MR. HARI MOMIR POLENAKOVIK MD
NPI 1902966690
Hospitalist in Dayton, OH

Q: What is Hari Polenakovik's NPI number?

The NPI number for Hari Polenakovik is 1902966690. It was assigned to this individual provider in the NPPES registry on December 11, 2006.

Q: What is Hari Polenakovik's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Hari Polenakovik was last updated on April 1, 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.

Active since December 11, 2006PECOS EnrolledAccepts Medicare Assignment

78.93/100

CMS Quality Rating

1 CHILDRENS PLZ, DAYTON, OH 45404(937) 641-3376(937) 641-4500 Get Directions Write a Review

NPPES record last updated: April 1, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 1, 2025, Nov 13, 2024, Oct 16, 2023 and 4 more (7 updates tracked since 2020).

On this page

About Mr. Hari Momir Polenakovik Md NPPES

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

MR. HARI MOMIR POLENAKOVIK MD (NPI 1902966690) is an individual hospitalist provider in Dayton, Ohio, licensed in Ohio (35.074531) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS, is affiliated with Kettering Health Main Campus, and maintains a secondary practice location in Kettering.

NPPES Registry Identity

NPI1902966690

Entity TypeIndividualMale

Primary Taxonomy208M00000X

Provider Legal NameMR. HARI MOMIR POLENAKOVIKCredential: MD

Location Address1 CHILDRENS PLZDayton, OH 45404-1815

Mailing AddressPo Box 933432Cleveland, OH 44193-0039 · (937) 641-5072 · Fax (937) 641-6129

Phone(937) 641-3376

Fax(937) 641-4500

Sole ProprietorNo

Medical School CMSOtherGraduated 1993

Enumeration DateDecember 11, 2006

Last NPPES UpdateApril 1, 20257 updates tracked since enumeration

NPPES CertifiedApril 1, 2025

✔ NPI 1902966690 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians

Taxonomy Code208M00000X

License✔ Licensed in OH · 35.074531

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.

Also ListedInternal MedicineTaxonomy 207R00000X · License 35.074531 (OH)

Also ListedInternal Medicine · Infectious DiseaseTaxonomy 207RI0200X · License 35-07-4531-P (OH)

1 CHILDRENS PLZ, Dayton, OH 45404

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Secondary Practice Location 1

Location 13535 Southern BlvdKettering, OH 45429-1221 · Phone (937) 395-6665 · Fax (937) 395-6668

Other Identifiers 1

Medicaid2207301OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Mr. Hari Momir Polenakovik 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 ID3375444946

PECOS Enrollment IDI20040116000267

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 2

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

Kettering Health Main Campus

Acute Care Hospitals · Kettering, OH

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number360079

Location3535 Southern BoulevardKettering, OH 45429 · Montgomery County

Emergency services Birthing friendly

Dayton Childrens Hospital

Childrens · Dayton, OH

OwnershipVoluntary non-profit - Private

CMS Certification Number363306

Location1 Childrens PlzDayton, OH 45404 · Montgomery County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45404 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.

78.93/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

69.8

Promoting Interoperability

100

Improvement Activities

Cost

59.98

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Dornase alfa, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram J7639

DME-Drugs Administered Through DME · category DG000N

4 suppliers20 claims1,500 services$37.86 avg. paid by Medicare

Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram J7644

DME-Drugs Administered Through DME · category DG006N

2 suppliers19 claims1,124 services$0.16 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

6 suppliers29 claims29 services$26.10 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.

HEMANTH SHIMOGA LINGADEVARU MD,MPH,FAAP

Pediatrics (Pediatric Critical Care Medicine)

1 CHILDRENS PLZ
DAYTON, OH 45404

Montgomery County (937) 641-3000

TANYA PAUL M.D

Pediatrics (Pediatric Emergency Medicine)

1 CHILDRENS PLZ
DAYTON, OH 45404

Montgomery County (937) 641-3600

NICOLE LYNNE-BENDT SCOTT

Physician Assistant

1 CHILDRENS PLZ
DAYTON, OH 45404

Montgomery County (937) 641-3600

CODY H MCMILLAN

Physician Assistant

1 CHILDRENS PLZ
DAYTON, OH 45404

Montgomery County (937) 641-3000

TANIA MONTENEGRO MS, MPH

Genetic Counselor, MS

1 CHILDRENS PLZ
DAYTON, OH 45404

Montgomery County (937) 641-5923

MS. FAITH ANGELA CALLIF-DALEY M.S.

Genetic Counselor, MS

1 CHILDRENS PLZ, DAYTON CHILDREN'S MEDICAL CENTER
DAYTON, OH 45404

Montgomery County (937) 641-5645

DR. EMMETT H BROXSON JR. MD

Pediatrics (Pediatric Hematology-Oncology)

1 CHILDRENS PLZ
DAYTON, OH 45404

Montgomery County (937) 641-3111

MISS SAUNDRA D ZERBE FNP

Nurse Practitioner (Family)

1 CHILDRENS PLZ
DAYTON, OH 45404

Montgomery County (937) 641-3600

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 Hari Polenakovik's NPI number?

The NPI number for Hari Polenakovik is 1902966690. It was assigned to this individual provider in the NPPES registry on December 11, 2006.

Where is Hari Polenakovik located?

Hari Polenakovik practices at 1 Childrens Plz, Dayton, OH 45404. The listed phone number is (937) 641-3376.

What is Hari Polenakovik's specialty?

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

Is Hari Polenakovik enrolled in Medicare?

Yes. Hari Polenakovik 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 Hari Polenakovik accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and MedMutual and 2 other insurers list Hari Polenakovik 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 Hari Polenakovik affiliated with any hospitals?

According to CMS data, Hari Polenakovik is affiliated with Kettering Health Main Campus and Dayton Childrens Hospital.

When was this NPI record last updated?

The NPPES record for Hari Polenakovik was last updated on April 1, 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.