DR. NIKHIL SRIPATHI KARANTH M.D.
NPI 1144332586
Internal Medicine - Gastroenterology in Woonsocket, RI

Q: What is Nikhil Karanth's NPI number?

The NPI number for Nikhil Karanth is 1144332586. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Q: What is Nikhil Karanth's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Q: When was this NPI record last updated?

The NPPES record for Nikhil Karanth was last updated on July 15, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since August 31, 2006PECOS EnrolledAccepts Medicare Assignment

20 CUMBERLAND HILL RD, SUITE 204, WOONSOCKET, RI 02895(401) 765-1750 Get Directions Write a Review

NPPES record last updated: July 15, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Dr. Nikhil Sripathi Karanth M.d. NPPES

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

DR. NIKHIL SRIPATHI KARANTH M.D. (NPI 1144332586) is an individual gastroenterology provider in Woonsocket, Rhode Island, licensed in Rhode Island (MD11310) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Sunrise Hospital And Medical Center, and is a graduate of Other (1998).

NPPES Registry Identity

NPI1144332586

Entity TypeIndividualMale

Primary Taxonomy207RG0100X

Provider Legal NameDR. NIKHIL SRIPATHI KARANTHCredential: M.D.

Location Address20 CUMBERLAND HILL RD, SUITE 204Woonsocket, RI 02895-4854

Mailing Address4 Edelweiss AveLincoln, RI 02865-3607 · (401) 333-1938 · Fax (401) 333-0412

Phone(401) 765-1750

Sole ProprietorYes

Medical School CMSOtherGraduated 1998

Enumeration DateAugust 31, 2006

Last NPPES UpdateJuly 15, 2007

✔ NPI 1144332586 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

Licenses✔ Licensed in RI · MD11310✔ Licensed in MA · 230672✔ Licensed in MI · 4301089173✔ Licensed in NY · 230117

Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

Also ListedInternal MedicineTaxonomy 207R00000X · License 230672 (MA), MD11310 (RI), 230117 (NY), 4301089173 (MI)

20 CUMBERLAND HILL RD, Woonsocket, RI 02895

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter Health, Blue Cross Blue Shield of Arizona and more.Insurance ›

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

Dr. Nikhil Sripathi Karanth 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 ID1456422716

PECOS Enrollment IDI20180417000704, I20240809003772

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 Nikhil Karanth reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Prime Healthcare Services Landmark LLC

0.2 mi

Orthopaedic Surgery

219 CASS AVE
Woonsocket, RI 02895

Reassigned Medicare billing, Rhode Island enrollment
65 clinicians in this Medicare group

NPI 1457772543 (401) 769-4100

Ihc Health Services Inc

782 mi

Clinic/Center

1300 N 500 E #130, LOGAN REGIONAL ORTHOPEDICS
Logan, UT 84341

Reassigned Medicare billing, Utah enrollment
3,691 clinicians in this Medicare group

NPI 1205963105 (435) 716-2800

Digestive Associates LLP

2,353 mi

Gastroenterology

2031 MCDANIEL ST STE 140
North Las Vegas, NV 89030

Reassigned Medicare billing, Nevada enrollment
15 clinicians in this Medicare group

NPI 1629242698 (702) 633-0207

Yuma Regional Medical Center

2,433 mi

General Acute Care Hospital

2400 S AVE A
Yuma, AZ 85364

Reassigned Medicare billing, Arizona enrollment
557 clinicians in this Medicare group

NPI 1194706655 (928) 344-2000

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 17

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.

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.

568 services537 patients

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.

557 services313 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

118 services117 patients

Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43235

This procedure, known as an upper endoscopy, involves inserting a thin, flexible tube with a camera down the throat to examine the esophagus, stomach, and upper small bowel. It helps diagnose conditions like ulcers or inflammation.

111 services109 patients

Biopsy of large bowel using a flexible endoscope 45380

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

75 services75 patients

Diagnostic exam of large bowel using a flexible endoscope 45378

This procedure, known as a colonoscopy, involves using a flexible tube with a light and camera to examine the large intestine. It helps detect any abnormalities such as polyps or inflammation. It's a standard procedure to ensure gut health.

64 services64 patients

Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk G0121

Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.

51 services51 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

43 services43 patients

Incision of pancreatic outlet using a flexible endoscope 43262

This procedure involves a small cut in the outlet of the pancreas using a flexible tube with a camera, called an endoscope. It helps doctors diagnose and treat conditions affecting the pancreas, enhancing patient comfort and recovery.

29 services29 patients

Removal of stone or debris from bile or pancreatic duct using a flexible endoscope 43264

This procedure, called an endoscopic retrograde cholangiopancreatography (ERCP), involves using a flexible tube with a camera (endoscope) to locate and remove stones or debris from your bile or pancreatic duct. It's a non-surgical method to clear the ducts, enhancing your digestive health.

