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: July 19, 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
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

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

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

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.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Follow-up hospital inpatient care per day, typically 35 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.
268 services107 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.
91 services32 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.
65 services65 patients
Follow-up hospital inpatient care per day, typically 25 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.
24 services13 patients
Initial hospital inpatient care per day, typically 70 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.
17 services17 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.

Pharmacist
530 NE GLEN OAK AVE
PEORIA, IL 61637
Internal Medicine
530 NE GLEN OAK AVE
PEORIA, IL 61637
Pathology (Anatomic Pathology & Clinical Pathology)
530 NE GLEN OAK AVE
PEORIA, IL 61637
Pediatrics (Pediatric Critical Care Medicine)
530 NE GLEN OAK AVE
PEORIA, IL 61637
Family Medicine
530 NE GLEN OAK AVE
PEORIA, IL 61637
Nurse Practitioner (Family)
530 NE GLEN OAK AVE
PEORIA, IL 61637
Nurse Practitioner
530 NE GLEN OAK AVE
PEORIA, IL 61637
Emergency Medicine
530 NE GLEN OAK AVE
PEORIA, IL 61637

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1447747514, enumerated as an "individual" on April 15, 2018.

The provider is located at 530 NE GLEN OAK AVE PEORIA, IL 61637 and the phone number is (309) 624-9351.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

The provider might be accepting Accepts: Oscar Health Plan, Inc.. Please consult your insurance carrier or call the provider to verify.