DR. AMANINDERAPAL S GHOTRA MD
NPI 1922397363
Internal Medicine - Advanced Heart Failure and Transplant Cardiology in Edgewood, KY

Active since April 06, 2011PECOS EnrolledAccepts Medicare Assignment
90.38/100
CMS Quality Rating
711 MEDICAL VILLAGE DR, EDGEWOOD, KY 41017(859) 331-0774(859) 578-3800 Get Directions Write a Review

NPPES record last updated: October 28, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 6, 2019, Jul 10, 2019, Nov 30, 2015 (3 updates tracked since 2015).

About Dr. Amaninderapal S Ghotra Md NPPES

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

DR. AMANINDERAPAL S GHOTRA MD (NPI 1922397363) is an individual advanced heart failure and transplant cardiology provider in Edgewood, Kentucky, licensed in Kentucky (47504) and active in the NPI registry since April 2011. He is enrolled in Medicare PECOS, is affiliated with St Elizabeth Ft Thomas, and is a graduate of University Of Louisville School Of Medicine (2011).

NPPES Registry Identity

NPI1922397363
Entity TypeIndividualMale
Primary Taxonomy207RA0001X
Provider Legal NameDR. AMANINDERAPAL S GHOTRACredential: MD
Location Address711 MEDICAL VILLAGE DREdgewood, KY 41017
Mailing AddressPo Box 635283Cincinnati, OH 45263-5283 · (859) 301-2000 · Fax (859) 426-4140
Fax(859) 578-3800
Sole ProprietorNo
Medical School CMSUniversity Of Louisville School Of MedicineGraduated 2011
Enumeration DateApril 6, 2011
Last NPPES UpdateOctober 28, 20213 updates tracked since enumeration
NPPES CertifiedOctober 28, 2021
NPI 1922397363 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyInternal Medicine · Advanced Heart Failure and Transplant CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RA0001X
License Licensed in KY · 47504
Definition
Specialists in Advanced Heart Failure and Transplant Cardiology would participate in the inpatient and outpatient management of patients with advanced heart failure across the spectrum from consideration for high-risk cardiac surgery, cardiac transplantation, or mechanical circulatory support, to pre-and post-operative evaluation and management of patients with cardiac transplants and mechanical support devices, and end-of-life care for patients with end-stage heart failure.
Also ListedInternal MedicineTaxonomy 207R00000X · License R2754 (KY), 47504 (KY)
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License 47504 (KY)
711 MEDICAL VILLAGE DR, Edgewood, KY 41017

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

Dr. Amaninderapal S Ghotra 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 ID8426298522
PECOS Enrollment IDI20130715000171
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 11

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 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.
147 services75 patients
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.
126 services63 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
107 services80 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
67 services49 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.
47 services45 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
41 services41 patients

Hospital Affiliations CMS Care Compare 3

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

St Elizabeth Ft Thomas

Acute Care Hospitals · Fort Thomas, KY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180001
Location85 North Grand AvenueFort Thomas, KY 41075 · Campbell County
Emergency services

St Elizabeth Edgewood

Acute Care Hospitals · Edgewood, KY
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number180035
Location1 Medical Village DriveEdgewood, KY 41017 · Kenton County
Emergency services Birthing friendly

St Elizabeth Florence

Acute Care Hospitals · Florence, KY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180045
Location4900 Houston RoadFlorence, KY 41042 · Boone County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 41017 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
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

90.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.76
Promoting Interoperability100
Improvement Activities40

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.

Nurse Practitioner
711 MEDICAL VILLAGE DR
EDGEWOOD, KY 41017
Thoracic Surgery (Cardiothoracic Vascular Surgery)
711 MEDICAL VILLAGE DR
EDGEWOOD, KY 41017
Nurse Practitioner
711 MEDICAL VILLAGE DR
EDGEWOOD, KY 41017
Nurse Practitioner
711 MEDICAL VILLAGE DR
EDGEWOOD, KY 41017
Physician Assistant
711 MEDICAL VILLAGE DR
EDGEWOOD, KY 41017
Nurse Practitioner
711 MEDICAL VILLAGE DR
EDGEWOOD, KY 41017
Thoracic Surgery (Cardiothoracic Vascular Surgery)
711 MEDICAL VILLAGE DR
EDGEWOOD, KY 41017
Internal Medicine (Interventional Cardiology)
711 MEDICAL VILLAGE DR
EDGEWOOD, KY 41017

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 Amaninderapal Ghotra's NPI number?

The NPI number for Amaninderapal Ghotra is 1922397363. It was assigned to this individual provider in the NPPES registry on April 6, 2011.

Where is Amaninderapal Ghotra located?

Amaninderapal Ghotra practices at 711 Medical Village Dr, Edgewood, KY 41017. The listed phone number is (859) 331-0774.

What is Amaninderapal Ghotra's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Advanced Heart Failure and Transplant Cardiology, with taxonomy code 207RA0001X.

Is Amaninderapal Ghotra enrolled in Medicare?

Yes. Amaninderapal Ghotra 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 Amaninderapal Ghotra accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and CareSource and 1 other insurer list Amaninderapal Ghotra 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 Amaninderapal Ghotra affiliated with any hospitals?

According to CMS data, Amaninderapal Ghotra is affiliated with St Elizabeth Ft Thomas, St Elizabeth Edgewood and St Elizabeth Florence.

When was this NPI record last updated?

The NPPES record for Amaninderapal Ghotra was last updated on October 28, 2021. 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.