KIRAN POUDEL MD
NPI 1982803508
Psychiatry & Neurology - Neurocritical Care in Cincinnati, OH

Active since July 13, 2007PECOS EnrolledAccepts Medicare Assignment
90.38/100
CMS Quality Rating
3825 EDWARDS RD STE 300, CINCINNATI, OH 45209(513) 221-1100(513) 569-5297 Get Directions Write a Review

NPPES record last updated: March 22, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 22, 2021, Apr 30, 2018, Feb 28, 2018 (3 updates tracked since 2018).

About Kiran Poudel Md NPPES

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

KIRAN POUDEL MD (NPI 1982803508) is an individual neurocritical care provider in Cincinnati, Ohio, licensed in Ohio (35.121638) and active in the NPI registry since July 2007. He is enrolled in Medicare PECOS, is affiliated with Grand Lake Health System, and is a graduate of Other (2002).

NPPES Registry Identity

NPI1982803508
Entity TypeIndividualMale
Primary Taxonomy2084A2900X
Provider Legal NameKIRAN POUDELCredential: MD
Location Address3825 EDWARDS RD STE 300Cincinnati, OH 45209-1288
Mailing AddressPo Box 643398Cincinnati, OH 45264-3398 · (513) 221-1100 · Fax (513) 569-5297
Fax(513) 569-5297
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateJuly 13, 2007
Last NPPES UpdateMarch 22, 20213 updates tracked since enumeration
NPPES CertifiedMarch 22, 2021
NPI 1982803508 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

Primary SpecialtyPsychiatry & Neurology · Neurocritical CareAllopathic & Osteopathic Physicians
Taxonomy Code2084A2900X
License Licensed in OH · 35.121638
Definition
The medical subspecialty of Neurocritical Care is devoted to the comprehensive, multisystem care of the critically-ill neurological patient. Like other intensivists, the neurointensivist generally assumes the primary role for coordinating the care of his or her patients in the ICU, both the neurological and medical management of the patient. They may also provide consultative services for these patients as requested within the health system.
Also ListedInternal MedicineTaxonomy 207R00000X · License 35.121638 (OH)
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 35.121638 (OH)
Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X · License 35.121638 (OH)
Also ListedPsychiatry & Neurology · NeurologyTaxonomy 2084N0400X · License 249273 (MA)
Also ListedHospitalistTaxonomy 208M00000X · License 51772 (MN)
3825 EDWARDS RD STE 300, Cincinnati, OH 45209

Other Names 1

Former Name (1)Kiran Poudel Md

Other Identifiers 1

Medicaid0091058OH

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

Kiran Poudel 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 ID2860545605
PECOS Enrollment IDI20130923000818
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 7

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.
267 services172 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
210 services105 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.
88 services87 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.
85 services72 patients
Telehealth consultation, emergency department or initial inpatient, typically 70 minutes or more communicating with the patient via telehealth G0427
A Telehealth consultation is a virtual visit where you can discuss your health concerns with a healthcare provider from the comfort of your home. In this process, which typically lasts 70 minutes or more, the provider can assess, diagnose, and offer treatment options for your condition using communication technology.
19 services19 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
15 services15 patients

Hospital Affiliations CMS Care Compare 4

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

Grand Lake Health System

Acute Care Hospitals · Saint Marys, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360032
Location200 Saint Clair StreetSaint Marys, OH 45885 · Auglaize County
Emergency services Birthing friendly

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

Good Samaritan Hospital

Acute Care Hospitals · Cincinnati, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360134
Location375 Dixmyth AvenueCincinnati, OH 45220 · Hamilton County
Emergency services Birthing friendly

Bethesda North

Acute Care Hospitals · Cincinnati, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360179
Location10500 Montgomery RoadCincinnati, OH 45242 · Hamilton County
Emergency services Birthing friendly

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.

Neurological Surgery
3825 EDWARDS RD STE 300
CINCINNATI, OH 45209
Physical Therapist
3825 EDWARDS RD STE 300
CINCINNATI, OH 45209
Physical Therapist
3825 EDWARDS RD STE 300
CINCINNATI, OH 45209
Physician Assistant
3825 EDWARDS RD STE 300
CINCINNATI, OH 45209
Nurse Practitioner (Family)
3825 EDWARDS RD STE 300
CINCINNATI, OH 45209
Physician Assistant
3825 EDWARDS RD STE 300
CINCINNATI, OH 45209
Physical Therapist
3825 EDWARDS RD STE 300
CINCINNATI, OH 45209
Neurological Surgery
3825 EDWARDS RD STE 300
CINCINNATI, OH 45209

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 Kiran Poudel's NPI number?

The NPI number for Kiran Poudel is 1982803508. It was assigned to this individual provider in the NPPES registry on July 13, 2007. The provider is also known as Kiran Poudel MD.

Where is Kiran Poudel located?

Kiran Poudel practices at 3825 Edwards Rd Ste 300, Cincinnati, OH 45209. The listed phone number is (513) 221-1100.

What is Kiran Poudel's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurocritical Care, with taxonomy code 2084A2900X.

Is Kiran Poudel enrolled in Medicare?

Yes. Kiran Poudel 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 Kiran Poudel accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource and MedMutual list Kiran Poudel 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 Kiran Poudel affiliated with any hospitals?

According to CMS data, Kiran Poudel is affiliated with Grand Lake Health System, Miami Valley Hospital, Good Samaritan Hospital and Bethesda North.

When was this NPI record last updated?

The NPPES record for Kiran Poudel was last updated on March 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.