DR. KARTHIKEYAN KANAGARAJAN M.D.
NPI 1497704936
Internal Medicine - Sleep Medicine in Cincinnati, OH

Active since May 10, 2006PECOS EnrolledAccepts Medicare Assignment
85.49/100
CMS Quality Rating
2123 AUBURN AVE STE 440, CINCINNATI, OH 45219(513) 648-8980(513) 648-8988 Get Directions Write a Review

NPPES record last updated: August 6, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 6, 2021, Oct 22, 2020 (2 updates tracked since 2020).

About Dr. Karthikeyan Kanagarajan M.d. NPPES

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

DR. KARTHIKEYAN KANAGARAJAN M.D. (NPI 1497704936) is an individual sleep medicine provider in Cincinnati, Ohio, licensed in Ohio (35.087409) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Villages Regional Hospital, The, and is a graduate of Other (1995).

NPPES Registry Identity

NPI1497704936
Entity TypeIndividualMale
Primary Taxonomy207RS0012X
Provider Legal NameDR. KARTHIKEYAN KANAGARAJANCredential: M.D.
Location Address2123 AUBURN AVE STE 440Cincinnati, OH 45219-2906
Mailing Address2123 Auburn Ave Ste 440Cincinnati, OH 45219-2906 · (513) 648-8980 · Fax (513) 648-8988
Fax(513) 648-8988
Sole ProprietorNo
Medical School CMSOtherGraduated 1995
Enumeration DateMay 10, 2006
Last NPPES UpdateAugust 6, 20212 updates tracked since enumeration
NPPES CertifiedAugust 6, 2021
NPI 1497704936 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · Sleep MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RS0012X
License Licensed in OH · 35.087409
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 ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 35.87409 (OH)
Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X · License 35.087409 (OH)
2123 AUBURN AVE STE 440, Cincinnati, OH 45219

Other Identifiers 3

Medicaid200816720IN
Medicaid64119092KY
Medicaid2649745OH

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

Dr. Karthikeyan Kanagarajan 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 ID6406847680
PECOS Enrollment IDI20060405000379, I20170911000975
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 9

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
225 services225 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.
180 services173 patients
Sleep study in sleep lab (6 years or older) 95810
A sleep study in a sleep lab is a non-invasive overnight test that monitors your body while you sleep. It helps doctors understand your sleep patterns and identify any issues like sleep apnea or insomnia. You'll be connected to equipment that tracks your heart rate, brain waves, breathing, and movements.
166 services165 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.
129 services129 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.
55 services55 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 services45 patients

Hospital Affiliations CMS Care Compare 4

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

Villages Regional Hospital, The

Acute Care Hospitals · The Villages, FL
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100290
Location1451 El Camino RealThe Villages, FL 32159 · Lake County
Emergency services

Margaret Mary Community Hospital Inc

Critical Access Hospitals · Batesville, IN
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number151329
Location321 Mitchell AveBatesville, IN 47006 · Franklin County
Emergency services

Christ Hospital

Acute Care Hospitals · Cincinnati, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360163
Location2139 Auburn AvenueCincinnati, OH 45219 · Hamilton County
Emergency services Birthing friendly

Adams County Regional Medical Center

Critical Access Hospitals · Seaman, OH
2/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number361326
Location230 Medical Center DriveSeaman, OH 45679 · Adams County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45219 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.

85.49/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality91.06
Promoting Interoperability100
Improvement Activities40
Cost60.59

Referred Medical Equipment & Supplies CMS DME claims 20

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
27 suppliers559 claims561 services$31.38 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
24 suppliers382 claims384 services$75.68 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
24 suppliers378 claims795 services$29.42 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
20 suppliers198 claims945 services$16.01 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
23 suppliers189 claims871 services$12.83 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
32 suppliers435 claims435 services$47.39 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 6

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

Nurse Practitioner (Adult Health)
2123 AUBURN AVE STE 440
CINCINNATI, OH 45219
Internal Medicine (Sleep Medicine)
2123 AUBURN AVE STE 440
CINCINNATI, OH 45219
Family Medicine (Sleep Medicine)
2123 AUBURN AVE STE 440
CINCINNATI, OH 45219
Nurse Practitioner (Family)
2123 AUBURN AVE STE 440
CINCINNATI, OH 45219
Nurse Practitioner (Adult Health)
2123 AUBURN AVE STE 440
CINCINNATI, OH 45219
Nurse Practitioner
2123 AUBURN AVE STE 440
CINCINNATI, OH 45219

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1497704936, enumerated as an "individual" on May 10, 2006.

The provider is located at 2123 AUBURN AVE STE 440 CINCINNATI, OH 45219 and the phone number is (513) 648-8980.

Internal Medicine with taxonomy code 207RS0012X and a focus in Sleep Medicine.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, CareSource,. Please consult your insurance carrier or call the provider to verify.

Karthikeyan Kanagarajan is affiliated with: VILLAGES REGIONAL HOSPITAL, THE, MARGARET MARY COMMUNITY HOSPITAL INC, CHRIST HOSPITAL and ADAMS COUNTY REGIONAL MEDICAL CENTER.