DR. DILIP J KARNIK MD
NPI 1407808900
Psychiatry & Neurology - Neurology with Special Qualifications in Child Neurology in Austin, TX

Active since May 16, 2006PECOS EnrolledAccepts Medicare Assignment
7940 SHOAL CREEK BLVD STE 100, AUSTIN, TX 78757(512) 494-4000(512) 494-4024 Get Directions Write a Review

NPPES record last updated: June 10, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 10, 2021, Jun 18, 2020, Jul 12, 2017 (3 updates tracked since 2017).

About Dr. Dilip J Karnik Md NPPES

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

DR. DILIP J KARNIK MD (NPI 1407808900) is an individual neurology with special qualifications in child neurology provider in Austin, Texas, licensed in Texas (G2405) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Austin, and is a graduate of Other (1971).

NPPES Registry Identity

NPI1407808900
Entity TypeIndividualMale
Primary Taxonomy2084N0402X
Provider Legal NameDR. DILIP J KARNIKCredential: MD
Location Address7940 SHOAL CREEK BLVD STE 100Austin, TX 78757-7589
Mailing Address7940 Shoal Creek Blvd Ste 100Austin, TX 78757-7589 · (512) 494-4000 · Fax (512) 494-4024
Fax(512) 494-4024
Sole ProprietorNo
Medical School CMSOtherGraduated 1971
Enumeration DateMay 16, 2006
Last NPPES UpdateJune 10, 20213 updates tracked since enumeration
NPPES CertifiedJune 10, 2021
NPI 1407808900 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · Neurology with Special Qualifications in Child NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0402X
License Licensed in TX · G2405
Definition

A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence.

7940 SHOAL CREEK BLVD STE 100, Austin, TX 78757

Secondary Practice Location 1

Location 15301 Davis Ln Bldg A200Austin, TX 78749-4062 · Phone (512) 494-4000 · Fax (512) 494-4090

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. Dilip J Karnik 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 ID749454809
PECOS Enrollment IDI20111220000275
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

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.
20 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78757 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
$131.95 typical visit price
range $57.88 – $174.00
Typical copayment $32.98 (range $14.47 – $43.50)
Most-billed visit code 99204
Established Patient
$101.65 typical visit price
range $18.88 – $142.23
Typical copayment $25.41 (range $4.72 – $35.55)
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
0%21 patients1/55-star benchmark: 88%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
16%361 patients1/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
0%616 patients1/55-star benchmark: 61%
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 9

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

Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
7940 SHOAL CREEK BLVD STE 100
AUSTIN, TX 78757
Nurse Practitioner (Pediatrics)
7940 SHOAL CREEK BLVD STE 100
AUSTIN, TX 78757
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
7940 SHOAL CREEK BLVD STE 100
AUSTIN, TX 78757
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
7940 SHOAL CREEK BLVD STE 100
AUSTIN, TX 78757
Psychiatry & Neurology (Epilepsy)
7940 SHOAL CREEK BLVD STE 100
AUSTIN, TX 78757
Nurse Practitioner (Pediatrics)
7940 SHOAL CREEK BLVD STE 100
AUSTIN, TX 78757
Nurse Practitioner (Pediatrics)
7940 SHOAL CREEK BLVD STE 100
AUSTIN, TX 78757
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
7940 SHOAL CREEK BLVD STE 100
AUSTIN, TX 78757

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 Dilip Karnik's NPI number?

The NPI number for Dilip Karnik is 1407808900. It was assigned to this individual provider in the NPPES registry on May 16, 2006.

Where is Dilip Karnik located?

Dilip Karnik practices at 7940 Shoal Creek Blvd Ste 100, Austin, TX 78757. The listed phone number is (512) 494-4000.

What is Dilip Karnik's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology with Special Qualifications in Child Neurology, with taxonomy code 2084N0402X.

Is Dilip Karnik enrolled in Medicare?

Yes. Dilip Karnik 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 Dilip Karnik accept?

Health plans from Blue Cross and Blue Shield of Texas, Moda Health Plan, Inc. and Sendero Health Plans, Local Nonprofit list Dilip Karnik 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 Dilip Karnik was last updated on June 10, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.