2026 NPPES data Pediatric Gastroenterology Physician NPI 1356370092 M.D.
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AJAY KAUL, M.D.

Pediatric Gastroenterology Physician in CINCINNATI, Ohio. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
169
Medicare Part D claims · 14 beneficiaries · Pediatric Gastroenterology Physician avg: 69
Generic prescribing
70%
generic claims · 30% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$20.3K
2 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: AJAY KAUL, M.D. is a Pediatric Gastroenterology Physician ([object Object]) practicing in CINCINNATI, Ohio with a Medicare Part D prescribing footprint of 169 claims across 14 beneficiaries — 30% brand-name prescribing . Industry payments of $20.3K across 2 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: AJAY KAUL, M.D. filed 169 Medicare Part D claims in 2023 across CINCINNATI, Ohio. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

AJAY KAUL, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 1 hospital affiliation — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

AJAY KAUL, M.D. at a glance

Quality data not reported

NPI registry status

Active

Issued 07/03/2006

NPI 1356370092

Primary specialty

Pediatric Gastroenterology Physician

Niche

1,587 US NPIs in this specialty

Medicare Part D claims

169 145% vs specialty avg

2023 prescription claims

Specialty avg: 69

Specialty distribution in Ohio

How Pediatric Gastroenterology Physician compares to other specialties among Ohio providers

Ohio providers

Pediatric Gastroenterology Physician share within Ohio

1. Pediatric Gastroenterology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Pediatric Gastroenterology Physician share within Ohio

Specialty board-certification context

Estimated specialty board-certified rate — Pediatric Gastroenterology Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Pediatric Gastroenterology Physician ABMS/AOA estimate

Est. board-certified rate (Pediatric Gastroenterology Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Pediatric Gastroenterology Physician) — ABMS / AOA estimate

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

AJAY KAUL, M.D. is a Pediatric Gastroenterology Physician provider practicing in CINCINNATI, Ohio, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1356370092. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

AJAY KAUL, M.D. appears in the CMS NPPES registry as a Pediatric Gastroenterology Physician provider holding M.D. credentials at 3333 BURNET AVE, CINCINNATI, OH, 45229, with a listed phone of (513) 636-4415. NPI 1356370092 was issued on 07/03/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what KAUL most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 169 prescription claims written by this provider, covering 14 Medicare beneficiaries and totaling roughly $38K in drug spend, split 30% brand-name and 70% generic by claim count. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy.

Pediatric Gastroenterology Physician is a narrow specialty nationwide, with 1,587 enrolled providers across 50 states and an average of 69 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

3333 BURNET AVE
CINCINNATI, OH 45229

Provider Details

NPI 1356370092
Specialty Pediatric Gastroenterology Physician
Credentials M.D.
Gender Male
NPI Issued 07/03/2006

Hospital and facility affiliations

Facilities where AJAY KAUL, M.D. bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

CHILDREN'S HOSPITAL MEDICAL CENTER
CINCINNATI, OH

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Industry payments received (2024) — CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for AJAY KAUL, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$20.3K

Largest payer

Genentech, Inc.

Most common payment type

Food and Beverage

Industry payments are not necessarily indicators of bias — they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

License & disciplinary context — Ohio OMB 2023 annual report

Aggregate state board data only — NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~48K Ohio medical licensees in 2023 — they are NOT specific to AJAY KAUL, M.D.. To verify AJAY KAUL, M.D.'s current license status, search the OMB public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

158
Total board actions, Ohio 2023
Across 154 cases
3.29
Actions per 1,000 licensees
Ohio statewide rate
probation
Most common action type
56 cases

OMB publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Ohio disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Above average

AJAY KAUL, M.D. — brand share 30.0%
Specialty average (est.)

30% brand-name claims vs 70% generic, on 169 2023 Medicare Part D claims.

The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

169
Total Claims
$38K
Total Drug Cost
14
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
197
Total Day Supply
5,521
Brand vs Generic
30% brand / 70% generic
Brand Drug Cost
$19K
Generic Drug Cost
$19K

Patient Demographics

Average Patient Age
25.4 years
Avg HCC Risk Score
1.26
Age Distribution
<65: 14, 65-74: 0, 75-84: 0, 85+: 0

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

Drug Claims
Motegrity
Prucalopride Succinate
30
Famotidine
26
Lansoprazole
18
Omeprazole
14
Esomeprazole Magnesium
13
Pantoprazole Sodium
13
Sodium Chloride
0.9 % Sodium Chloride
11

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Pediatric Gastroenterology Physician Overview

How AJAY KAUL, M.D. fits within the Pediatric Gastroenterology Physician landscape nationally.

1,587
Pediatric Gastroenterology Physician Providers in US
50
States with Pediatric Gastroenterology Physician
69
Avg Claims per Provider

AJAY KAUL, M.D.'s 169 claims are above the specialty average of 69.

Nearby Pediatric Gastroenterology Physician Providers in Ohio

Other clinicians with the same primary specialty enrolled in Ohio, drawn from the same CMS NPPES roster as KAUL.

Compare Pediatric Gastroenterology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is AJAY KAUL, M.D.'s specialty?
AJAY KAUL, M.D. specializes in Pediatric Gastroenterology Physician and practices in CINCINNATI, Ohio. Credentials: M.D..
How much does AJAY KAUL, M.D. prescribe under Medicare Part D?
In 2023, AJAY KAUL, M.D. wrote 169 Medicare Part D claims totaling $38K in drug costs for 14 beneficiaries.
Where is AJAY KAUL, M.D. located?
AJAY KAUL, M.D. is located at 3333 BURNET AVE, CINCINNATI, OH, 45229. Phone: (513) 636-4415.
What is AJAY KAUL, M.D.'s NPI number?
AJAY KAUL, M.D.'s National Provider Identifier (NPI) is 1356370092, issued on 07/03/2006.
Does AJAY KAUL, M.D. prescribe more brand-name or generic drugs?
AJAY KAUL, M.D.'s prescribing is 30% brand-name and 70% generic drugs by claim count, with $19K in brand drug costs.
How many Pediatric Gastroenterology Physician providers are there in the US?
There are 1,587 Pediatric Gastroenterology Physician providers across 50 states in the US. The average Pediatric Gastroenterology Physician provider writes 69 Medicare Part D claims per year.
What drugs does AJAY KAUL, M.D. prescribe most often?
Based on 2023 Medicare Part D data, AJAY KAUL, M.D.'s most frequently prescribed drugs include Motegrity, Famotidine, Lansoprazole. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does AJAY KAUL, M.D. accept Medicare?
AJAY KAUL, M.D. appears in CMS Medicare data with 169 Part D claims and 14 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify AJAY KAUL, M.D.'s credentials?
AJAY KAUL, M.D.'s NPI is 1356370092 with credentials M.D.. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology