Kiran Poudel, MD
Individual provider Active NPI Neurocritical Care Physician · Cincinnati, OH
NPI 1982803508 · NPPES record last updated Mar 22, 2021
Key facts
- NPI
- 1982803508
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Neurocritical Care Physician 2084A2900X
- License
- 35.121638 (OH)
- Practice address
- 3825 Edwards Rd Ste 300
Cincinnati, OH 45209-1288 - Phone
- (513) 221-1100
- Fax
- (513) 569-5297
- NPI assigned
- Jul 13, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 10
Hospital & facility affiliations 8
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Trihealth H LLC
Premier Health Specialists Inc
Practice addresses (Care Compare)
100 Arrow Springs Blvd
Lebanon, OH 45036-7002
Phone (513) 793-2654
10500 Montgomery Rd
Montgomery, OH 45242-4402
Phone (513) 246-2400
10506 A Montgomery Rd
Montgomery, OH 45242-4402
110 N Poplar St
Oxford, OH 45056-1204
30 E Apple St
Suite 5254a
Dayton, OH 45409-2939
Phone (937) 208-4200
3055 Hamilton Mason Rd
Fairfield Township, OH 45011-5307
375 Dixmyth Ave
Cincinnati, OH 45220-2475
379 Dixmyth Ave
Cincinnati, OH 45220-2475
Phone (513) 246-7000
6949 Good Samaritan Dr
Cincinnati, OH 45247-5204
Hospital & facility affiliations
- Bethesda North
- Good Samaritan Hospital
- Miami Valley Hospital
- Grand Lake Health System
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.01 of 100
- Quality
- 86.02
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.38 of 100
- Quality
- 66.25
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 71.69
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in OH, SD
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130923000818 | OH | Practitioner - Internal Medicine |
2860545605 | Reassigns benefits to 3 organizations |
| I20150319001549 | SD | Practitioner - Internal Medicine | 2860545605 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1475 | SD | MD | Chiropractor |
| 249273 | MA | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sanford Clinic | Current |
Accepting new patients | |
| Trihealth G, LLC | Current |
Accepting new patients | |
| Sanford Clinic | Current |
Accepting new patients | |
| Sanford Clinic | Current | Accepting new patients | |
| Premier Health Specialists Inc | Current |
Accepting new patients | |
| Premier Health Specialists Inc | Internal Medicine | Current |
Accepting new patients |
| Trihealth H LLC | Critical Care Medicine | Current |
Accepting new patients |
| Trihealth G LLC | Internal Medicine | Current |
Accepting new patients |
| The Good Samaritan Hospital of Cincinnati, Ohio | Past | Accepting new patients | |
| Miami Valley Hospital | Past | Accepting new patients |
Locations
2001 Anderson Ferry Rd
Cincinnati, OH 45238
Phone (513) 922-1200
9070 Winton Rd
Cincinnati, OH 45231
Phone (513) 246-2750
375 Dixmyth Ave
Ste 3135
Cincinnati, OH 45220
Phone (513) 862-3452
375 Dixmyth Ave
Cincinnati, OH 45220
Phone (513) 862-2432
30 E Apple St
#6258
Dayton, OH 45409
Phone (937) 208-5300
30 E Apple St
Ste 5254A
Dayton, OH 45409
450 N Hyatt St
Ste 304
Tipp City, OH 45371
Phone (937) 832-4773
525 N Foster St
Mitchell, SD 57301
Phone (605) 995-2000
Interoperability endpoints
- kpoudel291223@direct.trihealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 35.121638 | OH | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 35.121638 | OH | |
| Pulmonary Disease Physician | 207RP1001X | 35.121638 | OH | |
| Neurology Physician | 2084N0400X | 249273 | MA | |
| Hospitalist Physician | 208M00000X | 51772 | MN | |
| Neurocritical Care Physician | 2084A2900X | 35.121638 | OH | Yes |
Addresses
Primary practice location
3825 Edwards Rd Ste 300
Cincinnati, OH 45209-1288
Mailing address
PO Box 643398
Cincinnati, OH 45264-3398
Phone (513) 221-1100
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0091058 | Medicaid | OH |
Other names
- Kiran Poudel
Other providers in Cincinnati, OH
- Ashleigh Pottinger
- McKenzie Pottorf
- Heather M Potts
- Kelsie Potts
- Kristin Noel Potts
- Youb R Poudyel
- Ronald Louis Poulos
- Tiffany Pouncy
- Johnson Dallas Pounders
- Garry Pounds
All providers in Cincinnati, OH · Neurocritical Care Physician in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 22, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.