DR. KAILASH PRADIP KULKARNI M.D.
NPI 1114116191
Internal Medicine in Calhoun, GA

Active since October 16, 2007PECOS EnrolledAccepts Medicare Assignment
98.31/100
CMS Quality Rating
1035 RED BUD RD NE, CALHOUN, GA 30701(706) 879-4776(706) 879-4781 Get Directions Write a Review

NPPES record last updated: September 9, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 9, 2021, Dec 18, 2018 (2 updates tracked since 2018).

About Dr. Kailash Pradip Kulkarni M.d. NPPES

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

DR. KAILASH PRADIP KULKARNI M.D. (NPI 1114116191) is an individual internal medicine provider in Calhoun, Georgia, licensed in Georgia (64128) and active in the NPI registry since October 2007. He is enrolled in Medicare PECOS, is affiliated with Northside Hospital Cherokee, and maintains a secondary practice location in Marietta.

NPPES Registry Identity

NPI1114116191
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. KAILASH PRADIP KULKARNICredential: M.D.
Location Address1035 RED BUD RD NECalhoun, GA 30701-6010
Mailing AddressPo Box 12938, C/o Clinic ManagementCalhoun, GA 30703-7013
Fax(706) 879-4781
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateOctober 16, 2007
Last NPPES UpdateSeptember 9, 20212 updates tracked since enumeration
NPPES CertifiedSeptember 9, 2021
NPI 1114116191 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in GA · 64128
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedHospitalistTaxonomy 208M00000X · License 64128 (GA)
1035 RED BUD RD NE, Calhoun, GA 30701

Secondary Practice Location 1

Location 1677 Church St NEMarietta, GA 30060-1101 · Phone (770) 793-7750 · Fax (770) 793-7755

Other Identifiers 1

Medicaid839176601BGA

Accepted 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. Kailash Pradip 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 ID840324448
PECOS Enrollment IDI20100818000701
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 4

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 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.
452 services199 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
141 services138 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
47 services46 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
25 services21 patients

Hospital Affiliations CMS Care Compare

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

Northside Hospital Cherokee

Acute Care Hospitals · Canton, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110008
Location450 Northside Cherokee BoulevardCanton, GA 30115 · Cherokee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30701 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
$124.10 typical visit price
range $53.31 – $164.04
Typical copayment $31.02 (range $13.32 – $41.01)
Most-billed visit code 99204
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
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.

98.31/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality97.88
Improvement Activities40
Cost84.56

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers58 claims58 services$20.64 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers58 claims58 services$113.12 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Internal Medicine (Interventional Cardiology)
1035 RED BUD RD NE
CALHOUN, GA 30701
Family Medicine
1035 RED BUD RD NE
CALHOUN, GA 30701
Nurse Anesthetist, Certified Registered
1035 RED BUD RD NE
CALHOUN, GA 30701
Physician Assistant (Medical)
1035 RED BUD RD NE
CALHOUN, GA 30701
Anesthesiology
1035 RED BUD RD NE
CALHOUN, GA 30701
Internal Medicine
1035 RED BUD RD NE
CALHOUN, GA 30701
Family Medicine
1035 RED BUD RD NE
CALHOUN, GA 30701
Urology
1035 RED BUD RD NE, SUITE 201
CALHOUN, GA 30701

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 Kailash Kulkarni's NPI number?

The NPI number for Kailash Kulkarni is 1114116191. It was assigned to this individual provider in the NPPES registry on October 16, 2007.

Where is Kailash Kulkarni located?

Kailash Kulkarni practices at 1035 Red Bud Rd NE, Calhoun, GA 30701. The listed phone number is (706) 879-4776.

What is Kailash Kulkarni's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Kailash Kulkarni enrolled in Medicare?

Yes. Kailash Kulkarni 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.

What insurance does Kailash Kulkarni accept?

Health plans from Alliant Health Plans, Inc. list Kailash Kulkarni as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Kailash Kulkarni affiliated with any hospitals?

According to CMS data, Kailash Kulkarni is affiliated with Northside Hospital Cherokee.

When was this NPI record last updated?

The NPPES record for Kailash Kulkarni was last updated on September 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.