1. Home
  2. Directory
  3. Ohio
  4. Troy
  5. Hospitalist
  6. NPI Profile

ATUL KUTWAL MD
NPI 1902136153
Hospitalist in Troy, OH

Active since January 11, 2010PECOS EnrolledAccepts Medicare Assignment
84.95/100
CMS Quality Rating
3130 N COUNTY ROAD 25A, TROY, OH 45373(937) 440-4466(937) 440-4470 Get Directions Write a Review

NPPES record last updated: July 21, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Atul Kutwal Md NPPES

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

ATUL KUTWAL MD (NPI 1902136153) is an individual hospitalist provider in Troy, Ohio, licensed in Ohio (35.095159) and active in the NPI registry since January 2010. He is enrolled in Medicare PECOS, is affiliated with Miami Valley Hospital, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1902136153
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameATUL KUTWALCredential: MD
Location Address3130 N COUNTY ROAD 25ATroy, OH 45373-1337
Mailing Address3130 N County Road 25aTroy, OH 45373-1337 · (937) 440-4466 · Fax (937) 440-4470
Phone(937) 440-4466
Fax(937) 440-4470
Sole ProprietorYes
Medical School CMSOtherGraduated 2006
Enumeration DateJanuary 11, 2010
Last NPPES UpdateJuly 21, 2014
✔ NPI 1902136153 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in OH · 35.095159
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.
3130 N COUNTY ROAD 25A, Troy, OH 45373
Open in Google Maps ↗

Other Identifiers 4

Medicaid3082702OH
Medicare PIN4295512OH
Medicare PINH108412OH
Medicare PINH108410OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.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

Atul Kutwal 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 ID5799819439
PECOS Enrollment IDI20100817000129
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 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.

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.
381 services167 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
283 services158 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.
128 services125 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.
107 services105 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
60 services57 patients

Hospital Affiliations CMS Care Compare 2

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

Miami Valley Hospital

Acute Care Hospitals · Dayton, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360051
LocationOne Wyoming StreetDayton, OH 45409 · Montgomery County
Emergency services Birthing friendly

Atrium Medical Center

Acute Care Hospitals · Franklin, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360076
LocationOne Medical Center DriveFranklin, OH 45005 · Warren County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45373 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.

84.95/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.68
Promoting Interoperability100
Improvement Activities40
Cost69.16

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
2 suppliers22 claims22 services$15.04 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
3 suppliers26 claims26 services$76.63 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 20

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

CHRISTINE L ASHER PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
3130 N COUNTY ROAD 25A
TROY, OH 45373
Miami County (937) 440-7626
SARAH JONES ACNS-BC, AOCNS
Clinical Nurse Specialist (Adult Health)
3130 N COUNTY ROAD 25A, CANCER CARE CENTER
TROY, OH 45373
Miami County (937) 440-4827
SUSAN BETH GRAU MD
Family Medicine
3130 N COUNTY ROAD 25A
TROY, OH 45373
Miami County (937) 440-4466
MRS. KARA SUE BRUSKOTTER CNP
Nurse Practitioner (Family)
3130 N COUNTY ROAD 25A
TROY, OH 45373
Miami County (937) 638-8176
CHARLES N SMITH CRNA
Nurse Anesthetist, Certified Registered
3130 N COUNTY ROAD 25A
TROY, OH 45373
Miami County (614) 459-7830
MARK COOPER LSW
Social Worker
3130 N COUNTY ROAD 25A
TROY, OH 45373
Miami County (937) 440-7001
UPPER VALLEY MEDICAL CENTER
Home Health
3130 N COUNTY ROAD 25A
TROY, OH 45373
Miami County (937) 440-7979
BRIAN ALLEN HAYNES PHARMD
Pharmacist
3130 N COUNTY ROAD 25A
TROY, OH 45373
Miami County (937) 440-4760

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 Atul Kutwal's NPI number?

The NPI number for Atul Kutwal is 1902136153. It was assigned to this individual provider in the NPPES registry on January 11, 2010.

Where is Atul Kutwal located?

Atul Kutwal practices at 3130 N County Road 25A, Troy, OH 45373. The listed phone number is (937) 440-4466.

What is Atul Kutwal's specialty?

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

Is Atul Kutwal enrolled in Medicare?

Yes. Atul Kutwal 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 Atul Kutwal accept?

Health plans from CareSource list Atul Kutwal 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 Atul Kutwal affiliated with any hospitals?

According to CMS data, Atul Kutwal is affiliated with Miami Valley Hospital and Atrium Medical Center.

When was this NPI record last updated?

The NPPES record for Atul Kutwal was last updated on July 21, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.