Individual provider Active NPI

Karthik Sagar Mulkanoor, M.D.

  • Internal Medicine Physician
  • Columbus, OH
National Provider Identifier
1720390859
Registry record updated Dec 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35.121971 Issued in OH
Practice address
793 W State St
Columbus, OH 43222-1551
Phone
(614) 234-1079
Fax
(614) 234-2772
NPI assigned
Jul 6, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2016

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 35.121971 OH Primary

Addresses

Primary practice location

793 W State St
Columbus, OH 43222-1551

Mailing address

793 W State St
Columbus, OH 43222-1551
Phone (614) 234-1079

Other identifiers 2

IdentifierTypeStateIssuer
H258203OtherOHMEDICARE NUMBER
0092810MedicaidOH

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
I20110314000053 OH Practitioner - Internal Medicine 1456533462 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
94.28 of 100Reported as group
Quality
99.21
Improvement activities
40
Cost
62.72

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.121971OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mount Carmel Health System CurrentSince Jul 1, 2015 Accepting new patients
Ohio Valley Physicians Inc CurrentSince Feb 9, 2022 Accepting new patients
Ohio Valley Physicians Inc CurrentSince Feb 9, 2022 Accepting new patients
Mount Carmel Healthproviders Two LLC CurrentSince Dec 14, 2020 Accepting new patients
Community Hospitalist, LLC Internal Medicine CurrentSince Apr 1, 2014 Accepting new patients
Mount Carmel Healthproviders Two LLC CurrentSince Dec 14, 2020 Accepting new patients
Mount Carmel Health System Internal Medicine CurrentSince Jul 1, 2015 Accepting new patients

Locations

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

55 Hospital Dr
Athens, OH 45701
Phone (740) 592-9349

1341 Clark St
Cambridge, OH 43725
Phone (614) 439-8900

1341 Clark St
Ste 1
Cambridge, OH 43725

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

6150 E Broad St
Columbus, OH 43213
Phone (614) 546-4400

793 W State St
Rm 3
Columbus, OH 43222
Phone (614) 234-4242

793 W State St
Columbus, OH 43222
Phone (614) 234-1862

936 State Route 160
Gallipolis, OH 45631
Phone (740) 446-4600

5300 N Meadows Dr
Grove City, OH 43123
Phone (614) 234-4242

3700 Kolbe Rd
Lorain, OH 44053
Phone (440) 331-9520

477 Cooper Rd
Ste 300
Westerville, OH 43081
Phone (614) 898-8808

500 S Cleveland Ave
Westerville, OH 43081
Phone (380) 898-4000

Interoperability endpoints

  • Direct secure messaging: kmulkanoor1158124@direct.trinity-health.org
  • Direct secure messaging: karthik.mulkanoor@42242842558468.direct.elationemr.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1278374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480896000000",
    "number": "1720390859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "793 W STATE ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432221551",
            "telephone_number": "614-234-1079",
            "fax_number": "614-234-2772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "793 W STATE ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432221551",
            "telephone_number": "614-234-1079",
            "fax_number": "614-234-2772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULKANOOR",
        "first_name": "KARTHIK",
        "middle_name": "SAGAR",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-06",
        "last_updated": "2016-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35.121971",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE NUMBER",
            "identifier": "H258203",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0092810",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.