Individual provider Active NPI

Sharad B Kulkarni, MD

  • Psychiatry Physician
  • Beaumont, TX
National Provider Identifier
1851313985
Registry record updated Jul 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
G4236 Issued in TX
Practice address
2825 Interstate 10 E Ste 100
Beaumont, TX 77702-1015
Phone
(409) 835-7401
Fax
(409) 835-7405
NPI assigned
Jul 25, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 23, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X G4236 TX Primary

Addresses

Primary practice location

2825 Interstate 10 E Ste 100
Beaumont, TX 77702-1015

Mailing address

2825 Interstate 10 E Ste 100
Beaumont, TX 77702-1015
Phone (409) 835-7401

Other identifiers 1

IdentifierTypeStateIssuer
128859904MedicaidTX

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050218000553 TX Practitioner - Psychiatry 0840242715

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1978
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2825 Ih 10
Suite 100
Beaumont, TX 77702-1015
Phone (409) 835-7401

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sharad Kulkarni M.D. PA CurrentSince Jan 1, 2010 Accepting new patients

Locations

2825 Interstate 10 E
Ste 100
Beaumont, TX 77702
Phone (409) 835-7401

87 Interstate 10 N
Ste 204
Beaumont, TX 77707

1802 Snake River Rd
Ste C
Katy, TX 77449
Phone (281) 829-3332

3800 Highway 365
Ste 124
Port Arthur, TX 77642
Phone (409) 724-2946

3400 Highway 365
Ste 303
Port Arthur, TX 77642
Phone (409) 724-7400

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595462400000",
    "number": "1851313985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2825 INTERSTATE 10 E STE 100",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777021015",
            "telephone_number": "409-835-7401",
            "fax_number": "409-835-7405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2825 INTERSTATE 10 E STE 100",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777021015",
            "telephone_number": "409-835-7401",
            "fax_number": "409-835-7405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KULKARNI",
        "first_name": "SHARAD",
        "middle_name": "B",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2020-07-23",
        "certification_date": "2020-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "G4236",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "128859904",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaumont, TX

Sources for this page

Verify at the official NPI Registry.