Sowmya Kuppathil, MD - Medicare Internal Medicine in Circleville, OH

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Sowmya Kuppathil, MD is a medicare enrolled "Internal Medicine" physician in Circleville, Ohio. She graduated from medical school in 2004 and has 20 years of diverse experience with area of expertise as Internal Medicine. She is a member of the group practice Ohiohealth Corporation and her current practice location is 1180 N Court St, Circleville, Ohio. You can reach out to her office (for appointments etc.) via phone at (740) 420-8030.

Sowmya Kuppathil is licensed to practice in Ohio (license number 35.132952) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1861763831.

Contact Information

Sowmya Kuppathil, MD
1180 N Court St,
Circleville, OH 43113-1397
(740) 420-8030
(740) 477-8480

Map and Direction




Physician's Profile

Full NameSowmya Kuppathil
GenderFemale
SpecialityInternal Medicine
Experience20 Years
Location1180 N Court St, Circleville, Ohio
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Sowmya Kuppathil graduated from medical school in 2004
  NPI Data:
  • NPI Number: 1861763831
  • Provider Enumeration Date: 01/23/2012
  • Last Update Date: 01/25/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 6608017991
  • Enrollment ID: I20180511000419

Medical Identifiers

Medical identifiers for Sowmya Kuppathil such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1861763831NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine MD451189 (Pennsylvania)Secondary
208M00000XHospitalist MD451189 (Pennsylvania)Secondary
207R00000XInternal Medicine 35.132952 (Ohio)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Ohiohealth Home HealthWorthington, OHHome health agency
Riverside Methodist HospitalColumbus, OHHospital
Doctors HospitalColumbus, OHHospital
Berger HospitalCircleville, OHHospital
Grant Medical CenterColumbus, OHHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Ohiohealth Corporation63057584261940

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Sowmya Kuppathil allows following entities to bill medicare on her behalf.
Entity NameOhiohealth Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1578545273
PECOS PAC ID: 6305758426
Enrollment ID: O20031105000532
Entity NameHospitalist Medicine Physicians Of Ohio, Professional Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043572290
PECOS PAC ID: 3779749197
Enrollment ID: O20120730000162
Entity NameHospitalist Medicine Physicians Of Ohio - Columbus Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1225517014
PECOS PAC ID: 9133479348
Enrollment ID: O20180910002503
Entity NameHospitalist Medicine Physicians Of Ohio - Westerville, Professional C
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1215416367
PECOS PAC ID: 7911259809
Enrollment ID: O20181003002687

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Sowmya Kuppathil is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Sowmya Kuppathil, MD
5450 Frantz Rd Ste 360,
Dublin, OH 43016-4141

Ph: () -		Sowmya Kuppathil, MD
1180 N Court St,
Circleville, OH 43113-1397

Ph: (740) 420-8030

Reviews and Comments


Internal Medicine Doctors in Circleville, OH

Yadwinder Singh, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 210 Sharon Rd, Suite D, Circleville, OH 43113
Phone: 740-420-8422    Fax: 740-420-6270
Jaykumar Menon, MD, MPH
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 600 N Pickaway St, Circleville, OH 43113
Phone: 740-420-8856    Fax: 740-420-8856
Edward Yu Qiao, D.O.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 130 Morris Rd, Circleville, OH 43113
Phone: 740-420-8025    
Dr. Gregory K.w. Lam, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 600 N Pickaway St, Suite 102, Circleville, OH 43113
Phone: 740-420-8174    Fax: 740-420-8185
Dr. Thomas Valentine Burke, MD
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 600 N Pickaway St, Circleville, OH 43113
Phone: 740-420-8521    Fax: 740-420-8526
Robert D Violette, D.O.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 140 Morris Rd, Circleville, OH 43113
Phone: 740-420-3000    Fax: 740-420-3009
Daniel W Mudrick, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 600 N Pickaway St, Suite 102, Circleville, OH 43113
Phone: 740-420-8174    Fax: 740-420-8185

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.