VANDANA SUSMI KULKARNI M.D. NPI 1619924313
Anesthesiology in Evanston, IL
About VANDANA SUSMI KULKARNI M.D.
Vandana Kulkarni is an anesthesiologist established in Evanston, Illinois and her medical specialization is Anesthesiology with more than 36 years of experience. She graduated from Medical College Of Wisconsin in 1987. The NPI number of Vandana Kulkarni is 1619924313 and was assigned on May 2006. The practitioner's primary taxonomy code is 207L00000X. The provider is registered as an individual and her NPI record was last updated 16 years ago.
| NPI | 1619924313 |
| Provider Name | VANDANA SUSMI KULKARNI M.D. |
| Location Address | 2650 RIDGE AVE EVANSTON HOSPITAL RM 1210 EVANSTON, IL 60201 |
| Location Phone | (847) 570-1206 |
| Mailing Address | 2650 RIDGE AVE EVANSTON HOSPITAL RM 1210 EVANSTON, IL 60201 |
| Gender | Female |
| NPI Entity Type | Individual |
| Medical School Name | MEDICAL COLLEGE OF WISCONSIN |
| Graduation Year | 1987 |
| Is Sole Proprietor? | N/A |
| Enumeration Date | 05-28-2006 |
| Last Update Date | 07-08-2007 |
An anesthesiologist like Vandana Susmi Kulkarni M.d. manages the care of surgical patients and pain relief through drug administration that reduces or eliminates pain during an operation, medical procedure or during labor and delivery of babies. During surgical procedures anesthesiologists are responsible for adjusting the amount of anesthetic, monitoring the patient's heart rate, body temperature, blood pressure and breathing.Vandana Kulkarni is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Vandana Kulkarni is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data she has hospital affiliations with .
The provider participated in Medicare's Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 94, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.
Primary Taxonomy
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
| Taxonomy Code | 207L00000X |
| Classification | Anesthesiology |
| Type | Allopathic & Osteopathic Physicians |
| License State | IL |
| Taxonomy Description | An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
Accepted Insurance
The NPI profile data indicates this provider might be enrolled and accepting insurance plans from the following companies or healthcare programs:
- Medicaid
- Medicare
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Business Address
VANDANA SUSMI KULKARNI M.D.
2650 RIDGE AVE
EVANSTON HOSPITAL RM 1210
EVANSTON, IL
ZIP 60201
Phone: (847) 570-1206
Fax: (847) 570-1248
Mailing Address
VANDANA SUSMI KULKARNI M.D.
2650 RIDGE AVE
EVANSTON HOSPITAL RM 1210
EVANSTON, IL
ZIP 60201
Phone: (847) 570-1206
Fax: (847) 570-1248
Location Map
PECOS Enrollment and Medicare Participation Status
What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
| Registered in PECOS? | Yes |
| PECOS PAC ID | 9537160650 |
| PECOS Enrollment ID | I20070116000349 |
| Accepts Medicare Assignment? | Yes "What does it mean "accepts medicare assignment"? When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts. A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer. |
| Eligible order / refer Part B Clinical Laboratory and Imaging | Yes |
| Eligible order / refer Durable Medical Equipment | Yes |
| Eligible order / refer Home Health Agency (HHA) | Yes |
| Eligible order / refer Power Mobility Devices | Yes |
Overall MIPS Quality Performance
The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in Medicare's Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.
| MIPS Measure | Score Weight | Score | |
|---|---|---|---|
| Quality | 40% | 100 | |
|
The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores. There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey. |
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| Promoting Interoperability (PI) | 25% | 80 | |
|
The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores. The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data. |
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| Improvement Activities | 15% | 40 | |
|
The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores. |
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| Cost | 20% | N/A | |
|
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services. Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores. |
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| MIPS Final Score | - | 94 | |
| The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment. | |||
Clinician Utilization
The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.
