DR. ABHISHEK KULKARNI M.D
NPI 1437399391
Internal Medicine - Cardiovascular Disease in Springfield, IL

Q: What is Abhishek Kulkarni's NPI number?

The NPI number for Abhishek Kulkarni is 1437399391. It was assigned to this individual provider in the NPPES registry on March 4, 2009.

Q: What is Abhishek Kulkarni's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Q: When was this NPI record last updated?

The NPPES record for Abhishek Kulkarni was last updated on October 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 04, 2009PECOS EnrolledAccepts Medicare Assignment

95.01/100

CMS Quality Rating

747 N RUTLEDGE ST, 5TH FLOOR, SPRINGFIELD, IL 62702(217) 545-8000(217) 545-7063 Get Directions Write a Review

NPPES record last updated: October 22, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 22, 2020, Oct 25, 2016, Oct 14, 2016 and 1 more (4 updates tracked since 2016).

On this page

About Dr. Abhishek Kulkarni M.d NPPES

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

DR. ABHISHEK KULKARNI M.D (NPI 1437399391) is an individual cardiovascular disease provider in Springfield, Illinois, licensed in Illinois (036-140931) and active in the NPI registry since March 2009. He is enrolled in Medicare PECOS, is affiliated with St Johns Hospital, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1437399391

Entity TypeIndividualMale

Primary Taxonomy207RC0000X

Provider Legal NameDR. ABHISHEK KULKARNICredential: M.D

Location Address747 N RUTLEDGE ST, 5TH FLOORSpringfield, IL 62702-6700

Mailing Address747 N Rutledge St, Po Box 19627Springfield, IL 62702-6700 · (217) 545-8000 · Fax (217) 545-7063

Phone(217) 545-8000

Fax(217) 545-7063

Sole ProprietorNo

Medical School CMSOtherGraduated 2005

Enumeration DateMarch 4, 2009

Last NPPES UpdateOctober 22, 20204 updates tracked since enumeration

NPPES CertifiedOctober 22, 2020

✔ NPI 1437399391 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RC0000X

License✔ Licensed in IL · 036-140931

Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Also ListedInternal MedicineTaxonomy 207R00000X · License 036-140931 (IL)

747 N RUTLEDGE ST, Springfield, IL 62702

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Other Identifiers 1

Medicaid036140931IL

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

Dr. Abhishek 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 ID446418990

PECOS Enrollment IDI20160830001370

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

Medicare enrollment records show Abhishek Kulkarni reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Siu Physicians & Surgeons, Inc

0.3 mi

Endocrinology, Diabetes & Metabolism

201 E MADISON ST STE 328
Springfield, IL 62702

Reassigned Medicare billing, Illinois enrollment
645 clinicians in this Medicare group

NPI 1558385989 (217) 545-8000

Board Of Trustees Of Southern Illinois University

0.8 mi

Primary Care

520 N 4TH ST
Springfield, IL 62702

Reassigned Medicare billing, Illinois enrollment
262 clinicians in this Medicare group

NPI 1396097960 (217) 757-8100

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

Areas of Expertise CMS Part B claims 17

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.

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.

219 services217 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

166 services149 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

119 services64 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

67 services64 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.

63 services48 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

54 services53 patients

Ultrasound of heart, follow-up 93308

A follow-up ultrasound of the heart, also known as an echocardiogram, is a non-invasive test that uses sound waves to create images of your heart. It helps doctors monitor your heart's function and structures after initial assessment or treatment.

34 services32 patients

Ultrasound of heart with color-depicted blood flow, rate and valve function 93325

An ultrasound of the heart, also known as an echocardiogram, uses sound waves to create pictures of your heart. It shows the structure, movement, and blood flow within your heart. This helps assess the heart's health and function, including the valves and rate.

30 services30 patients

Ultrasound of heart blood flow, valves and chambers, follow-up 93321

This procedure, an echocardiogram, uses sound waves to create images of your heart. It aids in assessing your heart's blood flow, chambers, and valves. It's a follow-up procedure, ensuring that your heart is functioning properly post-treatment.

29 services29 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

26 services24 patients

Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician 93016

An exercise or drug-induced heart stress test with ECG involves monitoring your heart's activity while it's under stress, either from exercise or medication. A doctor supervises the entire procedure to ensure safety and accuracy in results. This test helps detect heart problems.

22 services22 patients

Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician 93018

An exercise or drug-induced heart stress test with ECG is a procedure to assess how your heart functions under stress. It can involve exercising or medication to make your heart work harder while an ECG records its activity. A physician reviews the results.

22 services22 patients

Nuclear medicine studies of heart muscle at rest and with stress and spect 78452

Nuclear medicine studies of the heart involve two parts: rest and stress. During rest, images are taken of your heart at ease. During stress, images are taken after exercise or medication-induced stress. SPECT is a special imaging technique providing 3D pictures of your heart, helping identify any issues.

