Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. PRIYANKA KULKARNI MD
NPI 1992408165
Family Medicine in Howards Grove, WI

Q: What is Priyanka Kulkarni's NPI number?

The NPI number for Priyanka Kulkarni is 1992408165. It was assigned to this individual provider in the NPPES registry on March 24, 2023.

Q: What is Priyanka Kulkarni's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Priyanka Kulkarni was last updated on September 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 55 days 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.

Active since March 24, 2023PECOS Enrolled

620 S WISCONSIN DR, HOWARDS GROVE, WI 53083(920) 565-4595 Get Directions Write a Review

NPPES record last updated: September 11, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 11, 2026, Mar 30, 2023, Mar 24, 2023 (3 updates tracked since 2023).

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About Dr. Priyanka Kulkarni Md NPPES

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

DR. PRIYANKA KULKARNI MD (NPI 1992408165) is an individual family medicine provider in Howards Grove, Wisconsin, licensed in Wisconsin (85732) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS, maintains a secondary practice location in Wauwatosa, and is a graduate of Howard University College Of Medicine (2022).

NPPES Registry Identity

NPI1992408165

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameDR. PRIYANKA KULKARNICredential: MD

Location Address620 S WISCONSIN DRHowards Grove, WI 53083-1263

Mailing AddressPo Box 735044Chicago, IL 60673-5044 · (800) 326-2250

Phone(920) 565-4595

Sole ProprietorNo

Medical School CMSHoward University College Of MedicineGraduated 2022

Enumeration DateMarch 24, 2023

Last NPPES UpdateSeptember 11, 20263 updates tracked since enumeration

NPPES CertifiedSeptember 11, 2026

✔ NPI 1992408165 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in WI · 85732

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.

620 S WISCONSIN DR, Howards Grove, WI 53083

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Secondary Practice Location 1

Location 18701 Watertown Plank RdWauwatosa, WI 53226-3548 · Phone (414) 955-4669

Other Identifiers 1

Medicaid100324292WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), HealthPartners and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Priyanka Kulkarni Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3173977956

PECOS Enrollment IDI20260820002371

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 Priyanka Kulkarni reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Aurora Medical Group, Inc.

7.1 mi

Clinic/Center

2414 KOHLER MEMORIAL DR
Sheboygan, WI 53081

Reassigned Medicare billing, Wisconsin enrollment
4,609 clinicians in this Medicare group

NPI 1174670244 (920) 457-4461

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 53083 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

$82.92 typical visit price

range $53.90 – $163.24

Typical copayment $20.73 (range $13.47 – $40.81)

Most-billed visit code 99203

Established Patient

$95.41 typical visit price

range $17.40 – $133.76

Typical copayment $23.85 (range $4.35 – $33.44)

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 7

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

DR. CATHERINE M BEST MD

Internal Medicine (Addiction Medicine)