Individual provider Active NPI

Umasankar Kakumanu, M.D.,

  • Internal Medicine Physician
  • Cincinnati, OH
National Provider Identifier
1699068312
Registry record updated Oct 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
57.016193 Issued in OH
Practice address
375 Dixmyth Ave
Cincinnati, OH 45220-2475
Phone
(513) 862-2563
NPI assigned
May 27, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 57.016193 OH Primary

Addresses

Primary practice location

375 Dixmyth Ave
Cincinnati, OH 45220-2475

Mailing address

3170 Kettering Blvd BLDG B3
Moraine, OH 45439-1924
Phone (937) 991-3188

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
I20120801000172 OH Practitioner - HospitalistPractitioner - Internal Medicine 4486810751 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine
Education
Other, 2004
Medicare assignment
May accept Medicare assignment
Group practices
Mvhe IncGroup PAC ID 9537066584, 399 clinicians
Sinclair Physician Services, LLCGroup PAC ID 9830536911, 128 clinicians
Kandg Dedicated Long-Term Care Associates LLCGroup PAC ID 0345572244, 6 clinicians

Practice addresses (Care Compare)

1 Medical Ctr Dr
Middletown, OH 45005-2584
Phone (513) 705-4754

1 Wyoming St
Dayton, OH 45409-2722
Phone (937) 208-8394

2155 Dana Ave
Cincinnati, OH 45207-1340
Phone (513) 843-7716

2451 Wayne Ave
Dayton, OH 45420-1893
Phone (937) 252-1831

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.23 of 100Reported as group
Quality
83.64
Promoting interoperability
100
Improvement activities
40
Cost
73.78

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
57.016193OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mvhe Inc Internal Medicine Current Accepting new patients
Hospitalist Medicine Physicians of Ohio, Professional Corporation Internal Medicine CurrentSince Oct 1, 2015 Accepting new patients
Mvhe Inc Internal Medicine CurrentSince May 1, 2020 Accepting new patients
K&G Dedicated Long-Term Care Associates LLC Internal Medicine CurrentSince Aug 1, 2025 Accepting new patients
Hospitalist Medicine Physicians of Richland County, LTD Internal Medicine CurrentSince Mar 1, 2020 Accepting new patients
Sinclair Physician Services, LLC Internal Medicine CurrentSince Mar 18, 2024 Accepting new patients
Mvhe Inc Internal Medicine CurrentSince May 1, 2020 Accepting new patients
Hisey Physician Services, LLC Internal Medicine CurrentSince May 1, 2024 Accepting new patients
Miami Valley Hospital Past Accepting new patients

Locations

2420 Lake Ave
Ashtabula, OH 44004
Phone (216) 986-2919

1320 Timken Mercy Dr NW
Canton, OH 44708
Phone (330) 489-1000

2155 Dana Ave
Cincinnati, OH 45207
Phone (513) 601-0600

7500 State Rd
Cincinnati, OH 45255
Phone (513) 624-4034

375 Dixmyth Ave
Cincinnati, OH 45220
Phone (513) 862-2432

6001 E Broad St
Columbus, OH 43213
Phone (614) 224-6420

2451 Wayne Ave
Dayton, OH 45420
Phone (937) 252-1831

2400 Miami Valley Dr
Dayton, OH 45459
Phone (937) 208-8394

1 Wyoming St
Dayton, OH 45409
Phone (937) 208-2636

707 S Edwin C Moses Blvd
Dayton, OH 45417
Phone (937) 221-8000

5151 N Hamilton Rd
Gahanna, OH 43230
Phone (614) 337-1066

1 Medical Center Dr
Middletown, OH 45005
Phone (513) 424-2111

3170 Kettering Blvd
Bldg B3
Moraine, OH 45439
Phone (937) 991-3188

3130 N County Road 25A
Troy, OH 45373
Phone (937) 440-4000

5410 Maryland Way
Ste 300
Brentwood, TN 37027
Phone (615) 377-1674

Organizations & group practices 9

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 2

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": "1306454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603756800000",
    "number": "1699068312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3170 KETTERING BLVD BLDG B3",
            "city": "MORAINE",
            "state": "OH",
            "postal_code": "454391924",
            "telephone_number": "937-991-3188",
            "fax_number": "937-223-9811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 DIXMYTH AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452202475",
            "telephone_number": "513-862-2563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAKUMANU",
        "first_name": "UMASANKAR",
        "credential": "M.D.,",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-27",
        "last_updated": "2020-10-27",
        "certification_date": "2020-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "57.016193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.