NIPEN KATEL DO
NPI 1922637339
Family Medicine in New Albany, OH

Active since April 07, 2020PECOS EnrolledAccepts Medicare Assignment
55 N HIGH ST, NEW ALBANY, OH 43054(614) 627-1878 Get Directions Write a Review

NPPES record last updated: July 15, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 15, 2023, Apr 7, 2020 (2 updates tracked since 2020).

About Nipen Katel Do NPPES

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

NIPEN KATEL DO (NPI 1922637339) is an individual family medicine provider in New Albany, Ohio, licensed in Ohio (34.0166666) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS, is affiliated with Mount Carmel St Ann's, and maintains a secondary practice location in New Albany.

NPPES Registry Identity

NPI1922637339
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameNIPEN KATELCredential: DO
Location Address55 N HIGH STNew Albany, OH 43054-7099
Mailing Address55 N High StNew Albany, OH 43054-7099 · (614) 627-1878
Sole ProprietorNo
Medical School CMSLincoln Mem Univ, Debusk Col Of Osteopathic MedGraduated 2020
Enumeration DateApril 7, 2020
Last NPPES UpdateJuly 15, 20232 updates tracked since enumeration
NPPES CertifiedJuly 15, 2023
NPI 1922637339 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in OH · 34.0166666
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

55 N HIGH ST, New Albany, OH 43054

Secondary Practice Location 1

Location 17277 Smiths Mill Rd Ste 105New Albany, OH 43054-8236 · Phone (614) 627-1878

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

Nipen Katel Do 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 ID2062837875
PECOS Enrollment IDI20230818003505
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 4

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.

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.
78 services54 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
48 services39 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
28 services28 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
17 services17 patients

Hospital Affiliations CMS Care Compare 3

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

Mount Carmel St Ann's

Acute Care Hospitals · Westerville, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360012
Location500 South Cleveland AvenueWesterville, OH 43081 · Franklin County
Emergency services Birthing friendly

Mount Carmel East & West

Acute Care Hospitals · Columbus, OH
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360035
Location6001 East Broad StreetColumbus, OH 43213 · Franklin County
Emergency services Birthing friendly

Mount Carmel New Albany Surgical Hospital

Acute Care Hospitals · New Albany, OH
OwnershipProprietary
CMS Certification Number360266
Location7333 Smith's Mill RoadNew Albany, OH 43054 · Franklin County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43054 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
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.

Other Providers at the Same Location NPPES 12

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

Family Medicine
55 N HIGH ST
NEW ALBANY, OH 43054
Family Medicine
55 N HIGH ST
NEW ALBANY, OH 43054
Family Medicine
55 N HIGH ST
NEW ALBANY, OH 43054
Family Medicine
55 N HIGH ST
NEW ALBANY, OH 43054
Nurse Practitioner (Family)
55 N HIGH ST
NEW ALBANY, OH 43054
Family Medicine
55 N HIGH ST
NEW ALBANY, OH 43054
Local Education Agency (LEA)
55 N HIGH ST
NEW ALBANY, OH 43054
Nurse Practitioner (Family)
55 N HIGH ST
NEW ALBANY, OH 43054

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 Nipen Katel's NPI number?

The NPI number for Nipen Katel is 1922637339. It was assigned to this individual provider in the NPPES registry on April 7, 2020.

Where is Nipen Katel located?

Nipen Katel practices at 55 N High St, New Albany, OH 43054. The listed phone number is (614) 627-1878.

What is Nipen Katel's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Nipen Katel enrolled in Medicare?

Yes. Nipen Katel 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 Nipen Katel accept?

Health plans from Oscar Health Insurance and UnitedHealthcare list Nipen Katel 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 Nipen Katel affiliated with any hospitals?

According to CMS data, Nipen Katel is affiliated with Mount Carmel St Ann's, Mount Carmel East & West and Mount Carmel New Albany Surgical Hospital.

When was this NPI record last updated?

The NPPES record for Nipen Katel was last updated on July 15, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.