Individual provider Active NPI

Kaushal M. Kulkarni, M.D.

  • Ophthalmology Physician
  • San Diego, CA
National Provider Identifier
1710147830
Registry record updated Jun 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
A 121698 Issued in CA
Practice address
10243 Genetic Center Dr
San Diego, CA 92121-6310
Phone
(858) 526-6702
Fax
(858) 526-6703
NPI assigned
Jun 12, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X ME 109457 FL
Ophthalmology Physician 207W00000X A 121698 CA Primary

Addresses

Primary practice location

10243 Genetic Center Dr
San Diego, CA 92121-6310

Mailing address

10243 Genetic Center Dr
San Diego, CA 92121-6310
Phone (858) 526-6702

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20181119002072 NY Practitioner - Ophthalmology 6002085693 Reassigns benefits to 2 organizations
Practice locations: Astoria, NY; New York, NY
I20190325002756 NJ Practitioner - Ophthalmology 6002085693 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Rutgers R W Johnson Medical School (Cam/New Bruns/Pisc), 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Omni Eye Specialists P aGroup PAC ID 0547150062, 45 clinicians
Icahn School of Medicine at Mount SinaiGroup PAC ID 2264691070, 2,809 clinicians

Practice addresses (Care Compare)

218 Route 17 N
Omni Eye Services
Rochelle Park, NJ 07662-3399
Phone (201) 368-2444

310 E 14TH St
Opthalmology Department of Mount Sinai
New York, NY 10003-4201
Phone (212) 241-0939

Hospital & facility affiliations

  • Ny Eye and Ear Infirmary of Mount Sinai Hospital, New York, NY, CCN 330100

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME 109457FLMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Icahn School of Medicine at Mount Sinai Ophthalmology CurrentSince Jan 1, 2021 Accepting new patients
Omni Eye Specialists P a Ophthalmology CurrentSince Apr 1, 2019 Accepting new patients
Icahn School of Medicine at Mount Sinai Ophthalmology CurrentSince Jan 1, 2021 Accepting new patients
Omni Eye Surgery of New York PC Ophthalmology CurrentSince Apr 1, 2019 Accepting new patients
Nova Southeastern University, Inc Past Accepting new patients
Nissirios Ophthalmology PC Ophthalmology PastSince Sep 22, 2014 Accepting new patients
Icahn School of Medicine at Mount Sinai Past Accepting new patients

Locations

619 River Dr
Fl 2
Elmwood Park, NJ 07407
Phone (201) 796-2020

2200 Route 10
Ste 102
Parsippany, NJ 07054
Phone (973) 538-7400

218 State Rt 17 N
Rochelle Park, NJ 07662
Phone (201) 368-4200

2201 Bergenline Ave
Ste 3
Union City, NJ 07087
Phone (908) 341-2629

475 Prospect Ave
West Orange, NJ 07052
Phone (973) 325-6716

30 W 60th St
Apt 1Y
New York, NY 10023
Phone (212) 262-5177

20 E 46th St
Ph
New York, NY 10017
Phone (212) 353-0030

218 2nd Ave
New York, NY 10003
Phone (212) 979-4000

310 E 14th St
New York, NY 10003
Phone (212) 979-4000

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: kaushal.kulkarni.p1@direct.omnieyeservices.nextgenshare.com
  • Direct secure messaging: kaushal.kulkarni.p2@direct.omnieyeservices.nextgenshare.com

Organizations & group practices 7

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 1

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": "1213228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372032000000",
    "number": "1710147830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10243 GENETIC CENTER DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921216310",
            "telephone_number": "858-526-6702",
            "fax_number": "858-526-6703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10243 GENETIC CENTER DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921216310",
            "telephone_number": "858-526-6702",
            "fax_number": "858-526-6703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KULKARNI",
        "first_name": "KAUSHAL",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-12",
        "last_updated": "2013-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME 109457",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A 121698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.