Individual provider Active NPI

Krutika Parasar Raulkar, MD

  • Physical Medicine & Rehabilitation Physician
  • Greensboro, NC
National Provider Identifier
1528412905
Registry record updated Aug 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
2019-01370 Issued in NC
Practice address
1126 N Church St Ste 103
Greensboro, NC 27401-1035
Phone
(336) 663-4900
NPI assigned
Apr 21, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 2019-01370 NC Primary

Addresses

Primary practice location

1126 N Church St Ste 103
Greensboro, NC 27401-1035

Mailing address

3333 Henry Hudson Pkwy Apt 17F
Bronx, NY 10463-3260
Phone (908) 461-3999

Other practice location 1

177 Fort Washington Ave
New York, NY 10032
Phone (212) 305-2500

Other identifiers 1

IdentifierTypeStateIssuer
1528412905MedicaidCT

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kraulkar572259@direct.conehealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191231000079 NC Practitioner - Physical Medicine and Rehabilitation 0244577708 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1126 N Church St
Suite 103
Greensboro, NC 27401-1035
Phone (336) 663-4900

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2019-01370NCMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Moses H Cone Memorial Hospital Operating Corporation Physical Medicine & Rehabilitation CurrentSince Oct 26, 2020 Accepting new patients
The Moses H Cone Memorial Hospital Operating Corporation CurrentSince Oct 26, 2020 Accepting new patients
Integrative Sports and Spine Inc CurrentSince Oct 22, 2019 Accepting new patients
The Moses H. Cone Memorial Hospital Operating Corporation Past Accepting new patients

Locations

9080 Irvine Center Dr
Irvine, CA 92618
Phone (949) 540-5641

8035 Providence Rd
Ste 340
Charlotte, NC 28277
Phone (704) 542-3988

1126 N Church St
Ste 103
Greensboro, NC 27401
Phone (336) 379-0941

1200 N Elm St
Greensboro, NC 27401
Phone (336) 574-7000

510 N Elam Ave
Ste 302
Greensboro, NC 27403
Phone (336) 297-2271

Organizations & group practices 4

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

Hospital & facility affiliations 3

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": "1461196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629849600000",
    "number": "1528412905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 HENRY HUDSON PKWY APT 17F",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104633260",
            "telephone_number": "908-461-3999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1126 N CHURCH ST STE 103",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274011035",
            "telephone_number": "336-663-4900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "177 Fort Washington Ave",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "10032",
            "country_code": "US",
            "telephone_number": "212-305-2500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAULKAR",
        "first_name": "KRUTIKA",
        "middle_name": "PARASAR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-21",
        "last_updated": "2021-08-25",
        "certification_date": "2021-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NC",
            "license": "2019-01370",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1528412905",
            "state": "CT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kraulkar572259@direct.conehealth.com",
            "affiliation": "N",
            "endpointDescription": "cone health direct address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1126 N Church St Ste 103",
            "city": "Greensboro",
            "state": "NC",
            "country_code": "US",
            "postal_code": "274011035",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

Verify at the official NPI Registry.