Individual provider Active NPI

Subhash Vinayak Kulkarni, MD

  • Psychiatry Physician
  • Melville, NY
National Provider Identifier
1861503013
Registry record updated Apr 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
142882 Issued in NY
Practice address
274 Altessa Blvd
Melville, NY 11747-5239
Phone
(631) 271-8405
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2022

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 142882 NY Primary

Addresses

Primary practice location

274 Altessa Blvd
Melville, NY 11747-5239

Mailing address

274 Altessa Blvd
Melville, NY 11747-5239
Phone (631) 271-8405

Other identifiers 1

IdentifierTypeStateIssuer
01840880MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20040904000117 NY Practitioner - Psychiatry 0244206852 Practice locations: Bay Shore, NY; West Islip, NY; West Babylon, NY; East Islip, NY

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1971
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

111 Beach Dr
West Islip, NY 11795-4929
Phone (631) 587-1600

53 Ocean Ave
Bay Shore, NY 11706-8756
Phone (631) 206-1200

Merit-based Incentive Payment System (MIPS)

Final score
23.86 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
79.53

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
142882NYMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Genoa Healthcare LLC Past Accepting new patients
Federation Employment and Guidance Service, Inc Past Accepting new patients

Networks

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

Organizations & group practices 2

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": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650585600000",
    "number": "1861503013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "274 ALTESSA BLVD",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117475239",
            "telephone_number": "631-271-8405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "274 ALTESSA BLVD",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117475239",
            "telephone_number": "631-271-8405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KULKARNI",
        "first_name": "SUBHASH",
        "middle_name": "VINAYAK",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2022-04-22",
        "certification_date": "2022-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "142882",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01840880",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Melville, NY

Sources for this page

Verify at the official NPI Registry.