KIRAN SEBASTIAN MD
NPI 1689194441
Hospitalist in Columbus, OH

Active since June 22, 2017PECOS EnrolledAccepts Medicare Assignment
95.31/100
CMS Quality Rating
452 W 10TH AVE FL 2, COLUMBUS, OH 43210(614) 293-7499(614) 366-2360 Get Directions Write a Review

NPPES record last updated: June 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 11, 2025, Jul 14, 2020, Jun 22, 2017 (3 updates tracked since 2017).

About Kiran Sebastian Md NPPES

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

KIRAN SEBASTIAN MD (NPI 1689194441) is an individual hospitalist provider in Columbus, Ohio, licensed in Ohio (35.139736) and active in the NPI registry since June 2017. He is enrolled in Medicare PECOS, is affiliated with Ohio State University State Health System, and is a graduate of Wayne State University School Of Medicine (2017).

NPPES Registry Identity

NPI1689194441
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameKIRAN SEBASTIANCredential: MD
Location Address452 W 10TH AVE FL 2Columbus, OH 43210-1240
Mailing Address700 Ackerman Rd Ste 2120Columbus, OH 43202-1559 · (614) 293-7499
Fax(614) 366-2360
Sole ProprietorNo
Medical School CMSWayne State University School Of MedicineGraduated 2017
Enumeration DateJune 22, 2017
Last NPPES UpdateJune 11, 20253 updates tracked since enumeration
NPPES CertifiedJune 11, 2025
NPI 1689194441 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License Licensed in OH · 35.139736
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License 35.139736 (OH)
452 W 10TH AVE FL 2, Columbus, OH 43210

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

Kiran Sebastian 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 ID7012287741
PECOS Enrollment IDI20200717001284
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 3

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.
236 services77 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
41 services38 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
29 services29 patients

Hospital Affiliations CMS Care Compare

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

Ohio State University State Health System

Acute Care Hospitals · Columbus, OH
4/5 CMS rating
OwnershipGovernment - State
CMS Certification Number360085
Location410 West 10th AvenueColumbus, OH 43210 · Franklin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43210 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.

95.31/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality76.58
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.

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
1 supplier12 claims12 services$907.03 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 10

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

Internal Medicine (Pulmonary Disease)
452 W 10TH AVE FL 2
COLUMBUS, OH 43210
Hospitalist
452 W 10TH AVE FL 2
COLUMBUS, OH 43210
Hospitalist
452 W 10TH AVE FL 2
COLUMBUS, OH 43210
Hospitalist
452 W 10TH AVE FL 2
COLUMBUS, OH 43210
Hospitalist
452 W 10TH AVE FL 2
COLUMBUS, OH 43210
Hospitalist
452 W 10TH AVE FL 2
COLUMBUS, OH 43210
Hospitalist
452 W 10TH AVE FL 2
COLUMBUS, OH 43210
Hospitalist
452 W 10TH AVE FL 2
COLUMBUS, OH 43210

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 Kiran Sebastian's NPI number?

The NPI number for Kiran Sebastian is 1689194441. It was assigned to this individual provider in the NPPES registry on June 22, 2017.

Where is Kiran Sebastian located?

Kiran Sebastian practices at 452 W 10th Ave Fl 2, Columbus, OH 43210. The listed phone number is (614) 293-7499.

What is Kiran Sebastian's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Kiran Sebastian enrolled in Medicare?

Yes. Kiran Sebastian 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 Kiran Sebastian accept?

Health plans from CareSource list Kiran Sebastian 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 Kiran Sebastian affiliated with any hospitals?

According to CMS data, Kiran Sebastian is affiliated with Ohio State University State Health System.

When was this NPI record last updated?

The NPPES record for Kiran Sebastian was last updated on June 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.