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DR. RAJMOHAN S KARNIK M.D.
NPI 1780666784
Internal Medicine - Cardiovascular Disease in Hamilton, OH

Active since November 16, 2005PECOS EnrolledAccepts Medicare Assignment
97.58/100
CMS Quality Rating
10 OFFICE PARK DR, STE A, HAMILTON, OH 45013(513) 768-2100(513) 737-8200 Get Directions Write a Review

NPPES record last updated: June 29, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Rajmohan S Karnik M.d. NPPES

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

DR. RAJMOHAN S KARNIK M.D. (NPI 1780666784) is an individual cardiovascular disease provider in Hamilton, Ohio, licensed in Ohio (35065889) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with Tallahassee Memorial Healthcare, and is a graduate of Other (1978).

NPPES Registry Identity

NPI1780666784
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameDR. RAJMOHAN S KARNIKCredential: M.D.
Location Address10 OFFICE PARK DR, STE AHamilton, OH 45013-1585
Mailing Address4734 Citation CtMason, OH 45040-3846 · (513) 768-2100 · Fax (513) 737-8200
Phone(513) 768-2100
Fax(513) 737-8200
Sole ProprietorNo
Medical School CMSOtherGraduated 1978
Enumeration DateNovember 16, 2005
Last NPPES UpdateJune 29, 2016
✔ NPI 1780666784 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in OH · 35065889
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
10 OFFICE PARK DR, Hamilton, OH 45013
Open in Google Maps ↗

Other Identifiers 4

Medicare PINP01247985OH
Medicare UPINE30715OH
Medicare PINH242251OH
Medicaid0334712OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) 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. Rajmohan S Karnik 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 ID6608977665
PECOS Enrollment IDI20250313001121
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

3

Medicare enrollment records show Rajmohan Karnik reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Charleston Area Medical Center Inc
161 mi
Multi-Specialty
407 MAIN ST STE 1
Belpre, OH 45714
  • Reassigned Medicare billing, West Virginia enrollment
  • 1,511 clinicians in this Medicare group
NPI 1588422547 (740) 315-5709
Tallahassee Memorial Healthcare Inc
599 mi
Cardiovascular Disease
877 3RD ST STE 3
Chipley, FL 32428
  • Reassigned Medicare billing, Florida enrollment
  • 654 clinicians in this Medicare group
NPI 1679199236 (850) 216-0100
Taos Health Systems Inc Holy Cross Hospital
1,164 mi
General Acute Care Hospital
1397 WEIMER RD
Taos, NM 87571
  • Reassigned Medicare billing, New Mexico enrollment
  • 122 clinicians in this Medicare group
NPI 1194751958 (575) 758-8883

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

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.

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.
16 services16 patients

Hospital Affiliations CMS Care Compare 2

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

Tallahassee Memorial Healthcare

Acute Care Hospitals · Tallahassee, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100135
Location1300 Miccosukee RdTallahassee, FL 32308 · Leon County
Emergency services Birthing friendly

Charleston Area Medical Center

Acute Care Hospitals · Charleston, WV
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510022
Location501 Morris StreetCharleston, WV 25301 · Kanawha County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45013 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
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

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.

97.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.53
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 3

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

RAJ KARNIK MD INC
Internal Medicine (Cardiovascular Disease)
10 OFFICE PARK DR, STE A
HAMILTON, OH 45013
Butler County (513) 768-2100
TRIHEALTH OS, LLC
Orthopaedic Surgery
10 OFFICE PARK DR, STE. A
HAMILTON, OH 45013
Butler County (513) 524-1100
FAIRFIELD OBSTETRICS & GYNECOLOGY, INC
Obstetrics & Gynecology
10 OFFICE PARK DR, SUITE A
HAMILTON, OH 45013
Butler County (513) 867-0999

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 Rajmohan Karnik's NPI number?

The NPI number for Rajmohan Karnik is 1780666784. It was assigned to this individual provider in the NPPES registry on November 16, 2005.

Where is Rajmohan Karnik located?

Rajmohan Karnik practices at 10 Office Park Dr Ste A, Hamilton, OH 45013. The listed phone number is (513) 768-2100.

What is Rajmohan Karnik's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Rajmohan Karnik enrolled in Medicare?

Yes. Rajmohan Karnik 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 Rajmohan Karnik's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rajmohan Karnik reassigns Medicare benefits to 3 organizations: Charleston Area Medical Center Inc (Belpre, OH), Tallahassee Memorial Healthcare Inc (Chipley, FL) and Taos Health Systems Inc Holy Cross Hospital (Taos, NM). 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 Rajmohan Karnik's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Rajmohan Karnik accept?

Health plans from CareSource, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and UnitedHealthcare list Rajmohan Karnik 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 Rajmohan Karnik affiliated with any hospitals?

According to CMS data, Rajmohan Karnik is affiliated with Tallahassee Memorial Healthcare and Charleston Area Medical Center.

When was this NPI record last updated?

The NPPES record for Rajmohan Karnik was last updated on June 29, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.