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

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: August 16, 2026.

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
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

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. 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.

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

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.

Internal Medicine
20 CUMBERLAND HILL RD, SUITE 106
WOONSOCKET, RI 02895
Internal Medicine
20 CUMBERLAND HILL RD, SUITE 208
WOONSOCKET, RI 02895
Urology
20 CUMBERLAND HILL RD, UNIT 202
WOONSOCKET, RI 02895
Physician Assistant (Medical)
20 CUMBERLAND HILL RD, SUITE 104
WOONSOCKET, RI 02895
Obstetrics & Gynecology (Gynecology)
20 CUMBERLAND HILL RD, SUITE 210
WOONSOCKET, RI 02895
Internal Medicine (Gastroenterology)
20 CUMBERLAND HILL RD, SUITE 204
WOONSOCKET, RI 02895
Dentist (Oral and Maxillofacial Surgery)
20 CUMBERLAND HILL RD, SUITE 101
WOONSOCKET, RI 02895
Surgery
20 CUMBERLAND HILL RD, SUITE 210
WOONSOCKET, RI 02895

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.

What insurance does Nikhil Karanth accept?

Health plans from Ambetter from Arizona Complete Health and Blue Cross Blue Shield of Arizona 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.