Individual provider Active NPI

Nupur Kulkarni, OD

  • Optometrist
  • Katy, TX
National Provider Identifier
1053178541
Registry record updated Aug 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
36350 Issued in CA
Practice address
22410 Sam Creek CT
Katy, TX 77494-2239
Phone
(832) 444-4487
NPI assigned
Mar 1, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 3, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 11036 TX
Optometrist 152W00000X 36350 CA Primary

Addresses

Primary practice location

22410 Sam Creek CT
Katy, TX 77494-2239

Mailing address

22410 Sam Creek CT
Katy, TX 77494-2239
Phone (832) 444-4487

Other practice location 1

5638 Mission Center Rd Ste 103
San Diego, CA 92108-4348
Phone (619) 295-2900

Other practice location 2

4822 Newport Ave
San Diego, CA 92107-3111
Phone (619) 222-0559

Other practice location 3

9320 Carmel Mountain Rd Ste E
San Diego, CA 92129-2159
Phone (858) 484-1500

Other practice location 4

812 N Imperial Ave
El Centro, CA 92243-1916
Phone (760) 352-7460

Other practice location 5

3451 S Dogwood Rd Ste 1334
El Centro, CA 92243-9140
Phone (760) 336-3003

Other practice location 6

10549 Scripps Poway Pkwy Ste G
San Diego, CA 92131-3963
Phone (858) 530-2800

Other practice location 7

3450 Kurtz St Ste D
San Diego, CA 92110-4451
Phone (619) 291-4810

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241121000082 TX Practitioner - Optometry 2961937487 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
DHHS PHS Naihs Shiprock HospitalGroup PAC ID 0749193837, 148 clinicians

Practice addresses (Care Compare)

6 Rd
Suite 7586
Bloomfield, NM 87413-4934
Phone (505) 368-6401

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11036TXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
DHHS,PHS,Naihs, Gallup Indian Medical Center CurrentSince Sep 14, 2024 Accepting new patients
DHHS, PHS, Naihs, Gallup Indian Medical Center CurrentSince Sep 14, 2024 Accepting new patients
DHHS, PHS, Naihs, Shiprock Hospital CurrentSince Dec 12, 2025 Accepting new patients
DHHS, PHS, Naihs, Shiprock Hospital CurrentSince Dec 12, 2025 Accepting new patients

Locations

6 Road 7586
Bloomfield, NM 87413
Phone (505) 368-8015

516 E Nizhoni Blvd
Gallup, NM 87301
Phone (505) 722-1326

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1709251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785715200000",
    "number": "1053178541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22410 SAM CREEK CT",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774942239",
            "telephone_number": "832-444-4487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22410 SAM CREEK CT",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774942239",
            "telephone_number": "832-444-4487"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5638 Mission Center Rd Ste 103",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921084348",
            "country_code": "US",
            "telephone_number": "619-295-2900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4822 Newport Ave",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921073111",
            "country_code": "US",
            "telephone_number": "619-222-0559",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9320 Carmel Mountain Rd Ste E",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921292159",
            "country_code": "US",
            "telephone_number": "858-484-1500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "812 N Imperial Ave",
            "address_purpose": "LOCATION",
            "city": "El Centro",
            "state": "CA",
            "postal_code": "922431916",
            "country_code": "US",
            "telephone_number": "760-352-7460",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3451 S Dogwood Rd Ste 1334",
            "address_purpose": "LOCATION",
            "city": "El Centro",
            "state": "CA",
            "postal_code": "922439140",
            "country_code": "US",
            "telephone_number": "760-336-3003",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10549 Scripps Poway Pkwy Ste G",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921313963",
            "country_code": "US",
            "telephone_number": "858-530-2800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3450 Kurtz St Ste D",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921104451",
            "country_code": "US",
            "telephone_number": "619-291-4810",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KULKARNI",
        "first_name": "NUPUR",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-01",
        "last_updated": "2026-08-03",
        "certification_date": "2026-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "11036",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "36350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

Verify at the official NPI Registry.