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ABHAY KULKARNI M.D.
NPI 1275943946
Pediatrics - Pediatric Emergency Medicine in San Antonio, TX

Active since May 05, 2014PECOS Enrolled
333 N SANTA ROSA, SAN ANTONIO, TX 78207(210) 704-4100 Get Directions Write a Review

NPPES record last updated: June 29, 2023. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Mar 9, 2018, Feb 27, 2018 (2 updates tracked since 2018).

About Abhay Kulkarni M.d. NPPES

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

ABHAY KULKARNI M.D. (NPI 1275943946) is an individual pediatric emergency medicine provider in San Antonio, Texas, licensed in Texas (R2645) and active in the NPI registry since May 2014. He is enrolled in Medicare PECOS and maintains a secondary practice location in Houston.

NPPES Registry Identity

NPI1275943946
Entity TypeIndividualMale
Primary Taxonomy2080P0204X
Provider Legal NameABHAY KULKARNICredential: M.D.
Location Address333 N SANTA ROSASan Antonio, TX 78207-3108
Mailing Address333 N Santa RosaSan Antonio, TX 78207-3108 · (210) 704-4100
Phone(210) 704-4100
Sole ProprietorNo
Enumeration DateMay 5, 2014
Last NPPES UpdateJune 29, 20232 updates tracked since enumeration
NPPES CertifiedJune 29, 2023
✔ NPI 1275943946 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Emergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0204X
License✔ Licensed in TX · R2645
Definition
A pediatrician who has special qualifications to manage emergencies in infants and children.
333 N SANTA ROSA, San Antonio, TX 78207
Open in Google Maps ↗

Secondary Practice Location 1

Location 16701 Fannin StHouston, TX 77030-2608 · Phone (832) 824-1000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Antidote Health of TX, Antidote Health Plan of Arizona, Inc., Blue Cross and Blue Shield of Texas and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Abhay 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.

Medicare Billing Reassignments

4

Medicare enrollment records show Abhay Kulkarni reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Baylor College Of Medicine
Same address
Pediatrics
333 N SANTA ROSA
San Antonio, TX 78207
  • Reassigned Medicare billing, Texas enrollment
  • 453 clinicians in this Medicare group
NPI 1285079764 (210) 704-3030
Texas Children's Physician Group
188 mi
Pediatrics
6621 FANNIN ST
Houston, TX 77030
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: Texas Childrens Physician Group
  • 2,498 clinicians in this Medicare group
NPI 1861675506 (832) 824-1000
Pediatric Emergency Medicine Group LLP
271 mi
Emergency Medicine
7601 PRESTON RD
Plano, TX 75024
  • Reassigned Medicare billing, Texas enrollment
  • 123 clinicians in this Medicare group
NPI 1629448535 (817) 451-4208
District Medical Group, Inc
817 mi
Anatomic Pathology & Clinical Pathology
1800 E FLORENCE BLVD, PATHOLOGY
Casa Grande, AZ 85222
  • Reassigned Medicare billing, Arizona enrollment
  • 1,490 clinicians in this Medicare group
NPI 1467685362 (520) 426-6320

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

LATHA PRASANNAN MD
Pediatrics (Pediatric Hematology-Oncology)
333 N SANTA ROSA
SAN ANTONIO, TX 78207
Bexar County (210) 704-3030
SOFIA SILVER COOK MD
Pediatrics (Pediatric Emergency Medicine)
333 N SANTA ROSA
SAN ANTONIO, TX 78207
Bexar County (210) 704-3030
NATALIE DIANE ETHRIDGE CPNP-AC
Nurse Practitioner (Pediatrics, Critical Care)
333 N SANTA ROSA
SAN ANTONIO, TX 78207
Bexar County (210) 704-3030
BONNIE MCILYAR DURLEY DO
Pediatrics
333 N SANTA ROSA
SAN ANTONIO, TX 78207
Bexar County (210) 704-3910
RAQUEL S PAZ
Student in an Organized Health Care Education/Training Program
333 N SANTA ROSA
SAN ANTONIO, TX 78207
Bexar County (760) 912-1125
DR. OLGA M CAJAS MD
Pediatrics
333 N SANTA ROSA
SAN ANTONIO, TX 78207
Bexar County (210) 704-4966
LEA PORCHE M.D.
Obstetrics & Gynecology (Maternal & Fetal Medicine)
333 N SANTA ROSA
SAN ANTONIO, TX 78207
Bexar County (713) 798-1750
SETH T SORENSEN PHD
Clinical Neuropsychologist
333 N SANTA ROSA
SAN ANTONIO, TX 78207
Bexar County (210) 704-3030

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 Abhay Kulkarni's NPI number?

The NPI number for Abhay Kulkarni is 1275943946. It was assigned to this individual provider in the NPPES registry on May 5, 2014.

Where is Abhay Kulkarni located?

Abhay Kulkarni practices at 333 N Santa Rosa, San Antonio, TX 78207. The listed phone number is (210) 704-4100.

What is Abhay Kulkarni's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Emergency Medicine, with taxonomy code 2080P0204X.

Is Abhay Kulkarni enrolled in Medicare?

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

Which organizations bill Medicare for Abhay Kulkarni's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Abhay Kulkarni reassigns Medicare benefits to 4 organizations: Baylor College Of Medicine (San Antonio, TX), Texas Children's Physician Group (Houston, TX), Pediatric Emergency Medicine Group LLP (Plano, TX) and District Medical Group, Inc (Casa Grande, AZ). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Abhay Kulkarni's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Abhay Kulkarni accept?

Health plans from Antidote Health Plan of Arizona, Inc., Antidote Health of TX, Blue Cross and Blue Shield of Texas, HMO Louisiana and Harbor Health and 1 other insurer list Abhay 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 Abhay Kulkarni was last updated on June 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.