KARTIKKUMAR JINJUVADIA MD
NPI 1669678165
Internal Medicine - Gastroenterology in Florence, KY

Active since June 22, 2007PECOS EnrolledAccepts Medicare Assignment
90.38/100
CMS Quality Rating
4900 HOUSTON RD, FLORENCE, KY 41042(859) 331-6466(859) 344-7930 Get Directions Write a Review

NPPES record last updated: July 11, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 11, 2023, Jul 25, 2022, Aug 28, 2018 and 1 more (4 updates tracked since 2016).

About Kartikkumar Jinjuvadia Md NPPES

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

KARTIKKUMAR JINJUVADIA MD (NPI 1669678165) is an individual gastroenterology provider in Florence, Kentucky, licensed in Kentucky (51879) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS, is affiliated with St Elizabeth Ft Thomas, and is a graduate of Other (2003).

NPPES Registry Identity

NPI1669678165
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameKARTIKKUMAR JINJUVADIACredential: MD
Location Address4900 HOUSTON RDFlorence, KY 41042-4824
Mailing AddressPo Box 635283Cincinnati, OH 45263-5283 · (859) 331-6466 · Fax (859) 344-7930
Fax(859) 344-7930
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateJune 22, 2007
Last NPPES UpdateJuly 11, 20234 updates tracked since enumeration
NPPES CertifiedJuly 11, 2023
NPI 1669678165 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
Licenses Licensed in KY · 51879 Licensed in MI · 4301087870
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.

Also ListedInternal MedicineTaxonomy 207R00000X · License 4301087870 (MI)
4900 HOUSTON RD, Florence, KY 41042

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

Kartikkumar Jinjuvadia 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 ID244496917
PECOS Enrollment IDI20181023001486
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 12

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.
124 services78 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.
122 services97 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
103 services102 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.
66 services65 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.
54 services53 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.
37 services37 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
$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.

90.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.76
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
100%22 patients5/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
30%33 patients2/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Hospitalist
4900 HOUSTON RD
FLORENCE, KY 41042
Hospitalist
4900 HOUSTON RD
FLORENCE, KY 41042
Hospitalist
4900 HOUSTON RD
FLORENCE, KY 41042
Internal Medicine (Gastroenterology)
4900 HOUSTON RD
FLORENCE, KY 41042
Registered Nurse
4900 HOUSTON RD
FLORENCE, KY 41042
Nurse Practitioner
4900 HOUSTON RD
FLORENCE, KY 41042
Nurse Practitioner
4900 HOUSTON RD
FLORENCE, KY 41042
Physician Assistant
4900 HOUSTON RD
FLORENCE, KY 41042

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 Kartikkumar Jinjuvadia's NPI number?

The NPI number for Kartikkumar Jinjuvadia is 1669678165. It was assigned to this individual provider in the NPPES registry on June 22, 2007.

Where is Kartikkumar Jinjuvadia located?

Kartikkumar Jinjuvadia practices at 4900 Houston Rd, Florence, KY 41042. The listed phone number is (859) 331-6466.

What is Kartikkumar Jinjuvadia's specialty?

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

Is Kartikkumar Jinjuvadia enrolled in Medicare?

Yes. Kartikkumar Jinjuvadia 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 Kartikkumar Jinjuvadia accept?

Health plans from CareSource list Kartikkumar Jinjuvadia 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 Kartikkumar Jinjuvadia affiliated with any hospitals?

According to CMS data, Kartikkumar Jinjuvadia 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 Kartikkumar Jinjuvadia was last updated on July 11, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.