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DR. BHALACHANDRA A KULKARNI MD
NPI 1609953272
Family Medicine in Albuquerque, NM

Active since November 01, 2006PECOS EnrolledAccepts Medicare Assignment
83.84/100
CMS Quality Rating
12836 LOMAS BLVD NE, SUITE D, ALBUQUERQUE, NM 87112(505) 298-0230(505) 296-0171 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Bhalachandra A Kulkarni Md NPPES

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

DR. BHALACHANDRA A KULKARNI MD (NPI 1609953272) is an individual family medicine provider in Albuquerque, New Mexico, licensed in New Mexico (83/234) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, is affiliated with Lovelace Women's Hospital, and is a graduate of Other (1972).

NPPES Registry Identity

NPI1609953272
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. BHALACHANDRA A KULKARNICredential: MD
Location Address12836 LOMAS BLVD NE, SUITE DAlbuquerque, NM 87112-6210
Mailing Address12836 Lomas Blvd Ne, Suite DAlbuquerque, NM 87112-6210 · (505) 298-0230 · Fax (505) 296-0171
Phone(505) 298-0230
Fax(505) 296-0171
Sole ProprietorYes
Medical School CMSOtherGraduated 1972
Enumeration DateNovember 1, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1609953272 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NM · 83/234
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.
12836 LOMAS BLVD NE, Albuquerque, NM 87112
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Other Identifiers 2

Medicare UPINC97908NM
Medicare ID-Type Unspecified2126704NM

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Superior HealthPlan, Ambetter of Oklahoma.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. Bhalachandra A 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 ID4880843143
PECOS Enrollment IDI20121001000299
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 7

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 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.
107 services80 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.
82 services64 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
70 services53 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
68 services68 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
67 services65 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
58 services58 patients

Hospital Affiliations CMS Care Compare 2

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

Lovelace Women's Hospital

Acute Care Hospitals · Albuquerque, NM
1/5 CMS rating
OwnershipProprietary
CMS Certification Number320017
Location4701 Montgomery Boulevard NEAlbuquerque, NM 87109 · Bernalillo County
Emergency services Birthing friendly

Presbyterian Hospital

Acute Care Hospitals · Albuquerque, NM
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number320021
Location1100 Central Avenue SEAlbuquerque, NM 87106 · Bernalillo County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87112 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
$84.79 typical visit price
range $54.26 – $166.80
Typical copayment $21.19 (range $13.56 – $41.70)
Most-billed visit code 99203
Established Patient
$96.38 typical visit price
range $17.00 – $135.35
Typical copayment $24.09 (range $4.25 – $33.83)
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.

83.84/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality84.59
Promoting Interoperability100
Improvement Activities40
Cost58.63

Referred Medical Equipment & Supplies CMS DME claims 3

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
6 suppliers22 claims29 services$6.69 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers27 claims27 services$16.19 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
4 suppliers38 claims38 services$75.27 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 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. ELLEN M. CURLEY-ROAM LISW
Social Worker (Clinical)
12836 LOMAS BLVD NE, SUITE B
ALBUQUERQUE, NM 87112
Bernalillo County (505) 306-6047
MS. BONITA RAE WICKSTROM LISW
Social Worker
12836 LOMAS BLVD NE, SUITE B
ALBUQUERQUE, NM 87112
Bernalillo County (505) 453-7862
MS. LUCY A BIRBIGLIA LCSW LISW
Social Worker (Clinical)
12836 LOMAS BLVD NE, SUITE B
ALBUQUERQUE, NM 87112
Bernalillo County (505) 307-3718
BONITA WICKSTROM INC
Social Worker (Clinical)
12836 LOMAS BLVD NE, SUITE B
ALBUQUERQUE, NM 87112
Bernalillo County (505) 453-7862
MS. LYNETTE A CURLEY-ROAM LISW, REV.
Social Worker (Clinical)
12836 LOMAS BLVD NE, STE. B
ALBUQUERQUE, NM 87112
Bernalillo County (505) 306-6272

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 Bhalachandra Kulkarni's NPI number?

The NPI number for Bhalachandra Kulkarni is 1609953272. It was assigned to this individual provider in the NPPES registry on November 1, 2006.

Where is Bhalachandra Kulkarni located?

Bhalachandra Kulkarni practices at 12836 Lomas Blvd NE Suite D, Albuquerque, NM 87112. The listed phone number is (505) 298-0230.

What is Bhalachandra Kulkarni's specialty?

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

Is Bhalachandra Kulkarni enrolled in Medicare?

Yes. Bhalachandra 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.

What insurance does Bhalachandra Kulkarni accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Superior HealthPlan and Ambetter of Oklahoma list Bhalachandra Kulkarni 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 Bhalachandra Kulkarni affiliated with any hospitals?

According to CMS data, Bhalachandra Kulkarni is affiliated with Lovelace Women's Hospital and Presbyterian Hospital.

When was this NPI record last updated?

The NPPES record for Bhalachandra Kulkarni was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.