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DR. NIHARIKA JOOLUKUNTLA M.D
NPI 1750644076
Internal Medicine in Cincinnati, OH

Active since June 21, 2012PECOS EnrolledAccepts Medicare Assignment
8240 NORTHCREEK DR STE 3000, CINCINNATI, OH 45236(513) 246-7000(513) 246-5282 Get Directions Write a Review

NPPES record last updated: December 26, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 26, 2024, Aug 29, 2019 (2 updates tracked since 2019).

About Dr. Niharika Joolukuntla M.d NPPES

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

DR. NIHARIKA JOOLUKUNTLA M.D (NPI 1750644076) is an individual internal medicine provider in Cincinnati, Ohio, licensed in Ohio (35.129111) and active in the NPI registry since June 2012. She is enrolled in Medicare PECOS, is affiliated with The Jewish Hospital-mercy Health, and maintains a secondary practice location in Cincinnati.

NPPES Registry Identity

NPI1750644076
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. NIHARIKA JOOLUKUNTLACredential: M.D
Location Address8240 NORTHCREEK DR STE 3000Cincinnati, OH 45236-0709
Mailing Address8240 Northcreek Dr Ste 3000Cincinnati, OH 45236-0709 · (513) 246-7000 · Fax (513) 246-5282
Phone(513) 246-7000
Fax(513) 246-5282
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateJune 21, 2012
Last NPPES UpdateDecember 26, 20242 updates tracked since enumeration
NPPES CertifiedDecember 26, 2024
✔ NPI 1750644076 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in OH · 35.129111
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedHospitalistTaxonomy 208M00000X · License 35.12911 (OH)
8240 NORTHCREEK DR STE 3000, Cincinnati, OH 45236
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Secondary Practice Location 1

Location 1375 Dixmyth AveCincinnati, OH 45220-2475 · Phone (513) 862-3452 · Fax (513) 862-3421

Accepted Insurance

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

Dr. Niharika Joolukuntla 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 ID5890005573
PECOS Enrollment IDI20161003002689
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

2

Medicare enrollment records show Niharika Joolukuntla reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Trihealth H LLC
3.3 mi
Infectious Disease
10495 MONTGOMERY RD
Cincinnati, OH 45242
  • Reassigned Medicare billing, Ohio enrollment
  • 1,102 clinicians in this Medicare group
NPI 1164860920 (513) 984-2775
Trihealth G LLC
9.3 mi
Internal Medicine
379 DIXMYTH AVE
Cincinnati, OH 45220
  • Reassigned Medicare billing, Ohio enrollment
  • 1,126 clinicians in this Medicare group
NPI 1295862944 (513) 246-7000

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 5

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.

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.
61 services48 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
47 services47 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.
29 services26 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
17 services17 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
17 services17 patients

Hospital Affiliations CMS Care Compare 3

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

The Jewish Hospital-Mercy Health

Acute Care Hospitals · Cincinnati, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360016
Location4777 East Galbraith RoadCincinnati, OH 45236 · Hamilton County
Emergency services

Good Samaritan Hospital

Acute Care Hospitals · Cincinnati, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360134
Location375 Dixmyth AvenueCincinnati, OH 45220 · Hamilton County
Emergency services Birthing friendly

Bethesda North

Acute Care Hospitals · Cincinnati, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360179
Location10500 Montgomery RoadCincinnati, OH 45242 · Hamilton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45236 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.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier14 claims14 services$10.32 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier14 claims14 services$45.36 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 4

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

DR. ASHLEY NICOLE ENDRES M.D
Pediatrics
8240 NORTHCREEK DR STE 3000
CINCINNATI, OH 45236
Hamilton County (513) 246-5236
SHANNON MARIE COLEMAN LISW
Social Worker (Clinical)
8240 NORTHCREEK DR STE 3000
CINCINNATI, OH 45236
Hamilton County (513) 246-7000
ARTHUR J CRAIG MD
Internal Medicine
8240 NORTHCREEK DR STE 3000
CINCINNATI, OH 45236
Hamilton County (513) 246-7000
MS. LEE REYNOLDS
Family Medicine
8240 NORTHCREEK DR STE 3000
CINCINNATI, OH 45236
Hamilton County (513) 246-7000

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 Niharika Joolukuntla's NPI number?

The NPI number for Niharika Joolukuntla is 1750644076. It was assigned to this individual provider in the NPPES registry on June 21, 2012.

Where is Niharika Joolukuntla located?

Niharika Joolukuntla practices at 8240 Northcreek Dr Ste 3000, Cincinnati, OH 45236. The listed phone number is (513) 246-7000.

What is Niharika Joolukuntla's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Niharika Joolukuntla enrolled in Medicare?

Yes. Niharika Joolukuntla 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 Niharika Joolukuntla's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Niharika Joolukuntla reassigns Medicare benefits to 2 organizations: Trihealth H LLC (Cincinnati, OH) and Trihealth G LLC (Cincinnati, OH). 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 Niharika Joolukuntla's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Niharika Joolukuntla accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 1 other insurer list Niharika Joolukuntla 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 Niharika Joolukuntla affiliated with any hospitals?

According to CMS data, Niharika Joolukuntla is affiliated with The Jewish Hospital-Mercy Health, Good Samaritan Hospital and Bethesda North.

When was this NPI record last updated?

The NPPES record for Niharika Joolukuntla was last updated on December 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.