1. Home
  2. Directory
  3. Kentucky
  4. Florence
  5. Colon Rectal Surgery
  6. NPI Profile

RAMESH KUMAR MD
NPI 1538325295
Colon & Rectal Surgery in Florence, KY

Active since August 01, 2008PECOS EnrolledAccepts Medicare Assignment
7370 TURFWAY RD, FLORENCE, KY 41042(859) 578-5880(859) 212-4845 Get Directions Write a Review

NPPES record last updated: October 8, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 8, 2019, Aug 15, 2019 (2 updates tracked since 2019).

About Ramesh Kumar Md NPPES

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

RAMESH KUMAR MD (NPI 1538325295) is an individual colon & rectal surgery provider in Florence, Kentucky, licensed in Kentucky (52697) and active in the NPI registry since August 2008. He is enrolled in Medicare PECOS, is affiliated with St Elizabeth Ft Thomas, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1538325295
Entity TypeIndividualMale
Primary Taxonomy208C00000X
Provider Legal NameRAMESH KUMARCredential: MD
Location Address7370 TURFWAY RDFlorence, KY 41042-4895
Mailing AddressPo Box 635283Cincinnati, OH 45263-3433 · (859) 344-5555 · Fax (859) 578-5881
Phone(859) 578-5880
Fax(859) 212-4845
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateAugust 1, 2008
Last NPPES UpdateOctober 8, 20192 updates tracked since enumeration
✔ NPI 1538325295 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyColon & Rectal SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208C00000X
License✔ Licensed in KY · 52697
Definition
A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.
Also ListedSurgeryTaxonomy 208600000X · License 52697 (KY)
7370 TURFWAY RD, Florence, KY 41042
Open in Google Maps ↗

Other Identifiers 2

OtherP01356568IA · Rr Medicare
Medicaid7100622280KY

Accepted Insurance

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

Ramesh Kumar 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 ID648496018
PECOS Enrollment IDI20190916000610
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 7

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.

Diagnostic exam of anus using an endoscope 46600
This procedure involves using a thin, flexible instrument called an endoscope to examine the anal area. It helps detect any abnormal conditions or issues. It's a safe, routine exam performed by a healthcare professional.
35 services34 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
30 services20 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.
28 services20 patients
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.
22 services22 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.
13 services13 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.
13 services13 patients

Hospital Affiliations CMS Care Compare 3

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

St Elizabeth Ft Thomas

Acute Care Hospitals · Fort Thomas, KY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180001
Location85 North Grand AvenueFort Thomas, KY 41075 · Campbell County
Emergency services

St Elizabeth Edgewood

Acute Care Hospitals · Edgewood, KY
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number180035
Location1 Medical Village DriveEdgewood, KY 41017 · Kenton County
Emergency services Birthing friendly

St Elizabeth Florence

Acute Care Hospitals · Florence, KY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180045
Location4900 Houston RoadFlorence, KY 41042 · Boone County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 41042 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

BALAJI KALYANARAMAN M.D., PH.D
Urology
7370 TURFWAY RD
FLORENCE, KY 41042
Boone County (859) 212-0497
BANDANA WAIKHOM MD
Ophthalmology
7370 TURFWAY RD, SUITE 300
FLORENCE, KY 41042
Boone County (859) 746-1990
TARA MONDAY D.O.
Pediatrics (Adolescent Medicine)
7370 TURFWAY RD, SUITE 280
FLORENCE, KY 41042
Boone County (859) 212-4567
MRS. CANDACE LYNN KOOPMAN APRN
Nurse Practitioner
7370 TURFWAY RD
FLORENCE, KY 41042
Boone County (859) 212-5125
DAVID LITTRELL MD
Family Medicine
7370 TURFWAY RD, SUITE 100
FLORENCE, KY 41042
Boone County (859) 212-4700
MS. STEPHANIE MARIE DEANGELIS D.O.
Obstetrics & Gynecology
7370 TURFWAY RD
FLORENCE, KY 41042
Boone County (859) 212-5125
BARBARA MARIE OKAFOR MD
Internal Medicine (Infectious Disease)
7370 TURFWAY RD
FLORENCE, KY 41042
Boone County (859) 757-4446
YASMEEN RENEE DAHER DO
Obstetrics & Gynecology
7370 TURFWAY RD
FLORENCE, KY 41042
Boone County (859) 212-5125

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 Ramesh Kumar's NPI number?

The NPI number for Ramesh Kumar is 1538325295. It was assigned to this individual provider in the NPPES registry on August 1, 2008.

Where is Ramesh Kumar located?

Ramesh Kumar practices at 7370 Turfway Rd, Florence, KY 41042. The listed phone number is (859) 578-5880.

What is Ramesh Kumar's specialty?

The primary specialty registered for this NPI is Colon & Rectal Surgery with taxonomy code 208C00000X.

Is Ramesh Kumar enrolled in Medicare?

Yes. Ramesh Kumar 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 Ramesh Kumar accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and CareSource list Ramesh Kumar 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 Ramesh Kumar affiliated with any hospitals?

According to CMS data, Ramesh Kumar is affiliated with St Elizabeth Ft Thomas, St Elizabeth Edgewood and St Elizabeth Florence.

When was this NPI record last updated?

The NPPES record for Ramesh Kumar was last updated on October 8, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.