DR. HRISHIKESH CHANDRAKANT KULKARNI M.D.
NPI 1104135938
Internal Medicine - Pulmonary Disease in Henderson, NV

Q: What is Hrishikesh Kulkarni's NPI number?

The NPI number for Hrishikesh Kulkarni is 1104135938. It was assigned to this individual provider in the NPPES registry on September 28, 2010.

Q: What is Hrishikesh Kulkarni's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Active since September 28, 2010PECOS EnrolledAccepts Medicare Assignment

58.85/100

CMS Quality Rating

10624 S EASTERN AVE # A-955, HENDERSON, NV 89052(702) 800-5393 Get Directions Write a Review

NPPES record last updated: July 12, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 12, 2023, Dec 2, 2019 (2 updates tracked since 2019).

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About Dr. Hrishikesh Chandrakant Kulkarni M.d. NPPES

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

DR. HRISHIKESH CHANDRAKANT KULKARNI M.D. (NPI 1104135938) is an individual pulmonary disease provider in Henderson, Nevada, licensed in Nevada (18799) and active in the NPI registry since September 2010. He is enrolled in Medicare PECOS, is affiliated with Saint Rose Dominican Hospitals - Siena Campus, and maintains a secondary practice location in Cleveland.

NPPES Registry Identity

NPI1104135938

Entity TypeIndividualMale

Primary Taxonomy207RP1001X

Provider Legal NameDR. HRISHIKESH CHANDRAKANT KULKARNICredential: M.D.

Location Address10624 S EASTERN AVE # A-955Henderson, NV 89052-2982

Mailing Address10624 S Eastern Ave # A-955Henderson, NV 89052-2982 · (702) 800-5393 · Fax (702) 407-7016

Phone(702) 800-5393

Sole ProprietorNo

Medical School CMSOtherGraduated 2007

Enumeration DateSeptember 28, 2010

Last NPPES UpdateJuly 12, 20232 updates tracked since enumeration

NPPES CertifiedJuly 12, 2023

✔ NPI 1104135938 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RP1001X

License✔ Licensed in NV · 18799

Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

Also ListedInternal MedicineTaxonomy 207R00000X · License 57.017363 (OH), 18799 (NV)

Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 18799 (NV)

10624 S EASTERN AVE # A-955, Henderson, NV 89052

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Secondary Practice Location 1

Location 11700 E 13th St, apt e11uCleveland, OH 44114-3241 · Phone (417) 429-6645

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health.Insurance ›

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

Dr. Hrishikesh Chandrakant Kulkarni M.d. 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 ID6406099407

PECOS Enrollment IDI20190614001538

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 5

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

2,263 services442 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

556 services473 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.

96 services56 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

90 services37 patients

Irrigation and suction of lung airways to obtain cells using an endoscope 31624

This is a procedure where a thin, flexible tube called an endoscope is inserted through your mouth into the lungs. A small amount of saline is then introduced to wash the airways. The fluid, along with cells from the lung, is suctioned back for analysis.

14 services14 patients

Hospital Affiliations CMS Care Compare 3

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

Saint Rose Dominican Hospitals - Siena Campus

Acute Care Hospitals · Henderson, NV

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number290045

Location3001 St Rose ParkwayHenderson, NV 89052 · Clark County

Emergency services Birthing friendly

Spring Valley Hospital Medical Center

Acute Care Hospitals · Las Vegas, NV

2/5 CMS rating

OwnershipProprietary

CMS Certification Number290046

Location5400 South Rainbow BlvdLas Vegas, NV 89118 · Clark County

Emergency services Birthing friendly

Henderson Hospital

Acute Care Hospitals · Henderson, NV

3/5 CMS rating

OwnershipProprietary

CMS Certification Number290057

Location1050 West Galleria DriveHenderson, NV 89011 · Clark County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89052 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

$131.25 typical visit price

range $57.07 – $173.24

Typical copayment $32.81 (range $14.26 – $43.31)

Most-billed visit code 99204

Established Patient

$100.60 typical visit price

range $18.27 – $140.96

Typical copayment $25.15 (range $4.56 – $35.24)

Most-billed visit code 99214

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.

58.85/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

39.4

Improvement Activities

Cost

49.45

Other Providers at the Same Location NPPES 20

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

KAREN CARPIO ALOG FNP

Nurse Practitioner (Primary Care)