ROOPALI KULKARNI DMD, MPH
NPI 1245790153
Oral & Maxillofacial Surgery in Radnor, PA

Q: What is Roopali Kulkarni's NPI number?

The NPI number for Roopali Kulkarni is 1245790153. It was assigned to this individual provider in the NPPES registry on March 25, 2019.

Q: What is Roopali Kulkarni's specialty?

The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

Q: When was this NPI record last updated?

The NPPES record for Roopali Kulkarni was last updated on December 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 March 25, 2019PECOS EnrolledAccepts Medicare Assignment

85.48/100

CMS Quality Rating

145 KING OF PRUSSIA RD, RADNOR, PA 19087(215) 662-3580 Get Directions Write a Review

NPPES record last updated: December 2, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Roopali Kulkarni Dmd, Mph NPPES

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

ROOPALI KULKARNI DMD, MPH (NPI 1245790153) is an individual oral & maxillofacial surgery provider in Radnor, Pennsylvania, licensed in Pennsylvania (DS043206) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS, is affiliated with Hospital Of Univ Of Pennsylvania, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1245790153

Entity TypeIndividualFemale

Primary Taxonomy204E00000X

Provider Legal NameROOPALI KULKARNICredential: DMD, MPH

Location Address145 KING OF PRUSSIA RDRadnor, PA 19087-4557

Mailing Address3400 Civic Center Blvd, 4th Floor, South PavilionPhiladelphia, PA 19104-5127 · (215) 662-3580 · Fax (215) 662-7445

Phone(215) 662-3580

Sole ProprietorYes

Medical School CMSUniv Of Pennsylvania School Of Dental MedicineGraduated 2019

Enumeration DateMarch 25, 2019

Last NPPES UpdateDecember 2, 2021

NPPES CertifiedDecember 2, 2021

✔ NPI 1245790153 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code204E00000X

License✔ Licensed in PA · DS043206

Definition

Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.

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

145 KING OF PRUSSIA RD, Radnor, PA 19087

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Secondary Practice Locations 2

Location 1240 S 40th StPhiladelphia, PA 19104-6030 · Phone (215) 573-4862

Location 23400 Civic Center Blvd, 4th Floor, South PavilionPhiladelphia, PA 19104-5127 · Phone (215) 662-3580 · Fax (215) 662-7445

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.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

Roopali Kulkarni Dmd, Mph 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 ID2668877382

PECOS Enrollment IDI20210818003016

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 6

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 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.

91 services65 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.

81 services55 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

42 services42 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

33 services26 patients

X-ray of lower jaws, upper jaws and teeth 70355

An X-ray of lower jaws, upper jaws, and teeth is a diagnostic procedure that uses radiation to create images of these areas. This helps in identifying issues like tooth decay, gum problems, or jawbone irregularities. It's a quick, painless process and crucial for maintaining oral health.

21 services21 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.

11 services11 patients

Hospital Affiliations CMS Care Compare

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

Hospital Of Univ Of Pennsylvania

Acute Care Hospitals · Philadelphia, PA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390111

Location34th & Spruce StsPhiladelphia, PA 19104 · Philadelphia County

Emergency services Birthing friendly

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.

85.48/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

73.6

Promoting Interoperability

100

Improvement Activities

Other Providers at the Same Location NPPES 7

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

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