DR. SAKIL S KULKARNI MD
NPI 1275896599
Pediatrics - Pediatric Gastroenterology in Saint Louis, MO

Active since June 21, 2012PECOS EnrolledAccepts Medicare Assignment
79.29/100
CMS Quality Rating
1 CHILDRENS PL, DIV PED GASTRO, HEPATOLOGY AND NUTRITION, SAINT LOUIS, MO 63110(314) 454-6173(844) 231-8912 Get Directions Write a Review

NPPES record last updated: April 17, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 25, 2024, Apr 10, 2024, Nov 1, 2023 and 3 more (6 updates tracked since 2018).

About Dr. Sakil S Kulkarni Md NPPES

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

DR. SAKIL S KULKARNI MD (NPI 1275896599) is an individual pediatric gastroenterology provider in Saint Louis, Missouri, licensed in Missouri (2017015140) and active in the NPI registry since June 2012. He is enrolled in Medicare PECOS and is a graduate of Other (2006).

NPPES Registry Identity

NPI1275896599
Entity TypeIndividualMale
Primary Taxonomy2080P0206X
Provider Legal NameDR. SAKIL S KULKARNICredential: MD
Location Address1 CHILDRENS PL, DIV PED GASTRO, HEPATOLOGY AND NUTRITIONSaint Louis, MO 63110-1002
Mailing AddressPo Box 7412011Chicago, IL 60674-2011 · (314) 454-6173 · Fax (844) 231-8912
Fax(844) 231-8912
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateJune 21, 2012
Last NPPES UpdateApril 17, 20256 updates tracked since enumeration
NPI 1275896599 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPediatrics · Pediatric GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0206X
License Licensed in MO · 2017015140
Definition
A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.
Also ListedPediatrics · Pediatric Transplant HepatologyTaxonomy 2080T0004X · License 2017015140 (MO)
1 CHILDRENS PL, Saint Louis, MO 63110

Other Identifiers 1

Medicaid200055369MO

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. Sakil S Kulkarni Md 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 ID1355697418
PECOS Enrollment IDI20180702002788
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 63110 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
$128.28 typical visit price
range $55.65 – $169.38
Typical copayment $32.07 (range $13.91 – $42.34)
Most-billed visit code 99204
Established Patient
$98.37 typical visit price
range $17.76 – $137.92
Typical copayment $24.59 (range $4.44 – $34.48)
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.

79.29/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality71.46
Promoting Interoperability100
Improvement Activities40
Cost59.51

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.

Social Worker (Clinical)
1 CHILDRENS PL, CAMPUS BOX 8116
SAINT LOUIS, MO 63110
Psychiatry & Neurology (Neurology)
1 CHILDRENS PL
SAINT LOUIS, MO 63110
Audiologist-Hearing Aid Fitter
1 CHILDRENS PL
SAINT LOUIS, MO 63110
Nurse Practitioner (Pediatrics)
1 CHILDRENS PL, DEPT NEUROLOGICAL SURGERY, STE 4E
SAINT LOUIS, MO 63110
Nurse Practitioner (Neonatal, Critical Care)
1 CHILDRENS PL
SAINT LOUIS, MO 63110
Nurse Practitioner (Pediatrics)
1 CHILDRENS PL, DEPT NEUROLOGY, STE 2130
SAINT LOUIS, MO 63110
Hospitalist
1 CHILDRENS PL, DIV PED HOSPITALIST MED
SAINT LOUIS, MO 63110
Pediatrics
1 CHILDRENS PL, SUITE C
SAINT LOUIS, MO 63110

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 Sakil Kulkarni's NPI number?

The NPI number for Sakil Kulkarni is 1275896599. It was assigned to this individual provider in the NPPES registry on June 21, 2012.

Where is Sakil Kulkarni located?

Sakil Kulkarni practices at 1 Childrens Pl Div Ped Gastro, Hepatology And Nutrition, Saint Louis, MO 63110. The listed phone number is (314) 454-6173.

What is Sakil Kulkarni's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Gastroenterology, with taxonomy code 2080P0206X.

Is Sakil Kulkarni enrolled in Medicare?

Yes. Sakil 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 Sakil Kulkarni accept?

Health plans from Cox HealthPlans list Sakil 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 Sakil Kulkarni was last updated on April 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.