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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SHUBHA KULKARNI M.D.
NPI 1386971778
Psychiatry & Neurology - Psychiatry in Warrington, PA

Active since November 06, 2009PECOS EnrolledAccepts Medicare Assignment
2809 ELLIS WAY, WARRINGTON, PA 18976(267) 334-7756(267) 334-7756 Get Directions Write a Review

NPPES record last updated: September 29, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Shubha Kulkarni M.d. NPPES

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

SHUBHA KULKARNI M.D. (NPI 1386971778) is an individual psychiatry provider in Warrington, Pennsylvania, licensed in Pennsylvania (MD437415) and active in the NPI registry since November 2009. She is enrolled in Medicare PECOS and is a graduate of Other (2000).

NPPES Registry Identity

NPI1386971778
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NameSHUBHA KULKARNICredential: M.D.
Location Address2809 ELLIS WAYWarrington, PA 18976-2023
Mailing Address2809 Ellis WayWarrington, PA 18976-2023 · (267) 334-7756 · Fax (267) 334-7756
Phone(267) 334-7756
Fax(267) 334-7756
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateNovember 6, 2009
Last NPPES UpdateSeptember 29, 2026
NPPES CertifiedSeptember 29, 2026
✔ NPI 1386971778 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in PA · MD437415
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
2809 ELLIS WAY, Warrington, PA 18976
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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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Shubha 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 ID3173665007
PECOS Enrollment IDI20100115000073
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

3

Medicare enrollment records show Shubha Kulkarni reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Central Behavioral Health
13 mi
Mental Health (Including Community Mental Health Center)
1100 POWELL ST
Norristown, PA 19401
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 52 clinicians in this Medicare group
NPI 1568567071 (610) 277-4600
Greater Philadelphia Health Action, Inc.
16 mi
Federally Qualified Health Center (FQHC)
1999 W HUNTING PARK AVE
Philadelphia, PA 19140
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 232 clinicians in this Medicare group
NPI 1063466068 (215) 228-9300
Grow Healthcare Group PA
1,039 mi
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 833 clinicians in this Medicare group
NPI 1245845932 (786) 244-7711

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18976 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
$180.99 typical visit price
range $59.88 – $180.99
Typical copayment $45.24 (range $14.97 – $45.24)
Most-billed visit code 99205
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Shubha Kulkarni's NPI number?

The NPI number for Shubha Kulkarni is 1386971778. It was assigned to this individual provider in the NPPES registry on November 6, 2009.

Where is Shubha Kulkarni located?

Shubha Kulkarni practices at 2809 Ellis Way, Warrington, PA 18976. The listed phone number is (267) 334-7756.

What is Shubha Kulkarni's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Shubha Kulkarni enrolled in Medicare?

Yes. Shubha 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.

Which organizations bill Medicare for Shubha Kulkarni's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shubha Kulkarni reassigns Medicare benefits to 3 organizations: Central Behavioral Health (Norristown, PA), Greater Philadelphia Health Action, Inc. (Philadelphia, PA) and Grow Healthcare Group PA (Miami, FL). 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 Shubha Kulkarni's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shubha Kulkarni accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Shubha 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 Shubha Kulkarni was last updated on September 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 32 days 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.