DR. PRATIBHA RAJENDRA KULKARNI M.D.
NPI 1215972211
Internal Medicine in Houston, TX

Q: What is Pratibha Kulkarni's NPI number?

The NPI number for Pratibha Kulkarni is 1215972211. It was assigned to this individual provider in the NPPES registry on June 17, 2006. The provider is also known as Miss Pratibha Gadgil M.D..

Q: What is Pratibha Kulkarni's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Pratibha Kulkarni was last updated on June 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 June 17, 2006PECOS Enrolled

902 FROSTWOOD DR, SUITE 293, HOUSTON, TX 77024(713) 467-5200(713) 467-5201 Get Directions Write a Review

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

Record update history: Jun 9, 2021, Apr 1, 2021, Mar 17, 2021 and 1 more (4 updates tracked since 2020).

On this page

About Dr. Pratibha Rajendra Kulkarni M.d. NPPES

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

DR. PRATIBHA RAJENDRA KULKARNI M.D. (NPI 1215972211) is an individual internal medicine provider in Houston, Texas, licensed in Texas (J2142) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1215972211

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameDR. PRATIBHA RAJENDRA KULKARNICredential: M.D.

Location Address902 FROSTWOOD DR, SUITE 293Houston, TX 77024-2420

Mailing Address11511 Shadow Creek PkwyPearland, TX 77584-7298 · (713) 442-0000

Phone(713) 467-5200

Fax(713) 467-5201

Sole ProprietorNo

Enumeration DateJune 17, 2006

Last NPPES UpdateJune 9, 20214 updates tracked since enumeration

NPPES CertifiedJune 9, 2021

✔ NPI 1215972211 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in TX · J2142

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.

902 FROSTWOOD DR, Houston, TX 77024

Open in Google Maps ↗

Other Names 1

Former Name (1)Miss Pratibha Gadgil M.d.

Other Identifiers 3

Medicaid129647709TX

Medicaid129647707TX

Medicaid129647708TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Community Health Choice, Molina Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Pratibha Rajendra Kulkarni M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77024 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.

Reported Quality Measures

Colorectal Cancer Screening

Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer

78%169 patients4/55-star benchmark: 100%

e-Prescribing

At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.

68%975 patients3/55-star benchmark: 100%

Patient-Specific Education

The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.

4%636 patients1/55-star benchmark: 99%

Pneumococcal Vaccination Status for Older Adults

Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine

88%354 patients4/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…

100%360 patients5/55-star benchmark: 100%

Provide Patient Access

At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…

92%636 patients4/55-star benchmark: 100%

Secure Messaging

For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…

49%636 patients4/55-star benchmark: 59%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

DR. ABIGAIL REBECCA NEIMAN M.D

Internal Medicine (Rheumatology)

902 FROSTWOOD DR, SUITE # 311
HOUSTON, TX 77024

Harris County (713) 932-0054

DALE G. HALTER, M.D.

Internal Medicine (Rheumatology)

902 FROSTWOOD DR, SUITE 208
HOUSTON, TX 77024

Harris County (713) 266-1946

DR. SHERVIN HARANDI

Pain Medicine (Interventional Pain Medicine)

902 FROSTWOOD DR, STE 235
HOUSTON, TX 77024

Harris County (713) 298-1020

MEMORIAL CITY NEURO DIAGNOSTIC

Psychiatry & Neurology (Neurology)

902 FROSTWOOD DR
HOUSTON, TX 77024

Harris County (281) 313-8585

DR. DALE G. HALTER M.D.

Internal Medicine (Rheumatology)

902 FROSTWOOD DR, STE 208
HOUSTON, TX 77024

Harris County (713) 266-1946

ALAN JARRETT M.D.P.A.

Ophthalmology

902 FROSTWOOD DR, SUITE 146
HOUSTON, TX 77024

Harris County (713) 461-1169

DR. LEONARD S. HOFFMAN MD

Allergy & Immunology

902 FROSTWOOD DR, 302
HOUSTON, TX 77024

Harris County (713) 973-0051

MEMORIAL RHEUMATOLOGY PA

Internal Medicine (Rheumatology)

902 FROSTWOOD DR, STE 205
HOUSTON, TX 77024

Harris County (713) 360-2020

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 Pratibha Kulkarni's NPI number?

The NPI number for Pratibha Kulkarni is 1215972211. It was assigned to this individual provider in the NPPES registry on June 17, 2006. The provider is also known as Miss Pratibha Gadgil M.D..

Where is Pratibha Kulkarni located?

Pratibha Kulkarni practices at 902 Frostwood Dr Suite 293, Houston, TX 77024. The listed phone number is (713) 467-5200.

What is Pratibha Kulkarni's specialty?

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

Is Pratibha Kulkarni enrolled in Medicare?

Yes. Pratibha Kulkarni is registered in the Medicare PECOS enrollment system.

What insurance does Pratibha Kulkarni accept?

Health plans from Community Health Choice and Molina Healthcare list Pratibha 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.

When was this NPI record last updated?

The NPPES record for Pratibha Kulkarni was last updated on June 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.