20 services20 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

15 services15 patients

Electrocardiogram (ecg) up to 30 days continuous with symptom monitoring, transmission and review and report by health care professional 93272

An Electrocardiogram (ECG) is a test that records the electrical activity of your heart. For up to 30 days, a device will continuously monitor your heart's rhythm, noting any symptoms. The data is sent to a healthcare professional who reviews it and provides a report on your heart health.

14 services14 patients

Ultrasound of heart with probe in esophagus, with report 93312

This procedure, called a transesophageal echocardiogram, uses a small probe passed into your esophagus to capture detailed images of your heart. The report provides information about your heart's structure and function.

13 services13 patients

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.

13 services11 patients

Hospital Affiliations CMS Care Compare 5

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

St Johns Hospital

Acute Care Hospitals · Springfield, IL

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number140053

Location800 E Carpenter StSpringfield, IL 62769 · Sangamon County

Emergency services Birthing friendly

Decatur Memorial Hospital

Acute Care Hospitals · Decatur, IL

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number140135

Location2300 North Edward StreetDecatur, IL 62526 · Macon County

Emergency services Birthing friendly

Memorial Medical Center

Acute Care Hospitals · Springfield, IL

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140148

Location701 N First StSpringfield, IL 62702 · Sangamon County

Emergency services Birthing friendly

Abraham Lincoln Memorial Hospital

Critical Access Hospitals · Lincoln, IL

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number141322

Location200 Stahlhut DriveLincoln, IL 62656 · Logan County

Emergency services

Taylorville Memorial Hospital

Critical Access Hospitals · Taylorville, IL

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number141339

Location201 East Pleasant StreetTaylorville, IL 62568 · Christian County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62702 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

$127.46 typical visit price

range $54.80 – $168.44

Typical copayment $31.86 (range $13.70 – $42.11)

Most-billed visit code 99204

Established Patient

$68.64 typical visit price

range $17.16 – $136.56

Typical copayment $17.16 (range $4.29 – $34.14)

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.

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.

95.01/100

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

Scored through an Alternative Payment Model

Quality

80.02

Promoting Interoperability

100

Improvement Activities

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.

JILLIAN HENRY M.D.

Obstetrics & Gynecology

747 N RUTLEDGE ST, 2ND FLOOR
SPRINGFIELD, IL 62702

Sangamon County (217) 757-7932

FRANCES TANGHERLINI LEE M.D.

Surgery

747 N RUTLEDGE ST
SPRINGFIELD, IL 62702

Sangamon County (217) 545-8000

HEALTHCARE NETWORK ASSOCIATES

Obstetrics & Gynecology

747 N RUTLEDGE ST, BAYLIS BUILDING, 2ND FLOOR
SPRINGFIELD, IL 62702

Sangamon County (217) 757-7932

MICHAEL HYUN-OOK KIM MD

Internal Medicine (Cardiovascular Disease)

747 N RUTLEDGE ST, 5TH FLOOR
SPRINGFIELD, IL 62702

Sangamon County (217) 545-8000

MELINDA K ISAACS RPH

Pharmacist

747 N RUTLEDGE ST
SPRINGFIELD, IL 62702

Sangamon County (217) 523-0846

DR. MOHAMED RAFA LABEDI MD

Internal Medicine (Cardiovascular Disease)

747 N RUTLEDGE ST
SPRINGFIELD, IL 62702

Sangamon County (217) 545-8000

SARA KEBEDE MD, MSCR

Plastic Surgery

747 N RUTLEDGE ST
SPRINGFIELD, IL 62702

Sangamon County (217) 545-6112

DR. KATIE MCGLONE MD

Plastic Surgery

747 N RUTLEDGE ST
SPRINGFIELD, IL 62702

Sangamon County (217) 545-6112

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 Abhishek Kulkarni's NPI number?

The NPI number for Abhishek Kulkarni is 1437399391. It was assigned to this individual provider in the NPPES registry on March 4, 2009.

Where is Abhishek Kulkarni located?

Abhishek Kulkarni practices at 747 N Rutledge St 5th Floor, Springfield, IL 62702. The listed phone number is (217) 545-8000.

What is Abhishek Kulkarni's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Abhishek Kulkarni enrolled in Medicare?

Yes. Abhishek 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 Abhishek Kulkarni's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Abhishek Kulkarni reassigns Medicare benefits to 2 organizations: Siu Physicians & Surgeons, Inc (Springfield, IL) and Board Of Trustees Of Southern Illinois University (Springfield, IL). 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 Abhishek Kulkarni's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Abhishek Kulkarni affiliated with any hospitals?

According to CMS data, Abhishek Kulkarni is affiliated with St Johns Hospital, Decatur Memorial Hospital, Memorial Medical Center, Abraham Lincoln Memorial Hospital and Taylorville Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Abhishek Kulkarni was last updated on October 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.