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SWATI KULKARNI MD
NPI 1588662928
Surgery - Surgical Oncology in Chicago, IL

Active since July 11, 2005PECOS EnrolledAccepts Medicare Assignment
94.1/100
CMS Quality Rating
250 E SUPERIOR ST, SUITE 420, CHICAGO, IL 60611(312) 503-2899(312) 695-7814 Get Directions Write a Review

NPPES record last updated: February 3, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Swati Kulkarni Md NPPES

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

SWATI KULKARNI MD (NPI 1588662928) is an individual surgical oncology provider in Chicago, Illinois, licensed in Illinois (036108801) and active in the NPI registry since July 2005. She is enrolled in Medicare PECOS, is affiliated with Northwestern Memorial Hospital, and is a graduate of Medical College Of Pennsylvania (1995).

NPPES Registry Identity

NPI1588662928
Entity TypeIndividualFemale
Primary Taxonomy2086X0206X
Provider Legal NameSWATI KULKARNICredential: MD
Location Address250 E SUPERIOR ST, SUITE 420Chicago, IL 60611-2914
Mailing Address250 E Superior St, Suite 420Chicago, IL 60611-2914 · (312) 503-2899 · Fax (312) 695-7814
Phone(312) 503-2899
Fax(312) 695-7814
Sole ProprietorNo
Medical School CMSMedical College Of PennsylvaniaGraduated 1995
Enumeration DateJuly 11, 2005
Last NPPES UpdateFebruary 3, 2016
✔ NPI 1588662928 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Surgical OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2086X0206X
License✔ Licensed in IL · 036108801
Definition

A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research.

250 E SUPERIOR ST, Chicago, IL 60611
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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

Swati 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 ID1658345525
PECOS Enrollment IDI20111013000656
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 9

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, 20-29 minutes 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.
40 services37 patients
Partial removal of breast 19301
A partial removal of the breast, also known as a lumpectomy, involves taking out a portion of the breast tissue to eliminate concerning cells. It's typically performed when the problem area is limited in size. This procedure helps to preserve most of the breast's appearance while aiming to remove all the unhealthy cells.
23 services21 patients
New patient office or other outpatient visit, 60-74 minutes 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
21 services21 patients
Established patient office or other outpatient visit, 30-39 minutes 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.
19 services14 patients
Repair of wound of trunk by transferring skin, 10.1-30.0 sq cm 14001
This procedure involves treating a wound on the body by moving skin from one area to another. The transferred skin, ranging from 10.1-30.0 sq cm, helps cover and heal the wound. It's a common way to promote healing for large or deep wounds.
18 services17 patients
Biopsy or removal of deep lymph nodes of underarm 38525
A biopsy or removal of deep underarm lymph nodes is a procedure where a small sample of lymph node tissue is taken for testing. This helps in diagnosing or ruling out conditions like infections or cancers. It involves a small incision and is typically done under local or general anesthesia.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Northwestern Memorial Hospital

Acute Care Hospitals · Chicago, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140281
Location251 E Huron StChicago, IL 60611 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60611 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
$183.39 typical visit price
range $60.08 – $183.39
Typical copayment $45.84 (range $15.02 – $45.84)
Most-billed visit code 99205
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
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.

94.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality82.59
Promoting Interoperability100
Improvement Activities40

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. PATRICIA J KARSTAEDT M.D.
Radiology (Diagnostic Radiology)
250 E SUPERIOR ST, LYNN SAGE BREAST CENTER, 4TH FLOOR
CHICAGO, IL 60611
Cook County (312) 472-0436
MS. MEGAN M. HINTON MS, CGC
Genetic Counselor, MS
250 E SUPERIOR ST, SUITE 05-2221
CHICAGO, IL 60611
Cook County (312) 472-4151
DR. DORE HOCH SOBEL MD
Pediatrics
250 E SUPERIOR ST, 5-2149
CHICAGO, IL 60611
Cook County (312) 695-5436
ETHAN HIXSON PA-C
Physician Assistant (Medical)
250 E SUPERIOR ST, PRENTICE, 4-420
CHICAGO, IL 60611
Cook County (312) 472-0440
MARINA I FELDMAN MD, MBA
Radiology (Diagnostic Radiology)
250 E SUPERIOR ST, RM 4-2304
CHICAGO, IL 60611
Cook County (617) 548-8181
LAURA KATHRYN STOCK MD
Obstetrics & Gynecology
250 E SUPERIOR ST
CHICAGO, IL 60611
Cook County (000) 000-0000
MRS. ERIN ELIZABETH O'BRIEN APN
Nurse Practitioner (Neonatal, Critical Care)
250 E SUPERIOR ST
CHICAGO, IL 60611
Cook County (312) 472-1000
NAN ROTHROCK PH.D.
Psychologist (Clinical)
250 E SUPERIOR ST
CHICAGO, IL 60611
Cook County (312) 503-3514

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 Swati Kulkarni's NPI number?

The NPI number for Swati Kulkarni is 1588662928. It was assigned to this individual provider in the NPPES registry on July 11, 2005.

Where is Swati Kulkarni located?

Swati Kulkarni practices at 250 E Superior St Suite 420, Chicago, IL 60611. The listed phone number is (312) 503-2899.

What is Swati Kulkarni's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Surgical Oncology, with taxonomy code 2086X0206X.

Is Swati Kulkarni enrolled in Medicare?

Yes. Swati 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.

Is Swati Kulkarni affiliated with any hospitals?

According to CMS data, Swati Kulkarni is affiliated with Northwestern Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Swati Kulkarni was last updated on February 3, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.