SOUMYA ADHIKARI MBBS
NPI 1902467004
Internal Medicine - Cardiovascular Disease in Cincinnati, OH

Active since June 28, 2019PECOS EnrolledAccepts Medicare Assignment
3188 BELLEVUE AVE, CINCINNATI, OH 45219(513) 475-8521 Get Directions Write a Review

NPPES record last updated: March 25, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 25, 2025, Nov 8, 2019 (2 updates tracked since 2019).

About Soumya Adhikari Mbbs NPPES

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

SOUMYA ADHIKARI MBBS (NPI 1902467004) is an individual cardiovascular disease provider in Cincinnati, Ohio, licensed in Ohio (35.152900) and active in the NPI registry since June 2019. He is enrolled in Medicare PECOS, is affiliated with University Of Cincinnati Medical Center, Llc, and maintains a secondary practice location in Syracuse.

NPPES Registry Identity

NPI1902467004
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameSOUMYA ADHIKARICredential: MBBS
Location Address3188 BELLEVUE AVECincinnati, OH 45219-2369
Mailing AddressPo Box 636256Cincinnati, OH 45263-6256 · (513) 585-6200 · Fax (513) 245-3672
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateJune 28, 2019
Last NPPES UpdateMarch 25, 20252 updates tracked since enumeration
NPPES CertifiedMarch 25, 2025
NPI 1902467004 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in OH · 35.152900
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.
3188 BELLEVUE AVE, Cincinnati, OH 45219

Secondary Practice Location 1

Location 1750 E Adams StSyracuse, NY 13210-2306 · Phone (315) 464-5540

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

Soumya Adhikari Mbbs 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 ID547788606
PECOS Enrollment IDI20250513002960
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.

Hospital Affiliations CMS Care Compare 3

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

University Of Cincinnati Medical Center, LLC

Acute Care Hospitals · Cincinnati, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360003
Location3188 Bellevue AvenueCincinnati, OH 45219 · Hamilton County
Emergency services Birthing friendly

West Chester Hospital

Acute Care Hospitals · West Chester, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360354
Location7700 University DriveWest Chester, OH 45069 · Butler County
Emergency services Birthing friendly

Adams County Regional Medical Center

Critical Access Hospitals · Seaman, OH
2/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number361326
Location230 Medical Center DriveSeaman, OH 45679 · Adams County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45219 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.

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.

Internal Medicine (Critical Care Medicine)
3188 BELLEVUE AVE
CINCINNATI, OH 45219
Emergency Medicine
3188 BELLEVUE AVE
CINCINNATI, OH 45219
Student in an Organized Health Care Education/Training Program
3188 BELLEVUE AVE
CINCINNATI, OH 45219
Physician Assistant
3188 BELLEVUE AVE
CINCINNATI, OH 45219
Anesthesiology
3188 BELLEVUE AVE
CINCINNATI, OH 45219
Physician Assistant
3188 BELLEVUE AVE
CINCINNATI, OH 45219
Internal Medicine
3188 BELLEVUE AVE
CINCINNATI, OH 45219
Nurse Anesthetist, Certified Registered
3188 BELLEVUE AVE
CINCINNATI, OH 45219

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 Soumya Adhikari's NPI number?

The NPI number for Soumya Adhikari is 1902467004. It was assigned to this individual provider in the NPPES registry on June 28, 2019.

Where is Soumya Adhikari located?

Soumya Adhikari practices at 3188 Bellevue Ave, Cincinnati, OH 45219. The listed phone number is (513) 475-8521.

What is Soumya Adhikari's specialty?

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

Is Soumya Adhikari enrolled in Medicare?

Yes. Soumya Adhikari 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 Soumya Adhikari accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and Oscar Health Insurance list Soumya Adhikari 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 Soumya Adhikari affiliated with any hospitals?

According to CMS data, Soumya Adhikari is affiliated with University Of Cincinnati Medical Center, LLC, West Chester Hospital and Adams County Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Soumya Adhikari was last updated on March 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.