ASHOK KUMAR KANUGULA M.D
NPI 1487919908
Internal Medicine in Griffin, GA

Active since July 10, 2012PECOS EnrolledAccepts Medicare Assignment
92.93/100
CMS Quality Rating
747 S 8TH ST STE B, GRIFFIN, GA 30224(470) 604-8250(770) 999-2814 Get Directions Write a Review

NPPES record last updated: September 9, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ashok Kumar Kanugula M.d NPPES

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

ASHOK KUMAR KANUGULA M.D (NPI 1487919908) is an individual internal medicine provider in Griffin, Georgia, licensed in Georgia (88543) and active in the NPI registry since July 2012. He is enrolled in Medicare PECOS, is affiliated with Wellstar Spalding Medical Center, and maintains a secondary practice location in Dayton.

NPPES Registry Identity

NPI1487919908
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameASHOK KUMAR KANUGULACredential: M.D
Location Address747 S 8TH ST STE BGriffin, GA 30224-4884
Mailing Address747 S 8th St Ste BGriffin, GA 30224-4884 · (470) 604-8250 · Fax (770) 999-2814
Fax(770) 999-2814
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateJuly 10, 2012
Last NPPES UpdateSeptember 9, 2021
NPPES CertifiedSeptember 9, 2021
NPI 1487919908 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses Licensed in GA · 88543 Licensed in OH · 35.126308
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License MT200813 (PA)
747 S 8TH ST STE B, Griffin, GA 30224

Secondary Practice Location 1

Location 130 E Apple St, Suite NW3300Dayton, OH 45409-2939 · Phone (937) 208-8394 · Fax (937) 208-8388

Other Identifiers 1

Medicaid133401OH

Accepted 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

Ashok Kumar Kanugula 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 ID8224250535
PECOS Enrollment IDI20210607000335
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.

Hospital Affiliations CMS Care Compare 2

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

Wellstar Spalding Medical Center

Acute Care Hospitals · Griffin, GA
1/5 CMS rating
OwnershipProprietary
CMS Certification Number110031
Location601 South 8th StreetGriffin, GA 30224 · Spalding County
Emergency services Birthing friendly

Wellstar Cobb Medical Center

Acute Care Hospitals · Austell, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110143
Location3950 Austell RdAustell, GA 30106 · Cobb County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30224 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
$124.10 typical visit price
range $53.31 – $164.04
Typical copayment $31.02 (range $13.32 – $41.01)
Most-billed visit code 99204
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
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.

92.93/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.38
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

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

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 supplier14 claims14 services$51.21 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 17

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

Student in an Organized Health Care Education/Training Program
747 S 8TH ST STE B
GRIFFIN, GA 30224
Student in an Organized Health Care Education/Training Program
747 S 8TH ST STE B
GRIFFIN, GA 30224
Student in an Organized Health Care Education/Training Program
747 S 8TH ST STE B
GRIFFIN, GA 30224
Student in an Organized Health Care Education/Training Program
747 S 8TH ST STE B
GRIFFIN, GA 30224
Student in an Organized Health Care Education/Training Program
747 S 8TH ST STE B
GRIFFIN, GA 30224
Student in an Organized Health Care Education/Training Program
747 S 8TH ST STE B
GRIFFIN, GA 30224
Student in an Organized Health Care Education/Training Program
747 S 8TH ST STE B
GRIFFIN, GA 30224
Student in an Organized Health Care Education/Training Program
747 S 8TH ST STE B
GRIFFIN, GA 30224

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 Ashok Kumar Kanugula's NPI number?

The NPI number for Ashok Kumar Kanugula is 1487919908. It was assigned to this individual provider in the NPPES registry on July 10, 2012.

Where is Ashok Kumar Kanugula located?

Ashok Kumar Kanugula practices at 747 S 8th St Ste B, Griffin, GA 30224. The listed phone number is (470) 604-8250.

What is Ashok Kumar Kanugula's specialty?

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

Is Ashok Kumar Kanugula enrolled in Medicare?

Yes. Ashok Kumar Kanugula 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 Ashok Kumar Kanugula accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Ashok Kumar Kanugula 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 Ashok Kumar Kanugula affiliated with any hospitals?

According to CMS data, Ashok Kumar Kanugula is affiliated with Wellstar Spalding Medical Center and Wellstar Cobb Medical Center.

When was this NPI record last updated?

The NPPES record for Ashok Kumar Kanugula was last updated on September 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.