MRINALINI KULKARNI M.D.
NPI 1215194873
Internal Medicine in Houston, TX

Active since May 21, 2008PECOS EnrolledAccepts Medicare Assignment
91.34/100
CMS Quality Rating
6720 BERTNER ST, HOUSTON, TX 77030(209) 468-6600(209) 468-7042 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 7, 2023, Oct 5, 2021 (2 updates tracked since 2021).

About Mrinalini Kulkarni M.d. NPPES

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

MRINALINI KULKARNI M.D. (NPI 1215194873) is an individual internal medicine provider in Houston, Texas, licensed in Texas (N9725) and active in the NPI registry since May 2008. She is enrolled in Medicare PECOS, is affiliated with Chi St Luke's Health Baylor College Of Medicine Me, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1215194873
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameMRINALINI KULKARNICredential: M.D.
Location Address6720 BERTNER STHouston, TX 77030-2604
Mailing Address6720 Bertner Avenue, Po Box 72Houston, TX 77498 · (209) 468-6600 · Fax (209) 468-7042
Fax(209) 468-7042
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateMay 21, 2008
Last NPPES UpdateMarch 7, 20232 updates tracked since enumeration
NPPES CertifiedOctober 5, 2021
NPI 1215194873 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses Licensed in TX · N9725 Licensed in CA · A102509
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 N9725 (TX)
6720 BERTNER ST, Houston, TX 77030

Other Names 1

Former Name (1)Mrinalini Y Gathoo

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

Mrinalini 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 ID1557439247
PECOS Enrollment IDI20111207000164
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 3

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.
234 services87 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.
145 services73 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.
83 services78 patients

Hospital Affiliations CMS Care Compare

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

Chi St Luke's Health Baylor College Of Medicine Me

Acute Care Hospitals · Houston, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number450193
Location6720 Bertner Ave, Ste Mc1-266Houston, TX 77030 · Harris County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77030 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
$134.06 typical visit price
range $58.24 – $176.98
Typical copayment $33.51 (range $14.56 – $44.24)
Most-billed visit code 99204
Established Patient
$102.71 typical visit price
range $18.60 – $143.93
Typical copayment $25.67 (range $4.65 – $35.98)
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.

91.34/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality81.64
Promoting Interoperability89.13
Improvement Activities40

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
2 suppliers16 claims16 services$14.59 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 suppliers16 claims16 services$62.70 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.

Anesthesiology
6720 BERTNER ST, SUITE O-520
HOUSTON, TX 77030
Anesthesiology
6720 BERTNER ST, SUITE O-520
HOUSTON, TX 77030
Anesthesiology
6720 BERTNER ST, SUITE O-520
HOUSTON, TX 77030
Internal Medicine (Pulmonary Disease)
6720 BERTNER ST
HOUSTON, TX 77030
Nuclear Medicine (Nuclear Imaging & Therapy)
6720 BERTNER ST, NUCLEAR MEDICINE, MC: 3-261
HOUSTON, TX 77030
Nurse Practitioner
6720 BERTNER ST, MC 4-278 BOX 112
HOUSTON, TX 77030
Emergency Medicine
6720 BERTNER ST
HOUSTON, TX 77030
Emergency Medicine
6720 BERTNER ST
HOUSTON, TX 77030

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 Mrinalini Kulkarni's NPI number?

The NPI number for Mrinalini Kulkarni is 1215194873. It was assigned to this individual provider in the NPPES registry on May 21, 2008. The provider is also known as Mrinalini Y Gathoo.

Where is Mrinalini Kulkarni located?

Mrinalini Kulkarni practices at 6720 Bertner St, Houston, TX 77030. The listed phone number is (209) 468-6600.

What is Mrinalini Kulkarni's specialty?

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

Is Mrinalini Kulkarni enrolled in Medicare?

Yes. Mrinalini 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 Mrinalini Kulkarni accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Blue Cross and Blue Shield of Texas, Community Health Choice and WellPoint list Mrinalini 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 Mrinalini Kulkarni affiliated with any hospitals?

According to CMS data, Mrinalini Kulkarni is affiliated with Chi St Luke's Health Baylor College Of Medicine Me.

When was this NPI record last updated?

The NPPES record for Mrinalini Kulkarni was last updated on March 7, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.