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DR. ARATI SUBHASH KARNIK M.D.
NPI 1528294402
Family Medicine in Philadelphia, PA

Active since June 04, 2009PECOS EnrolledAccepts Medicare Assignment
8815 GERMANTOWN AVE, 5TH FLOOR, PHILADELPHIA, PA 19118(215) 248-8145(215) 248-8852 Get Directions Write a Review

NPPES record last updated: September 28, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Arati Subhash Karnik M.d. NPPES

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

DR. ARATI SUBHASH KARNIK M.D. (NPI 1528294402) is an individual family medicine provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD440321) and active in the NPI registry since June 2009. She is enrolled in Medicare PECOS, is affiliated with Einstein Medical Center Montgomery, and is a graduate of Temple University School Of Medicine (2006).

NPPES Registry Identity

NPI1528294402
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. ARATI SUBHASH KARNIKCredential: M.D.
Location Address8815 GERMANTOWN AVE, 5TH FLOORPhiladelphia, PA 19118-2722
Mailing Address8815 Germantown Ave, 5th FloorPhiladelphia, PA 19118-2722 · (215) 248-8145
Phone(215) 248-8145
Fax(215) 248-8852
Sole ProprietorNo
Medical School CMSTemple University School Of MedicineGraduated 2006
Enumeration DateJune 4, 2009
Last NPPES UpdateSeptember 28, 2010
✔ NPI 1528294402 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in PA · MD440321✔ Licensed in NY · 252720
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
8815 GERMANTOWN AVE, Philadelphia, PA 19118
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Other Identifiers 2

Medicaid102498805PA
Medicare PIN186335VX8PA

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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Arati Subhash Karnik 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 ID1759436256
PECOS Enrollment IDI20100920000638
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 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.
37 services32 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.
25 services17 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.
19 services15 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.
14 services14 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Einstein Medical Center Montgomery

Acute Care Hospitals · East Norriton, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390329
Location559 West Germantown PikeEast Norriton, PA 19403 · Montgomery County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19118 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
58%484 patients3/55-star benchmark: 92%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
49%750 patients3/55-star benchmark: 85%
Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
19%273 patients1/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
97%2,954 patients4/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
69%493 patients4/55-star benchmark: 88%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
89%279 patients2/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
32%2,350 patients2/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
99%2,350 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
24%2,350 patients2/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
28%2,350 patients
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.

Referred Medical Equipment & Supplies CMS DME claims

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
7 suppliers13 claims21 services$4.41 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.

NORTHWEST SURGICAL ASSOCIATES
Specialist
8815 GERMANTOWN AVE, SUITE 20
PHILADELPHIA, PA 19118
Philadelphia County (215) 242-4700
SUSAN MCGHEE PIERCE MPT, CDE
Physical Therapist
8815 GERMANTOWN AVE, SUITE 35
PHILADELPHIA, PA 19118
Philadelphia County (215) 248-8030
DR. DOUGLAS KLIGMAN M.D.
Dermatology (Procedural Dermatology)
8815 GERMANTOWN AVE, SUITE 30
PHILADELPHIA, PA 19118
Philadelphia County (215) 242-4680
VALERIE PENDLEY M.D.
Family Medicine
8815 GERMANTOWN AVE, 5TH FLOOR
PHILADELPHIA, PA 19118
Philadelphia County (215) 248-8145
PENNSYLVANIA MEDICAL PROFESSIONALS, PC
Obstetrics & Gynecology
8815 GERMANTOWN AVE, SUITE 40
PHILADELPHIA, PA 19118
Philadelphia County (215) 248-3100
PENNSYLVANIA MEDICAL PROFESSIONALS, PC
Internal Medicine
8815 GERMANTOWN AVE, SUITE 12
PHILADELPHIA, PA 19118
Philadelphia County (215) 247-8070
TODD D AARON MD F A C P PC
Internal Medicine
8815 GERMANTOWN AVE, SUITE 31
PHILADELPHIA, PA 19118
Philadelphia County (215) 247-7990
CHESTNUT HILL PODIATRY ASSOCIATES,P.C.
Podiatrist
8815 GERMANTOWN AVE, SUITE 11
PHILADELPHIA, PA 19118
Philadelphia County (215) 247-0879

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 Arati Karnik's NPI number?

The NPI number for Arati Karnik is 1528294402. It was assigned to this individual provider in the NPPES registry on June 4, 2009.

Where is Arati Karnik located?

Arati Karnik practices at 8815 Germantown Ave 5th Floor, Philadelphia, PA 19118. The listed phone number is (215) 248-8145.

What is Arati Karnik's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Arati Karnik enrolled in Medicare?

Yes. Arati 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 Arati Karnik accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Arati 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.

Is Arati Karnik affiliated with any hospitals?

According to CMS data, Arati Karnik is affiliated with Einstein Medical Center Montgomery.

When was this NPI record last updated?

The NPPES record for Arati Karnik was last updated on September 28, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.