PRATIBHA KAUL MD
NPI 1871515197
Internal Medicine - Pulmonary Disease in Syracuse, NY

Active since July 24, 2006PECOS Enrolled
100/100
CMS Quality Rating
800 IRVING AVE, SYRACUSE, NY 13210(315) 425-4400 Get Directions Write a Review

NPPES record last updated: October 6, 2007. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Pratibha Kaul Md NPPES

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

PRATIBHA KAUL MD (NPI 1871515197) is an individual pulmonary disease provider in Syracuse, New York, licensed in New York (184211) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1871515197
Entity TypeIndividualFemale
Primary Taxonomy207RP1001X
Provider Legal NamePRATIBHA KAULCredential: MD
Location Address800 IRVING AVESyracuse, NY 13210-2716
Mailing Address800 Irving AveSyracuse, NY 13210-2716
Sole ProprietorNo
Enumeration DateJuly 24, 2006
Last NPPES UpdateOctober 6, 2007
✔ NPI 1871515197 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License✔ Licensed in NY · 184211
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal MedicineTaxonomy 207R00000X · License 184211 (NY)
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 184211 (NY)
800 IRVING AVE, Syracuse, NY 13210

Other Identifiers 2

Medicare UPINH20313
Medicare PINCC0275NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Pratibha Kaul 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.

Medicare Billing Reassignment

Medicare enrollment records show Pratibha Kaul reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sleep Medicine
64 POMEROY ST
Cortland, NY 13045
  • Reassigned Medicare billing, New York enrollment
  • 16 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13210 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
$126.40 typical visit price
range $54.87 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality95.74
Promoting Interoperability100
Improvement Activities40
Cost100

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.

Nurse Practitioner
800 IRVING AVE
SYRACUSE, NY 13210
Occupational Therapist
800 IRVING AVE, VETERAN'S ADM. MEDICAL CENTER-OCCUPATIONAL THERAPY
SYRACUSE, NY 13210
Pharmacist
800 IRVING AVE
SYRACUSE, NY 13210
Nurse Practitioner (Adult Health)
800 IRVING AVE, A 447
SYRACUSE, NY 13210
Psychologist
800 IRVING AVE
SYRACUSE, NY 13210
Physical Therapist
800 IRVING AVE
SYRACUSE, NY 13210
Social Worker (Clinical)
800 IRVING AVE
SYRACUSE, NY 13210
Nurse Practitioner (Family)
800 IRVING AVE
SYRACUSE, NY 13210

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 Pratibha Kaul's NPI number?

The NPI number for Pratibha Kaul is 1871515197. It was assigned to this individual provider in the NPPES registry on July 24, 2006.

Where is Pratibha Kaul located?

Pratibha Kaul practices at 800 Irving Ave, Syracuse, NY 13210. The listed phone number is (315) 425-4400.

What is Pratibha Kaul's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Pratibha Kaul enrolled in Medicare?

Yes. Pratibha Kaul is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Pratibha Kaul's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Pratibha Kaul reassigns Medicare benefits to Cortland Ent, PC (Cortland, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Pratibha Kaul's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Pratibha Kaul was last updated on October 6, 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.