26 services26 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

24 services23 patients

Insertion of stomach tube using a flexible endoscope 43246

This procedure involves the use of a flexible endoscope, a thin tube with a light and camera, to insert a stomach tube. It helps doctors view and access your stomach without surgery. It's typically performed under sedation to ensure comfort.

21 services20 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.

19 services19 patients

Colorectal cancer screening; colonoscopy on individual at high risk G0105

Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.

17 services17 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.

16 services15 patients

Control of bleeding of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43255

This procedure involves using a flexible tube with a light, called an endoscope, to examine and treat bleeding in the esophagus, stomach, or upper small bowel. It's a safe, effective way to control bleeding and ensure your digestive health.

15 services13 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.

14 services13 patients

Hospital Affiliations CMS Care Compare 4

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

Sunrise Hospital And Medical Center

Acute Care Hospitals · Las Vegas, NV

1/5 CMS rating

OwnershipProprietary

CMS Certification Number290003

Location3186 S Maryland PkwyLas Vegas, NV 89109 · Clark County

Emergency services

Valley Hospital Medical Center

Acute Care Hospitals · Las Vegas, NV

2/5 CMS rating

OwnershipProprietary

CMS Certification Number290021

Location620 Shadow LaneLas Vegas, NV 89106 · Clark County

Emergency services

Summerlin Hospital Medical Center

Acute Care Hospitals · Las Vegas, NV

2/5 CMS rating

OwnershipProprietary

CMS Certification Number290041

Location657 Town Center DriveLas Vegas, NV 89144 · Clark County

Emergency services Birthing friendly

Centennial Hills Hospital Medical Center

Acute Care Hospitals · Las Vegas, NV

1/5 CMS rating

OwnershipProprietary

CMS Certification Number290054

Location6900 N Durango DrLas Vegas, NV 89149 · Clark County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02895 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

$134.17 typical visit price

range $58.57 – $177.03

Typical copayment $33.54 (range $14.64 – $44.25)

Most-billed visit code 99204

Established Patient

$103.10 typical visit price

range $18.92 – $144.38

Typical copayment $25.77 (range $4.73 – $36.09)

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.

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.

ALBERTO V. ERFE, MD, INC.

Internal Medicine

20 CUMBERLAND HILL RD, SUITE 106
WOONSOCKET, RI 02895

Providence County (401) 765-0030

OCEAN MEDICAL PRACTICE, INC.

Internal Medicine

20 CUMBERLAND HILL RD, SUITE 208
WOONSOCKET, RI 02895

Providence County (401) 765-1200

UROLOGIC SPECIALISTS OF NEW ENGLAND, LLC

Urology

20 CUMBERLAND HILL RD, UNIT 202
WOONSOCKET, RI 02895

Providence County (401) 769-9170

ELIZABETH J GRANATA PA-C

Physician Assistant (Medical)

20 CUMBERLAND HILL RD, SUITE 104
WOONSOCKET, RI 02895

Providence County (401) 765-4100

MICHAEL EDWARD SPIZZIRRI MD

Obstetrics & Gynecology (Gynecology)

20 CUMBERLAND HILL RD, SUITE 210
WOONSOCKET, RI 02895

Providence County (401) 762-0700

DR. SRIPATHI A. KARANTH M.D.

Internal Medicine (Gastroenterology)

20 CUMBERLAND HILL RD, SUITE 204
WOONSOCKET, RI 02895

Providence County (401) 765-1750

JOHN C FIGLIOLINI D.M.D

Dentist (Oral and Maxillofacial Surgery)

20 CUMBERLAND HILL RD, SUITE 101
WOONSOCKET, RI 02895

Providence County (401) 769-1200

RAMON D LLAMAS MD INC

Surgery

20 CUMBERLAND HILL RD, SUITE 210
WOONSOCKET, RI 02895

Providence County (401) 767-3080

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 Nikhil Karanth's NPI number?

The NPI number for Nikhil Karanth is 1144332586. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Where is Nikhil Karanth located?

Nikhil Karanth practices at 20 Cumberland Hill Rd Suite 204, Woonsocket, RI 02895. The listed phone number is (401) 765-1750.

What is Nikhil Karanth's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Nikhil Karanth enrolled in Medicare?

Yes. Nikhil Karanth 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.

Which organizations bill Medicare for Nikhil Karanth's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nikhil Karanth reassigns Medicare benefits to 4 organizations: Prime Healthcare Services Landmark LLC (Woonsocket, RI), Ihc Health Services Inc (Logan, UT), Digestive Associates LLP (North Las Vegas, NV) and Yuma Regional Medical Center (Yuma, AZ). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nikhil Karanth's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nikhil Karanth accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Cigna HealthCare of Arizona, Inc and Molina Healthcare list Nikhil Karanth 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 Nikhil Karanth affiliated with any hospitals?

According to CMS data, Nikhil Karanth is affiliated with Sunrise Hospital And Medical Center, Valley Hospital Medical Center, Summerlin Hospital Medical Center and Centennial Hills Hospital Medical Center.

When was this NPI record last updated?

The NPPES record for Nikhil Karanth was last updated on July 15, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.