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NEHA KULKARNI MD
NPI 1447747514
Student in an Organized Health Care Education/Training Program in Peoria, IL

Active since April 15, 2018PECOS EnrolledAccepts Medicare Assignment
92.29/100
CMS Quality Rating
530 NE GLEN OAK AVE, PEORIA, IL 61637(309) 624-9351 Get Directions Write a Review

NPPES record last updated: April 15, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Neha Kulkarni Md NPPES

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

NEHA KULKARNI MD (NPI 1447747514) is an individual student in an organized health care education/training program in Peoria, Illinois and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1447747514
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameNEHA KULKARNICredential: MD
Location Address530 NE GLEN OAK AVEPeoria, IL 61637-0001
Mailing Address530 Ne Glen Oak AvePeoria, IL 61637-0001 · (309) 624-9351
Phone(309) 624-9351
Sole ProprietorYes
Medical School CMSOtherGraduated 2013
Enumeration DateApril 15, 2018
✔ NPI 1447747514 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
530 NE GLEN OAK AVE, Peoria, IL 61637
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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

Neha 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 ID5991193757
PECOS Enrollment IDI20211027001674
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

5

Medicare enrollment records show Neha Kulkarni reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Banner Physician Specialists Arizona LLC
1,206 mi
Multi-Specialty
601 N NAVAJO
Page, AZ 86040
  • Reassigned Medicare billing, Arizona enrollment
  • Medicare enrollment name: Banner Hospital Based Physicians Arizona LLC
  • 1,081 clinicians in this Medicare group
NPI 1366799355 (928) 645-0131
Exceptional Physicians Group Prescott Hospital PLLC
1,315 mi
Emergency Medical Services
4822 E STATE ROUTE 69
Prescott, AZ 86301
  • Reassigned Medicare billing, Arizona enrollment
  • 123 clinicians in this Medicare group
NPI 1720807670 (972) 740-9335
Exceptional Physicians Group Arizona PLLC
1,346 mi
Emergency Medical Services
19060 N JOHN WAYNE PARKWAY
Maricopa, AZ 85139
  • Reassigned Medicare billing, Arizona enrollment
  • 159 clinicians in this Medicare group
NPI 1447910229 (480) 631-0678
Exceptional Physicians Group Bullhead City Hospital PLLC
1,415 mi
Emergency Medical Services
2365 HIGHWAY 95
Bullhead City, AZ 86442
  • Reassigned Medicare billing, Arizona enrollment
  • 147 clinicians in this Medicare group
NPI 1518732023 (928) 224-2443
Exceptional Physicians Group Yuma Hospital PLLC
1,484 mi
Emergency Medicine
2648 S ARABY RD
Yuma, AZ 85365
  • Reassigned Medicare billing, Arizona enrollment
  • 147 clinicians in this Medicare group
NPI 1235857699 (469) 341-7800

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 6

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.

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.
372 services175 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.
142 services86 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
109 services105 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
41 services21 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
24 services23 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
21 services21 patients

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.

92.29/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability98
Improvement Activities40
Cost66.94

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$14.86 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers14 claims14 services$58.07 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

DR. HAMID MAHMOOD ZIA M.D
Pathology (Anatomic Pathology & Clinical Pathology)
530 NE GLEN OAK AVE, CENTRAL ILLINOIS PATHOLOGY SC
PEORIA, IL 61637
Peoria County (309) 624-9011
THOMAS JAMES MCMORROW MD
Pediatrics
530 NE GLEN OAK AVE
PEORIA, IL 61637
Peoria County (309) 655-2553
ALEXANDRA ROPER MD
Surgery
530 NE GLEN OAK AVE
PEORIA, IL 61637
Peoria County (309) 655-2000
JAPMEHR KAUR SANDHU M.B.B.S.
Student in an Organized Health Care Education/Training Program
530 NE GLEN OAK AVE
PEORIA, IL 61637
Peoria County (309) 624-9351
THOMAS BLACKWELL JR. MD
Student in an Organized Health Care Education/Training Program
530 NE GLEN OAK AVE
PEORIA, IL 61637
Peoria County (309) 655-2000
LUKE KLOFT
Student in an Organized Health Care Education/Training Program
530 NE GLEN OAK AVE
PEORIA, IL 61637
Peoria County (309) 655-2109
ABIGAIL V. WELU DO
Student in an Organized Health Care Education/Training Program
530 NE GLEN OAK AVE
PEORIA, IL 61637
Peoria County (309) 655-6710
DR. JAMES DANIEL DEWAR D.O.
Internal Medicine (Interventional Cardiology)
530 NE GLEN OAK AVE
PEORIA, IL 61637
Peoria County (309) 655-7257

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 Neha Kulkarni's NPI number?

The NPI number for Neha Kulkarni is 1447747514. It was assigned to this individual provider in the NPPES registry on April 15, 2018.

Where is Neha Kulkarni located?

Neha Kulkarni practices at 530 NE Glen Oak Ave, Peoria, IL 61637. The listed phone number is (309) 624-9351.

What is Neha Kulkarni's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Neha Kulkarni enrolled in Medicare?

Yes. Neha 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 Neha Kulkarni's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Neha Kulkarni reassigns Medicare benefits to 5 organizations: Banner Physician Specialists Arizona LLC (Page, AZ), Exceptional Physicians Group Prescott Hospital PLLC (Prescott, AZ), Exceptional Physicians Group Arizona PLLC (Maricopa, AZ), Exceptional Physicians Group Bullhead City Hospital PLLC (Bullhead City, AZ) and Exceptional Physicians Group Yuma Hospital PLLC (Yuma, 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 Neha Kulkarni's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Neha Kulkarni was last updated on April 15, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.