Active NPI
Avashkar Woompath, DO
- Geriatric Medicine (Family Medicine) Physician
- Fort Thomas, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Family Medicine) Physician
- License
- 05478
- Practice address
- 85 N Grand Ave
Fort Thomas, KY 41075-4027 - Phone
- (859) 912-7211
- Fax
- (859) 655-6674
- NPI assigned
- May 20, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Geriatric Medicine (Family Medicine) Physician | 207QG0300X | 05478 | KY | Primary |
Addresses
Primary practice location
85 N Grand Ave
Fort Thomas, KY 41075-4027
Mailing address
85 N Grand Ave
Fort Thomas, KY 41075-4027
Phone (859) 912-7211
Other practice location 1
100 river valley bld
New Richmond, OH 45157
Phone (513) 553-3114
Other practice location 2
725 University Blvd
Beavercreek, OH 45324-2640
Phone (937) 245-7200
Other practice location 3
111 N Washington Ave
Scranton, PA 18503-1828
Phone (570) 343-2383
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Geriatric Medicine
- Education
- Edward Via Col of Osteo Medicine-Carolinas Campus, 2019
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2300 Litton LN
Suite 250
Hebron, KY 41048-9132
Phone (859) 904-9621
85 N Grand Ave
Fort Thomas, KY 41075-1793
Phone (859) 301-5901
Hospital & facility affiliations
- Hospice Care of St Elizabeth Healthcare
- Hospice of the Bluegrass, Inc Dba Bluegrass Care N
- St Elizabeth Edgewood
- The Seasons at Alexandria
- Village Care Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.01 of 100
- Quality
- 86.02
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 23 |
| Removal of nail tissue | 1-10 |
| Removal or shaving of skin growth | 11 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Summit Medical Group, Inc. | Current | Accepting new patients | |
| Summit Medical Group, Inc | Current | Accepting new patients | |
| Arrow Medical | Geriatric Medicine | Current | Accepting new patients |
| Baptist Convalescent Center, Inc. | Past | Accepting new patients | |
| Baptist Convalescent Center, Inc. | Past | Accepting new patients |
Locations
85 N Grand Ave
Fort Thomas, KY 41075
Phone (859) 572-3100
85 N Grand Ave
Fl 2
Fort Thomas, KY 41075
Phone (859) 781-2628
2300 Litton Ln
Ste 250
Hebron, KY 41048
Phone (513) 257-8982
1980 Litton Ln
Hebron, KY 41048
Phone (859) 334-8700
300 Barnes Rd
Williamstown, KY 41097
Phone (859) 824-8217
11260 Chester Rd
Ste 700
Cincinnati, OH 45246
Phone (859) 904-9621
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Village Care Center | Skilled nursing facility | Operational/Managerial Control Adp of the SNF |
Apr 1, 2024 Apr 1, 2024 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Skilled Nursing Facility
- Erlanger, KY
- NPI 1619026754
Adp of the SNF, Operational/Managerial Control
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Geriatric Medicine (Family Medicine) Physician
- Hebron, KY
- NPI 1932064326
-
- Family Medicine Physician
- Erlanger, KY
- NPI 1750343216
-
- Foot & Ankle Surgery Podiatrist
- Crestview Hills, KY
- NPI 1043188378
-
- Skilled Nursing Facility
- Alexandria, KY
- NPI 1336298470
-
- Skilled Nursing Facility
- Erlanger, KY
- NPI 1619026754
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Skilled Nursing Facility
- Alexandria, KY
- NPI 1336298470
Nursing home
-
- Community Based Hospice Care Agency
- Lexington, KY
- NPI 1861538209
-
- General Acute Care Hospital
- Edgewood, KY
- NPI 1467492421
-
- Community Based Hospice Care Agency
- Edgewood, KY
- NPI 1689695322
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1558310400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690848000000",
"number": "1538726112",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "85 N GRAND AVE",
"city": "FORT THOMAS",
"state": "KY",
"postal_code": "410754027",
"telephone_number": "859-912-7211",
"fax_number": "859-655-6674"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "85 N GRAND AVE",
"city": "FORT THOMAS",
"state": "KY",
"postal_code": "410754027",
"telephone_number": "859-912-7211",
"fax_number": "859-655-6674"
}
],
"practiceLocations": [
{
"address_1": "100 river valley bld",
"address_purpose": "LOCATION",
"city": "New Richmond",
"state": "OH",
"postal_code": "45157",
"country_code": "US",
"telephone_number": "513-553-3114",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "725 University Blvd",
"address_purpose": "LOCATION",
"city": "Beavercreek",
"state": "OH",
"postal_code": "453242640",
"country_code": "US",
"telephone_number": "937-245-7200",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "111 N Washington Ave",
"address_purpose": "LOCATION",
"city": "Scranton",
"state": "PA",
"postal_code": "185031828",
"country_code": "US",
"telephone_number": "570-343-2383",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WOOMPATH",
"first_name": "AVASHKAR",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-05-20",
"last_updated": "2023-08-01",
"certification_date": "2023-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207QG0300X",
"taxonomy_group": "",
"desc": "Family Medicine, Geriatric Medicine",
"state": "KY",
"license": "05478",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Thomas, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.