioner (Family)
4509 INTEGRIS PKWY STE 300
EDMOND, OK 73034
Oklahoma County (405) 657-3985
DR. DENA ELAINE O'LEARY MD
Obstetrics & Gynecology (Urogynecology and Reconstructive Pelvic Surgery)
4509 INTEGRIS PKWY STE 300
EDMOND, OK 73034
Oklahoma County (405) 657-3704
MATTHEW TYLER MARR MD
Surgery (Plastic and Reconstructive Surgery)
4509 INTEGRIS PKWY STE 300
EDMOND, OK 73034
Oklahoma County (405) 657-3704
DR. JEDIDIAH J PERDUE MD, MPH
Psychiatry & Neurology (Psychiatry)
4509 INTEGRIS PKWY STE 300
EDMOND, OK 73034
Oklahoma County (405) 657-3704
EDGAR L LECLAIRE MD
Obstetrics & Gynecology (Urogynecology and Reconstructive Pelvic Surgery)
4509 INTEGRIS PKWY STE 300
EDMOND, OK 73034
Oklahoma County (405) 657-3704
ELIZABETH ANN GEORGE
Psychiatry & Neurology (Psychiatry)
4509 INTEGRIS PKWY STE 300
EDMOND, OK 73034
Oklahoma County (405) 657-3704

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 Neal Kaushal's NPI number?

The NPI number for Neal Kaushal is 1447542238. It was assigned to this individual provider in the NPPES registry on May 11, 2011.

Where is Neal Kaushal located?

Neal Kaushal practices at 4509 Integris Pkwy Ste 300, Edmond, OK 73034. The listed phone number is (405) 657-3704.

What is Neal Kaushal's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Neal Kaushal enrolled in Medicare?

Yes. Neal Kaushal 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 Neal Kaushal's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Neal Kaushal reassigns Medicare benefits to 4 organizations: Integris Ambulatory Care Corporation (Oklahoma City, OK), Mercy Hospital Oklahoma City, Inc (Oklahoma City, OK), Sonora Community Hospital (Groveland, CA) and Enloe Medical Center (Chico, CA). 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 Neal Kaushal's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Neal Kaushal accept?

Health plans from Blue Cross and Blue Shield of Oklahoma, CommunityCare and Mending Health list Neal Kaushal 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 Neal Kaushal affiliated with any hospitals?

According to CMS data, Neal Kaushal is affiliated with Integris Baptist Medical Center, Inc, Integris Southwest Medical Center and Integris Health Edmond Hospital.

When was this NPI record last updated?

The NPPES record for Neal Kaushal was last updated on June 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.