Individual provider Active NPI

Avashkar Woompath, DO

  • Geriatric Medicine (Family Medicine) Physician
  • Fort Thomas, KY
National Provider Identifier
1538726112
Registry record updated Aug 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
License
05478 Issued in KY
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

Updated by the provider on Aug 1, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230821002572 KY Practitioner - Geriatric Medicine 2365821030 Reassigns benefits to 2 organizations

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
Summit Medical Group IncGroup PAC ID 2163326240, 803 clinicians

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, Edgewood, KY, CCN 181513
  • Hospice of the Bluegrass, Inc Dba Bluegrass Care N Hospice, Lexington, KY, CCN 181500
  • St Elizabeth Edgewood Hospital, Edgewood, KY, CCN 180035
  • The Seasons at Alexandria Nursing home, Alexandria, KY, CCN 185484
  • Village Care Center Nursing home, Erlanger, KY, CCN 185440

Merit-based Incentive Payment System (MIPS)

Final score
93.01 of 100Reported as apm
Quality
86.02
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue23
Removal of nail tissue1-10
Removal or shaving of skin growth11

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Medical Group, Inc. CurrentSince Aug 11, 2023 Accepting new patients
Summit Medical Group, Inc CurrentSince Aug 11, 2023 Accepting new patients
Arrow Medical Geriatric Medicine CurrentSince Nov 10, 2025 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.

FacilityTypeRoleSince
Village Care CenterErlanger, KY, CCN 185440 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.

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.

Hospital & facility affiliations 5

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": "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

Verify at the official NPI Registry.