Dr Pradeep S Kulkarni, MD - Medicare Internal Medicine in Springfield, IL

Dr Pradeep S Kulkarni, MD is a medicare enrolled "Internal Medicine - Pulmonary Disease" physician in Springfield, Illinois. His current practice location is 543 W Miller St, Springfield, Illinois. You can reach out to his office (for appointments etc.) via phone at (217) 522-5596.

Dr Pradeep S Kulkarni is licensed to practice in Illinois (license number 036057354) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1609828292.

Contact Information

Dr Pradeep S Kulkarni, MD
543 W Miller St,
Springfield, IL 62702-4978
(217) 522-5596
(217) 522-5599

Map and Direction




Physician's Profile

Full NameDr Pradeep S Kulkarni
GenderMale
SpecialityInternal Medicine - Pulmonary Disease
Location543 W Miller St, Springfield, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1609828292
  • Provider Enumeration Date: 05/16/2006
  • Last Update Date: 07/17/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 3072540012
  • Enrollment ID: I20050721000564

Medical Identifiers

Medical identifiers for Dr Pradeep S Kulkarni such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1609828292NPI-NPPES
0360573541MedicaidIL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RC0200XInternal Medicine - Critical Care Medicine 036057354 (Illinois)Secondary
207RP1001XInternal Medicine - Pulmonary Disease 036057354 (Illinois)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Pradeep S Kulkarni allows following entities to bill medicare on his behalf.
Entity NameSt Johns Hospital Of The Hospital Sisters Of The Third Order Of St F
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184606923
PECOS PAC ID: 9032028923
Enrollment ID: O20031118000887
Entity NameCentral Illinois Allergy And Respiratory
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952351546
PECOS PAC ID: 8426083783
Enrollment ID: O20051005000803

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Pradeep S Kulkarni is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Pradeep S Kulkarni, MD
543 W Miller St,
Springfield, IL 62702-4978

Ph: (217) 522-5596
Dr Pradeep S Kulkarni, MD
543 W Miller St,
Springfield, IL 62702-4978

Ph: (217) 522-5596

Reviews and Comments


Internal Medicine Doctors in Springfield, IL

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Nathalie Emma-marie Foray, DO
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Practice Location: 751 N Rutledge St Ste 1700, Springfield, IL 62702
Phone: 217-545-8000    Fax: 217-545-1229

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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