AJAY KUMAR MD
NPI 1851777577
Internal Medicine - Endocrinology, Diabetes & Metabolism in Galion, OH
About Ajay Kumar Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AJAY KUMAR MD (NPI 1851777577) is an individual endocrinology, diabetes & metabolism provider in Galion, Ohio, licensed in Ohio (35.132850) and active in the NPI registry since August 2015. He is enrolled in Medicare PECOS, is affiliated with Baptist Health Floyd, and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 2
Accepted 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
Ajay 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.
Medicare Billing Reassignments
9Medicare enrollment records show Ajay Kumar reassigns Medicare billing to 9 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Galion, OH 44833
- Reassigned Medicare billing, Ohio enrollment
- 252 clinicians in this Medicare group
Columbus, OH 43213
- Reassigned Medicare billing, Ohio enrollment
- 776 clinicians in this Medicare group
Canton, OH 44708
- Reassigned Medicare billing, Ohio enrollment
- 456 clinicians in this Medicare group
Chillicothe, OH 45601
- Reassigned Medicare billing, Ohio enrollment
- 204 clinicians in this Medicare group
Albany, IN 47320
- Reassigned Medicare billing, Indiana enrollment
- 635 clinicians in this Medicare group
Indianapolis, IN 46202
- Reassigned Medicare billing, Indiana enrollment
- 5,212 clinicians in this Medicare group
Scottsburg, IN 47170
- Reassigned Medicare billing, Indiana enrollment
- 532 clinicians in this Medicare group
New Albany, IN 47150
- Reassigned Medicare billing, Indiana enrollment
- 163 clinicians in this Medicare group
Danville, KY 40422
- Reassigned Medicare billing, Kentucky enrollment
- 89 clinicians in this Medicare group
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 10
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.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Baptist Health Floyd
Acute Care Hospitals · New Albany, INHarrison County Hospital
Critical Access Hospitals · Corydon, INScott Memorial Health
Critical Access Hospitals · Scottsburg, INBaptist Health Lagrange
Acute Care Hospitals · La Grange, KYAkron General Medical Center
Acute Care Hospitals · Akron, OHPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 44833 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
Other Providers at the Same Location NPPES 8
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
GALION, OH 44833
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 Ajay Kumar's NPI number?
The NPI number for Ajay Kumar is 1851777577. It was assigned to this individual provider in the NPPES registry on August 4, 2015.
Where is Ajay Kumar located?
Ajay Kumar practices at 270 Portland Way S, Galion, OH 44833. The listed phone number is (419) 462-3850.
What is Ajay Kumar's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.
Is Ajay Kumar enrolled in Medicare?
Yes. Ajay 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.
Which organizations bill Medicare for Ajay Kumar's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ajay Kumar reassigns Medicare benefits to 9 organizations: North Central Ohio Family Care Center, Inc (Galion, OH), Hospitalist Medicine Physicians Of Ohio, Professional Corporation (Columbus, OH), Hospitalist Medicine Physicians Of Richland County, Ltd (Canton, OH), Hospitalist Medicine Physicians Of Ohio-Columbus II Professional Corp (Chillicothe, OH), Indiana University Health Ball Memorial Physicians, Inc. (Albany, IN) and 4 more organizations, listed in the Medicare section above. 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 Ajay Kumar's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Ajay Kumar accept?
Health plans from Anthem Blue Cross and Blue Shield, CareSource and Oscar Insurance Corporation of Ohio list Ajay 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 Ajay Kumar affiliated with any hospitals?
According to CMS data, Ajay Kumar is affiliated with Baptist Health Floyd, Harrison County Hospital, Scott Memorial Health, Baptist Health Lagrange and Akron General Medical Center.
When was this NPI record last updated?
The NPPES record for Ajay Kumar was last updated on September 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 41 days 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.
# Ajay Kumar, MD · NPI 1851777577
Endocrinology, Diabetes & Metabolism physician in Galion, Ohio. Individual provider, active in the CMS NPPES registry since August 4, 2015.
## Identity
- **NPI:** 1851777577 (Entity type: Individual)
- **Enumerated:** August 4, 2015
- **Primary specialty:** Internal Medicine - Endocrinology, Diabetes & Metabolism · taxonomy 207RE0101X
- **State license:** 35.132850 (Ohio)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 270 PORTLAND WAY S, Galion, OH 44833-2362
- **Phone:** (419) 462-3850 · **Fax:** (419) 462-3851
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 9 organizations under Medicare reassignment (form CMS-855R): North Central Ohio Family Care Center, Inc (NPI 1689822827, Galion, OH); Hospitalist Medicine Physicians Of Ohio, Professional Corporation (NPI 1043572290, Columbus, OH); Hospitalist Medicine Physicians Of Richland County, Ltd (NPI 1639119027, Canton, OH); Hospitalist Medicine Physicians Of Ohio-Columbus II Professional Corp (NPI 1861038069, Chillicothe, OH); Indiana University Health Ball Memorial Physicians, Inc. (NPI 1598085409, Albany, IN); and 4 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2012
## Record status
- **NPPES last updated:** September 24, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1851777577) · Data from the CMS NPPES public registry.