Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

POOJA KULKARNI
NPI 1134583958
Family Medicine in Philadelphia, PA

Q: What is Pooja Kulkarni's NPI number?

The NPI number for Pooja Kulkarni is 1134583958. It was assigned to this individual provider in the NPPES registry on April 7, 2016.

Q: What is Pooja Kulkarni's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Pooja Kulkarni was last updated on September 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 48 days 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.

Active since April 07, 2016PECOS EnrolledAccepts Medicare Assignment

6232 MARKET ST, PHILADELPHIA, PA 19139(215) 444-7672 Get Directions Write a Review

NPPES record last updated: September 3, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 3, 2026, Dec 30, 2025, Jul 6, 2020 (3 updates tracked since 2020).

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About Pooja Kulkarni NPPES

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

POOJA KULKARNI (NPI 1134583958) is an individual family medicine provider in Philadelphia, Pennsylvania, licensed in Texas (S3221) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1134583958

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NamePOOJA KULKARNI

Location Address6232 MARKET STPhiladelphia, PA 19139-2922

Mailing AddressPo Box 746722Atlanta, GA 30374-6722 · (312) 733-9730

Phone(215) 444-7672

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateApril 7, 2016

Last NPPES UpdateSeptember 3, 20263 updates tracked since enumeration

NPPES CertifiedSeptember 3, 2026

✔ NPI 1134583958 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in TX · S3221✔ Licensed in PA · MD488167C✔ Licensed in CT · 83609

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

6232 MARKET ST, Philadelphia, PA 19139

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Secondary Practice Locations 3

Location 11677A West Baker Road, Suite 2701Baytown, TX 77521 · Phone (832) 556-6670

Location 2179 Columbus BlvdNew Britain, CT 06051-2264 · Phone (860) 356-2557

Location 32799 W Grand BlvdDetroit, MI 48202-2608 · Phone (313) 916-1601

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Pooja Kulkarni 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 ID5092007278

PECOS Enrollment IDI20250221002116, I20260106001538

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.

Medicare Billing Reassignments

Medicare enrollment records show Pooja Kulkarni reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Osh - PA Physicians Group, PC

8.3 mi

Primary Care

3621 ARAMINGO AVE STE C5
Philadelphia, PA 19134

Reassigned Medicare billing, Pennsylvania enrollment
196 clinicians in this Medicare group

NPI 1811405533 (215) 444-7472

Nova Physician Group PLLC

161 mi

Primary Care

2000 N MAIN ST
Waterbury, CT 06704

Reassigned Medicare billing, Connecticut enrollment
22 clinicians in this Medicare group

NPI 1093561136 (203) 951-8306

The General Hospital Corporation

274 mi

General Acute Care Hospital

55 FRUIT ST, BULFINCH 360
Boston, MA 02114

Reassigned Medicare billing, Massachusetts enrollment
6,234 clinicians in this Medicare group

NPI 1023049236 (617) 726-2000

Massachusetts General Physicians Organization Inc

274 mi

Dermatology

55 FRUIT ST, BUL 2
Boston, MA 02114

Reassigned Medicare billing, Massachusetts enrollment
6,360 clinicians in this Medicare group

NPI 1801874573 (617) 724-0287

Tmh Physician Associates PLLC

1,341 mi

Ophthalmology

6550 FANNIN ST, SUITE 447
Houston, TX 77030

Reassigned Medicare billing, Texas enrollment
2,407 clinicians in this Medicare group

NPI 1275779225 (713) 441-7389

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

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.

128 services107 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

70 services67 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

36 services36 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.

11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19139 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

$92.69 typical visit price

range $59.88 – $180.99

Typical copayment $23.17 (range $14.97 – $45.24)

Most-billed visit code 99203

Established Patient

$105.21 typical visit price

range $19.30 – $147.29

Typical copayment $26.30 (range $4.82 – $36.82)

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.

Referred Medical Equipment & Supplies CMS DME claims 6

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

3 suppliers12 claims24 services$5.47 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

3 suppliers14 claims14 services$0.97 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

1 supplier12 claims12 services$12.61 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

2 suppliers17 claims17 services$31.02 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

2 suppliers22 claims22 services$60.82 avg. paid by Medicare

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

3 suppliers11 claims11 services$192.82 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 11

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

KATARZYNA CALDERON CRNP

Nurse Practitioner (Family)