KALYAN MOHAN BHOOPAL (M.D.) – Gastroenterology Physician, NPI 1114160926

KALYAN MOHAN BHOOPAL (M.D.) is a healthcare provider. based in Germantown, Tennessee. specializing in GASTROENTEROLOGY. They hold the professional credentials M.D.. They hold a License No. 35 120162 (OH). The NPI Number for KALYAN MOHAN BHOOPAL (M.D.) is 1114160926

Main info

Male
17 Years Of Experience
Accepts Medicare Assignment
Name
KALYAN MOHAN BHOOPAL (M.D.)
NPI
1114160926
Phone
Not provided
Address
ONE GI CREDENTIALING DEPARTMENT
Enumeration Date
8 April 2009
Last Update Date
9 February 2026

Doctor Profile

Medical School Name
SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
9373205050
Graduation Year
2009 (17 years ago)
PAC ID
6901036565
Group Practice PAC ID
9537064407
Professional Enrollment ID
I20150512002004
Address ID
OH454403237DA75XXXDRXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness85
Years active:17State licenses:1Digital endpointsOther names

864 GASTROENTEROLOGY in OH

Provider Addresses for KALYAN MOHAN BHOOPAL (M.D.)

  • ONE GI CREDENTIALING DEPARTMENT

    PO BOX 381468

    GERMANTOWN, TN 381831468

    Phone:

    Type: Mailing

  • PO BOX 381468

    GERMANTOWN, TN 381831468

    Phone:

    Type: Mailing

  • 4200 Indian Ripple Rd

    Dayton, OH 454403248

    Phone: (937) 320-5050

    Type: Location

  • 415 Byers Rd Ste 100

    Miamisburg, OH 453423684

    Phone: (937) 320-5050

    Type: Location

  • 9000 N Main St Ste 405

    Englewood, OH 454151170

    Phone: (937) 320-5050

    Type: Location

  • 75, Sylvania Drive, Beavercreek, Greene County, Ohio, 45440, United States

    BEAVERCREEK, OH 454403237

    Phone: (937) 320-5050

    Fax: (937) 320-5060

    Type: Mailing

  • 75 SYLVANIA DR

    DAYTON, OH 454403237

    Phone: (937) 320-5050

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 52 Open Payments records for all available years, with a total value of $997.

Total Amount is formed as General ($997) + Research ($0) + Ownership ($0) = $997.

Last reported payment date: 2024-12-13 • Largest payer in this snapshot: ABBVIE INC. ($310).

Total Amount

$997

General + Research + Ownership

Payments

52

Total payment records

General Amount

$997

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-13

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2015-05-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20150512002004IGastroenterologyOHTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes14198$0
45385Removal of polyps or growths of large bowel using an endoscope with mechanical snare8383$0
99204New patient office or other outpatient visit, 45-59 minutes6060$0
43239Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope4543$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes4327$0
View full utilization report →

Insurance plans in this area (ZIP 38183)

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Provider's Procedures

KALYAN MOHAN BHOOPAL (M.D.) performs procedures in GASTROENTEROLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
GASTROENTEROLOGYOH45385Removal of polyps or growths of large bowel using an endoscope1515

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9537064407View full group profile
NameSpecialtyState
P A T H O L O G YOH
G A S T R O E N T E R O L O G YOH
Nurse PractitionerTN
Certified Registered Nurse Anesthetist (Crna)OH
G A S T R O E N T E R O L O G YOH
G A S T R O E N T E R O L O G YTN
Physician AssistantOH
Nurse PractitionerOH
Internal Medicine, GastroenterologyTN
G A S T R O E N T E R O L O G YTN

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Frequently asked questions

Is there an official ID for KALYAN MOHAN BHOOPAL (M.D.) in U.S. healthcare records?
The official identifier for KALYAN MOHAN BHOOPAL (M.D.) is NPI 1114160926.
Would KALYAN MOHAN BHOOPAL (M.D.) appear as active to a payer?
You can treat KALYAN MOHAN BHOOPAL (M.D.) as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to KALYAN MOHAN BHOOPAL (M.D.)?
KALYAN MOHAN BHOOPAL (M.D.)'s specialty line reads Gastroenterology Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for KALYAN MOHAN BHOOPAL (M.D.)?
Travel planning: use Germantown, Tennessee as the reference point for KALYAN MOHAN BHOOPAL (M.D.), then confirm.
What does 7 location(s) imply?
7 practice locations appear in the available data.

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