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ASHISH KATARIA MD
NPI 1487975926
Internal Medicine - Nephrology in Lexington, KY

Active since June 18, 2010PECOS EnrolledAccepts Medicare Assignment
77.82/100
CMS Quality Rating
800 ROSE ST, LEXINGTON, KY 40536(859) 323-1691(859) 323-1700 Get Directions Write a Review

NPPES record last updated: April 29, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 29, 2024, Jul 15, 2019, Jun 16, 2018 and 3 more (6 updates tracked since 2017).

About Ashish Kataria Md NPPES

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

ASHISH KATARIA MD (NPI 1487975926) is an individual nephrology provider in Lexington, Kentucky, licensed in Kentucky (58895) and active in the NPI registry since June 2010. He is enrolled in Medicare PECOS, is affiliated with King's Daughters' Medical Center, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1487975926
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameASHISH KATARIACredential: MD
Location Address800 ROSE STLexington, KY 40536-4375
Mailing Address908 Niagara Falls Blvd Ste 208North Tonawanda, NY 14120-2019 · (716) 692-3302 · Fax (716) 692-4342
Phone(859) 323-1691
Fax(859) 323-1700
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateJune 18, 2010
Last NPPES UpdateApril 29, 20246 updates tracked since enumeration
NPPES CertifiedApril 29, 2024
✔ NPI 1487975926 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
Licenses✔ Licensed in KY · 58895✔ Licensed in NY · 291473✔ Licensed in NM · MD2019-0105
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
800 ROSE ST, Lexington, KY 40536
Open in Google Maps ↗

Secondary Practice Locations 3

Location 1933 Bradbury Dr SE Ste 2222Albuquerque, NM 87106-4375 · Phone (505) 272-4661
Location 2462 Grider StBuffalo, NY 14215 · Phone (716) 898-4529
Location 39200 W Wisconsin Ave, Medical College of WisconsinMilwaukee, WI 53226-3522 · Phone (414) 805-3100 · Fax (414) 805-9059

Accepted Insurance

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

Ashish Kataria Md 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 ID345476214
PECOS Enrollment IDI20240517003429
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

5

Medicare enrollment records show Ashish Kataria reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Of Kentucky
Same address
General Acute Care Hospital
800 ROSE ST
Lexington, KY 40536
  • Reassigned Medicare billing, Kentucky enrollment
  • 1,761 clinicians in this Medicare group
NPI 1518911338 (859) 323-5470
Kentucky Medical Services Foundation, Inc
3.4 mi
Internal Medicine
2333 ALUMNI PARK PLZ, SUITE 200
Lexington, KY 40517
  • Reassigned Medicare billing, Kentucky enrollment
  • 1,502 clinicians in this Medicare group
NPI 1326091448 (859) 257-7910
Wellstar Medical Group, LLC
262 mi
Family Medicine
687 MARIETTA HWY
Canton, GA 30114
  • Reassigned Medicare billing, Georgia and South Carolina enrollments
  • Also billed through NPI 1275992240 (South Carolina)
  • 3,885 clinicians in this Medicare group
NPI 1386054278 (770) 479-8040
Au Medical Associates Inc
345 mi
Multi-Specialty
1120 15TH ST
Augusta, GA 30912
  • Reassigned Medicare billing, Georgia and South Carolina enrollments
  • 1,151 clinicians in this Medicare group
NPI 1841230620 (706) 721-2273
Albuquerque Indian Health Center
1,243 mi
Clinic/Center
801 VASSAR DR NE
Albuquerque, NM 87106
  • Reassigned Medicare billing, Texas enrollment
  • 133 clinicians in this Medicare group
NPI 1659458917 (505) 248-4062

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 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.
145 services54 patients
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.
104 services51 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
75 services57 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.
45 services36 patients

Hospital Affiliations CMS Care Compare 4

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

King's Daughters' Medical Center

Acute Care Hospitals · Ashland, KY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180009
Location2201 Lexington AvenueAshland, KY 41101 · Boyd County
Emergency services

Ephraim Mcdowell Regional Medical Center

Acute Care Hospitals · Danville, KY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180048
Location217 South Third StreetDanville, KY 40422 · Boyle County
Emergency services Birthing friendly

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

Lake Cumberland Regional Hospital

Acute Care Hospitals · Somerset, KY
2/5 CMS rating
OwnershipProprietary
CMS Certification Number180132
Location305 Langdon StreetSomerset, KY 42503 · Pulaski 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.

