SOWMYA KUPPATHIL MD
NPI 1861763831
Internal Medicine in Circleville, OH
About Sowmya Kuppathil Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOWMYA KUPPATHIL MD (NPI 1861763831) is an individual internal medicine provider in Circleville, Ohio, licensed in Ohio (35.132952) and active in the NPI registry since January 2012. She is enrolled in Medicare PECOS, is affiliated with Riverside Methodist Hospital, and is a graduate of Other (2004).
NPPES Registry Identity
Specialties & Licenses 2
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
Sowmya Kuppathil 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.
Areas of Expertise CMS Part B claims 6
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 4
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Riverside Methodist Hospital
Acute Care Hospitals · Columbus, OHGrant Medical Center
Acute Care Hospitals · Columbus, OHDoctors Hospital
Acute Care Hospitals · Columbus, OHBerger Hospital
Acute Care Hospitals · Circleville, OHPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 43113 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 9
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CIRCLEVILLE, OH 43113
CIRCLEVILLE, OH 43113
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 Sowmya Kuppathil's NPI number?
The NPI number for Sowmya Kuppathil is 1861763831. It was assigned to this individual provider in the NPPES registry on January 23, 2012.
Where is Sowmya Kuppathil located?
Sowmya Kuppathil practices at 1180 N Court St, Circleville, OH 43113. The listed phone number is (740) 420-8030.
What is Sowmya Kuppathil's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Sowmya Kuppathil enrolled in Medicare?
Yes. Sowmya Kuppathil 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 Sowmya Kuppathil accept?
Health plans from Anthem Blue Cross and Blue Shield, CareSource and MedMutual list Sowmya Kuppathil 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 Sowmya Kuppathil affiliated with any hospitals?
According to CMS data, Sowmya Kuppathil is affiliated with Riverside Methodist Hospital, Grant Medical Center, Doctors Hospital and Berger Hospital.
When was this NPI record last updated?
The NPPES record for Sowmya Kuppathil was last updated on January 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