- 54Anesthesia for procedure on lower intestine using an endoscope (HCPCS:00810)
- 46Anesthesia for procedure on gastrointestinal tract using an endoscope (HCPCS:00740)
- 35Anesthesia for lens surgery (HCPCS:00142)
Additional Identifiers
Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State |
|---|---|---|
| F74454 | MEDICARE UPIN (02) |
NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 6 | 1 | 9 | 9 | 2 | 4 | 3 | 1 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 2 | 9 | 18 | 2 | 8 | 3 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 2 + 9 + 1 + 8 + 2 + 8 + 3 + 2 + 24 = 67 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 67 = 3 | 3 | ||||||||
The NPI number 1619924313 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1669476545 | STEVEN C SMART MD Individual | Internal Medicine (Cardiovascular Disease) | 2650 RIDGE AVE EVANSTON, IL 60201 (847) 570-2000 |
| 1437150471 | ANDREA PARKS PA-C Individual | Physician Assistant (Surgical) | 2650 RIDGE AVE DIVISION OF NEUROSURGERY EVANSTON, IL 60201 (847) 570-1440 |
| 1952386427 | MRS. GWEN GASSMAN FRALEY M.S., C.G.C. Individual | Genetic Counselor, MS | 2650 RIDGE AVE FETAL DIAGNOSTICS EVANSTON, IL 60201 (847) 570-2864 |
| 1699750174 | MS. ELIZABETH A. LEETH M.S. Individual | Genetic Counselor, MS | 2650 RIDGE AVE FETAL DIAGNOSTICS, RM 1400 EVANSTON, IL 60201 (847) 570-1380 |
| 1912985888 | ARSHDEEP SINGH JAWANDHA M.B.,B.S. Individual | Psychiatry & Neurology (Psychiatry) | 2650 RIDGE AVE C/O LINDA GARFIELD DEP OF PSYCHIATRY 5TH FL LOIUS BLDG EVANSTON, IL 60201 (847) 570-2683 |
| 1497714869 | DORIS LAI MING YIP M.D. Individual | Radiology (Neuroradiology) | 2650 RIDGE AVE DEPARTMENT OF RADIOLOGY, G507 EVANSTON, IL 60201 (847) 570-2475 |
| 1487606109 | PHILIP H SHERIDAN JR. MD Individual | Internal Medicine (Pulmonary Disease) | 2650 RIDGE AVE EVANSTON, IL 60201 (847) 675-1960 |
| 1700833522 | MS. ANNE P. SEBASTIAN PA Individual | Physician Assistant | 2650 RIDGE AVE BURCH 106 EVANSTON, IL 60201 (847) 570-1328 |
| 1811944184 | TED E FELDMAN M.D. Individual | Internal Medicine (Cardiovascular Disease) | 2650 RIDGE AVE EVANSTON HOSPITAL RM 1210 EVANSTON, IL 60201 (847) 570-1206 |
| 1043267461 | MARK DIETERICH M.D. Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 2650 RIDGE AVE EVANSTON HOSPITAL RM 1210 EVANSTON, IL 60201 (847) 570-1206 |
| 1205883485 | MOHAMED ELDIBANY MB, BCH Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 2650 RIDGE AVE EVANSTON HOSPITAL RM 1210 EVANSTON, IL 60201 (847) 570-1206 |
| 1295772119 | PATRICK J GAVIN M.D. Individual | Pathology (Clinical Pathology/Laboratory Medicine) | 2650 RIDGE AVE EVANSTON HOSPITAL EVANSTON, IL 60201 (847) 570-1206 |
| 1194762013 | MALCOLM V VYE M.D. Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 2650 RIDGE AVE EVANSTON HOSPITAL EVANSTON, IL 60201 (847) 570-2040 |
| 1922055144 | MICHELANGELO A MILANO M.D. Individual | Pathology (Anatomic Pathology) | 2650 RIDGE AVE EVANSTON HOSPITAL EVANSTON, IL 60201 (847) 570-1206 |
| 1376580704 | KRISTI K KILLELEA PHARM.D. Individual | Pharmacist (Pharmacotherapy) | 2650 RIDGE AVE INPATIENT PHARMACY EVANSTON, IL 60201 (847) 570-4113 |
| 1962441584 | VATHSALA T RAGHAVAN M.D. Individual | Specialist | 2650 RIDGE AVE EVANSTON, IL 60201 (847) 570-2590 |
| 1033158639 | WILLIAM DAVID BLOOMER M.D. Individual | Specialist | 2650 RIDGE AVE EVANSTON, IL 60201 (847) 570-2590 |
| 1184664161 | DR. HELEN C. LIN MD Individual | Psychiatry & Neurology (Neurology) | 2650 RIDGE AVE NEUROLOGY BURCH 309 EVANSTON, IL 60201 (847) 570-2570 |
| 1487695045 | CURTIS RAY HALL M.D. Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 2650 RIDGE AVE EVANSTON HOSPITAL RM 1210 EVANSTON, IL 60201 (847) 570-1206 |
| 1568403004 | DR. LISA MARIE MICHENER PHARM.D., M.S. Individual | Pharmacist | 2650 RIDGE AVE EVANSTON, IL 60201 (847) 570-1580 |
Frequently Asked Questions
What is Vandana Kulkarni M.D. NPI number?
The NPI number assigned to Vandana Kulkarni M.D. is 1619924313, registered as an "individual" on May 28, 2006
Where is Vandana Kulkarni M.D. located?
The provider is located at 2650 Ridge Ave Evanston Hospital Rm 1210 Evanston, Il 60201 and the phone number is (847) 570-1206
Which is Vandana Kulkarni M.D. specialty?
The provider's speciality is Anesthesiology
How many years of experience does Vandana Kulkarni M.D. have?
The provider has more than 36 years of experience. She graduated from Medical College Of Wisconsin in 1987.
What insurance does Vandana Kulkarni M.D. accept?
The provider might be accepting Medicaid and Medicare. Please consult your insurance carrier or call the provider to make sure your insurance plan is currently accepted.
Is Vandana Kulkarni M.D. registered in PECOS?
Yes, as of January 10, 2023 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a Medicare beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What are Vandana Kulkarni M.D. Quality Ratings?
The provider has an overall high rating in the following quality measures: quality clinical practices and patient outcomes and experiences , uses technology to exchange and make use of healthcare information.
What are some of the services provided by Vandana Kulkarni M.D.?
The most common procedures or services performed by this practitioner are: Anesthesia for procedure on lower intestine using an endoscope, Anesthesia for procedure on gastrointestinal tract using an endoscope and Anesthesia for lens surgery.
How do I update my NPI information?
The NPI record of Vandana Kulkarni M.D. was last updated on May 28, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected]
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