Individual provider Active NPI

Waheed Gul, MD

  • Gastroenterology Physician
  • Chillicothe, OH
National Provider Identifier
1205813763
Registry record updated Nov 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
35.088347 Issued in OH
Practice address
4439 State Route 159
Suite 210
Chillicothe, OH 45601-8207
Phone
(740) 779-8530
Fax
(740) 779-8539
NPI assigned
Dec 27, 2005
Last updated
Nov 19, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 37905 KY
Gastroenterology Physician 207RG0100X 35.088347 OH Primary

Addresses

Primary practice location

4439 State Route 159
Suite 210
Chillicothe, OH 45601-8207

Mailing address

2631 Wyndham Dr
Beavercreek, OH 45431-8539
Phone (937) 334-1965

Other identifiers 4

IdentifierTypeStateIssuer
200509200MedicaidIN
64073877MedicaidKY
2670382MedicaidOH
000000311898OtherKYANTHEM BCBS

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address adena.gastro@adena.medicity.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060928000290 OH Practitioner - GastroenterologyPractitioner - Internal Medicine 5890691554 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Adena Medical Group LLCGroup PAC ID 1153456579, 384 clinicians

Practice addresses (Care Compare)

100 N Walnut St
Chillicothe, OH 45601-9031
Phone (740) 779-4500

110 Vaugh Lane
Suite 20
Chillicothe, OH 45601
Phone (740) 779-7201

12340 State Route 104
Waverly, OH 45690-8968
Phone (740) 941-5180

272 Hospital Rd
Chillicothe, OH 45601-9031

455 N Shawnee Lane
Chillicothe, OH 45601-9031
Phone (740) 779-4888

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.93 of 100Reported as group
Quality
64.42
Promoting interoperability
99
Improvement activities
40
Cost
73.2

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy99
Upper gastrointestinal (GI) endoscopy for acid reflux160

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
37905KYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Adena Medical Group LLC Internal Medicine CurrentSince Jun 27, 2011 Accepting new patients
Kentucky Inpatient Medicine Associates, PLLC Internal Medicine Past Accepting new patients
Marshall Emergency Services Associates, PLLC Past Accepting new patients

Locations

272 Hospital Rd
Ste 210
Chillicothe, OH 45601
Phone (740) 779-8530

272 Hospital Rd
Ste 225
Chillicothe, OH 45601
Phone (740) 779-8530

4437 State Route 159
Ste 125
Chillicothe, OH 45601
Phone (740) 779-4570

4439 State Route 159
Ste 210
Chillicothe, OH 45601
Phone (740) 779-4540

12340 State Route 104
Waverly, OH 45690
Phone (740) 941-5180

Interoperability endpoints

  • Direct secure messaging: wgul1060652@direct.osumc.edu

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1135641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605744000000",
    "number": "1205813763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2631 WYNDHAM DR",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454318539",
            "telephone_number": "937-334-1965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4439 STATE ROUTE 159",
            "address_2": "SUITE 210",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "456018207",
            "telephone_number": "740-779-8530",
            "fax_number": "740-779-8539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUL",
        "first_name": "WAHEED",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-27",
        "last_updated": "2020-11-19",
        "certification_date": "2020-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "37905",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "OH",
            "license": "35.088347",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200509200",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64073877",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2670382",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000311898",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "adena.gastro@adena.medicity.net",
            "affiliation": "N",
            "address_1": "4439 State Route 159",
            "address_2": "Suite 210",
            "city": "Chillicothe",
            "state": "OH",
            "country_code": "US",
            "postal_code": "456018207",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chillicothe, OH

Sources for this page

Verify at the official NPI Registry.