Kailash Pradip Kulkarni, M.D.
Individual provider Active NPI Internal Medicine Physician · Calhoun, GA
NPI 1114116191 · NPPES record last updated Sep 9, 2021
Key facts
- NPI
- 1114116191
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 64128 (GA)
- Practice address
- 1035 Red Bud Rd NE
Calhoun, GA 30701-6010 - Phone
- (706) 879-4776
- Fax
- (706) 879-4781
- NPI assigned
- Oct 16, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Hospitalist
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Adventist Health System Georgia Inc
North Atlanta Professional Services LLC
Practice addresses (Care Compare)
1035 Red Bud Rd NE
Calhoun, GA 30701-6010
450 Northside Cherokee Blvd
Canton, GA 30115-8015
Phone (770) 224-1000
Hospital & facility affiliations
- Northside Hospital Cherokee
Merit-based Incentive Payment System (MIPS)
- Final score
- 98.79 of 100
- Quality
- 98.74
- Improvement activities
- 40
- Cost
- 83.11
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100818000701 | GA | Practitioner - Hospitalist |
0840324448 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 64128 | GA | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Atlanta Professional Services LLC | Hospitalist | Current |
Accepting new patients |
| Adventist Health System Georgia Inc | Current |
Accepting new patients | |
| Northside Hospital, Inc. | Past | Accepting new patients | |
| Ecc Hospitalist Services PC | Internal Medicine | Past | Accepting new patients |
Locations
1035 Red Bud Rd NE
Calhoun, GA 30701
Phone (706) 602-7800
450 Northside Cherokee Blvd
Canton, GA 30115
Phone (770) 224-1000
501 Redmond Rd NW
Rome, GA 30165
Phone (706) 291-0291
1000 Johnson Fy Rd NE
Sandy Springs, GA 30342
Phone (404) 851-1000
Interoperability endpoints
- kkulkarni661519@adventhealth.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | 64128 | GA | |
| Internal Medicine Physician | 207R00000X | 64128 | GA | Yes |
Addresses
Primary practice location
1035 Red Bud Rd NE
Calhoun, GA 30701-6010
Mailing address
PO Box 12938
C/O Clinic Management
Calhoun, GA 30703-7013
Other practice location 1
677 Church St NE
Marietta, GA 30060-1101
Phone (770) 793-7750
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 839176601B | Medicaid | GA |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kkulkarni421219@directwellstar.org | Health Information Exchange (HIE) |
Other providers in Calhoun, GA
- Amy Kozody
- Chase Kranzlein
- Shireen K Ku
- Carrie Ann Kuhlman
- Jodi Kuhlman
- Vaishanavi Chaitanyakumar Laiwala
- Adam Delmar Land
- Stacey Marie Land
- Anthony Mark Landowski
- Michael Christopher Landry
All providers in Calhoun, GA · Internal Medicine Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 9, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.