77.82/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality72.04
Promoting Interoperability92
Improvement Activities40
Cost60.7

Referred Medical Equipment & Supplies CMS DME claims 9

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

Tacrolimus, extended release, (envarsus xr), oral, 0.25 mg J7503
Treatment-Chemotherapy · category RH002N
3 suppliers52 claims22,200 services$1.21 avg. paid by Medicare
Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
3 suppliers87 claims6,915 services$0.31 avg. paid by Medicare
Tacrolimus, extended release, (astagraf xl), oral, 0.1 mg J7508
Treatment-Treatment - Miscellaneous · category RX029N
2 suppliers11 claims4,800 services$0.40 avg. paid by Medicare
Prednisone, immediate release or delayed release, oral, 1 mg J7512
Treatment-Treatment - Miscellaneous · category RX029N
5 suppliers57 claims9,225 services$0.01 avg. paid by Medicare
Mycophenolate mofetil, oral, 250 mg J7517
Treatment-Treatment - Miscellaneous · category RX029N
6 suppliers66 claims10,360 services$0.17 avg. paid by Medicare
Mycophenolic acid, oral, 180 mg J7518
Treatment-Treatment - Miscellaneous · category RX029N
7 suppliers137 claims22,080 services$0.97 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 20

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

DR. JEREMY WAYNE THACKER M.D.
Radiology (Diagnostic Radiology)
800 ROSE ST, HX-302 UKMC
LEXINGTON, KY 40536
Fayette County (859) 257-4457
DR. KIRK PHILLIP HEITMAN M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
800 ROSE ST, MS117
LEXINGTON, KY 40536
Fayette County (859) 257-1446
HARISH RAM MD
Anesthesiology
800 ROSE ST
LEXINGTON, KY 40536
Fayette County (859) 323-5956
MS. YVONNE P RICE APRN NP-C
Nurse Practitioner (Family)
800 ROSE ST
LEXINGTON, KY 40536
Fayette County (859) 218-1779
VANESSA D. SMITH MD
Pathology (Anatomic Pathology)
800 ROSE ST
LEXINGTON, KY 40536
Fayette County (859) 323-6183
JASMINE HOWARD APRN
Nurse Practitioner (Acute Care)
800 ROSE ST, MN604
LEXINGTON, KY 40536
Fayette County (859) 323-6047
MITCHELL ALEXANDER MIGUEL M.D.
Hospitalist
800 ROSE ST
LEXINGTON, KY 40536
Fayette County (859) 323-6047
LEAH RAY YEAGER APRN
Nurse Practitioner (Family)
800 ROSE ST, CC417
LEXINGTON, KY 40536
Fayette County (859) 257-1223

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 Ashish Kataria's NPI number?

The NPI number for Ashish Kataria is 1487975926. It was assigned to this individual provider in the NPPES registry on June 18, 2010.

Where is Ashish Kataria located?

Ashish Kataria practices at 800 Rose St, Lexington, KY 40536. The listed phone number is (859) 323-1691.

What is Ashish Kataria's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Ashish Kataria enrolled in Medicare?

Yes. Ashish Kataria 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 Ashish Kataria's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ashish Kataria reassigns Medicare benefits to 5 organizations: University Of Kentucky (Lexington, KY), Kentucky Medical Services Foundation, Inc (Lexington, KY), Wellstar Medical Group, LLC (Canton, GA), Au Medical Associates Inc (Augusta, GA) and Albuquerque Indian Health Center (Albuquerque, NM). 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 Ashish Kataria's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ashish Kataria accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter of Tennessee and Anthem Blue Cross and Blue Shield list Ashish Kataria 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 Ashish Kataria affiliated with any hospitals?

According to CMS data, Ashish Kataria is affiliated with King's Daughters' Medical Center, Ephraim Mcdowell Regional Medical Center, University Of Kentucky Hospital and Lake Cumberland Regional Hospital.

When was this NPI record last updated?

The NPPES record for Ashish Kataria was last updated on April 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.