KEDAR SANKHOLKAR MD, MS
NPI 1053561654
Internal Medicine - Cardiovascular Disease in Clifton, NJ

Active since September 19, 2008PECOS EnrolledAccepts Medicare Assignment
51.13/100
CMS Quality Rating
1030 CLIFTON AVE, CLIFTON, NJ 07013(973) 778-3777(973) 778-3252 Get Directions Write a Review

NPPES record last updated: December 8, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kedar Sankholkar Md, Ms NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KEDAR SANKHOLKAR MD, MS (NPI 1053561654) is an individual cardiovascular disease provider in Clifton, New Jersey, licensed in New Jersey (25MA09524700) and active in the NPI registry since September 2008. He is enrolled in Medicare PECOS, is affiliated with New York-presbyterian Hospital, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1053561654
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameKEDAR SANKHOLKARCredential: MD, MS
Location Address1030 CLIFTON AVEClifton, NJ 07013-3522
Mailing Address1030 Clifton AveClifton, NJ 07013-3522 · (973) 778-3777 · Fax (973) 778-3252
Fax(973) 778-3252
Sole ProprietorYes
Medical School CMSOtherGraduated 2008
Enumeration DateSeptember 19, 2008
Last NPPES UpdateDecember 8, 2014
NPI 1053561654 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in NJ · 25MA09524700
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
1030 CLIFTON AVE, Clifton, NJ 07013

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Kedar Sankholkar Md, Ms is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9537387758
PECOS Enrollment IDI20160819002209
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 13

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
400 services386 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
273 services109 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
152 services111 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
62 services62 patients
Ultrasound of both sides of head and neck blood flow 93880
An ultrasound of the head and neck blood flow is a safe, non-invasive procedure that uses sound waves to create images of blood vessels. It helps detect abnormalities like blockages or clots, ensuring optimal blood flow.
49 services48 patients
Heart rhythm recording continous external ekg over more than 48 hours up to 7 days 93242
This procedure involves wearing a device, an external EKG, for up to 7 days to continuously monitor your heart rhythm. It helps detect irregularities that may not occur during a standard EKG. The device is non-invasive and safe.
25 services24 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

New York-Presbyterian Hospital

Acute Care Hospitals · New York, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330101
Location525 East 68th StreetNew York, NY 10065 · New York County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07013 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$144.86 typical visit price
range $63.84 – $190.92
Typical copayment $36.21 (range $15.96 – $47.73)
Most-billed visit code 99204
Established Patient
$79.09 typical visit price
range $20.97 – $155.92
Typical copayment $19.77 (range $5.24 – $38.98)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

51.13/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality42.5
Improvement Activities40

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
96%1,911 patients4/55-star benchmark: 99%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
100%170 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
81%916 patients4/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
97%916 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
42%916 patients2/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
52%916 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Acupuncturist
1030 CLIFTON AVE, 1ST. FL.
CLIFTON, NJ 07013
Internal Medicine (Cardiovascular Disease)
1030 CLIFTON AVE
CLIFTON, NJ 07013
Nurse Practitioner
1030 CLIFTON AVE
CLIFTON, NJ 07013
Internal Medicine (Pulmonary Disease)
1030 CLIFTON AVE
CLIFTON, NJ 07013
Dentist
1030 CLIFTON AVE, EDWARD DOKTORMAN DDS
CLIFTON, NJ 07013
Dentist
1030 CLIFTON AVE, PRESTIGE DENTAL
CLIFTON, NJ 07013
Family Medicine
1030 CLIFTON AVE
CLIFTON, NJ 07013
Marriage & Family Therapist
1030 CLIFTON AVE, SUITE 209
CLIFTON, NJ 07013

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kedar Sankholkar's NPI number?

The NPI number for Kedar Sankholkar is 1053561654. It was assigned to this individual provider in the NPPES registry on September 19, 2008.

Where is Kedar Sankholkar located?

Kedar Sankholkar practices at 1030 Clifton Ave, Clifton, NJ 07013. The listed phone number is (973) 778-3777.

What is Kedar Sankholkar's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Kedar Sankholkar enrolled in Medicare?

Yes. Kedar Sankholkar is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Kedar Sankholkar affiliated with any hospitals?

According to CMS data, Kedar Sankholkar is affiliated with New York-Presbyterian Hospital.

When was this NPI record last updated?

The NPPES record for Kedar Sankholkar was last updated on December 8, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.