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PRATIKSHYA KARKI MD
NPI 1780146324
Pediatrics in Franklin, IN

Active since April 02, 2019PECOS Enrolled
1159 W JEFFERSON ST STE 304, FRANKLIN, IN 46131(317) 736-5515 Get Directions Write a Review

NPPES record last updated: September 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 21, 2022, Apr 2, 2019 (2 updates tracked since 2019).

About Pratikshya Karki Md NPPES

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

PRATIKSHYA KARKI MD (NPI 1780146324) is an individual pediatrics provider in Franklin, Indiana, licensed in Indiana (01088354A) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1780146324
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NamePRATIKSHYA KARKICredential: MD
Location Address1159 W JEFFERSON ST STE 304Franklin, IN 46131-2795
Mailing Address1159 W Jefferson St Ste 304Franklin, IN 46131-2795 · (317) 736-3300
Phone(317) 736-5515
Sole ProprietorNo
Enumeration DateApril 2, 2019
Last NPPES UpdateSeptember 21, 20222 updates tracked since enumeration
NPPES CertifiedSeptember 21, 2022
✔ NPI 1780146324 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in IN · 01088354A
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1159 W JEFFERSON ST STE 304, Franklin, IN 46131
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Pratikshya Karki Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46131 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

Other Providers at the Same Location NPPES 2

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

DR. JOHN E MONTGOMERY MD
Pediatrics
1159 W JEFFERSON ST STE 304
FRANKLIN, IN 46131
Johnson County (317) 736-5515
AMBER B BRAY APP
Nurse Practitioner (Pediatrics)
1159 W JEFFERSON ST STE 304
FRANKLIN, IN 46131
Johnson County (317) 736-5515

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 Pratikshya Karki's NPI number?

The NPI number for Pratikshya Karki is 1780146324. It was assigned to this individual provider in the NPPES registry on April 2, 2019.

Where is Pratikshya Karki located?

Pratikshya Karki practices at 1159 W Jefferson St Ste 304, Franklin, IN 46131. The listed phone number is (317) 736-5515.

What is Pratikshya Karki's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Pratikshya Karki enrolled in Medicare?

Yes. Pratikshya Karki is registered in the Medicare PECOS enrollment system.

What insurance does Pratikshya Karki accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and UnitedHealthcare list Pratikshya Karki 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.

When was this NPI record last updated?

The NPPES record for Pratikshya Karki was last updated on September 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.