Individual provider

Pradeep Kulkarni, M.D.

Pulmonary Disease Physician Critical Care Medicine (Internal Medicine) Physician Medicare enrolled

Pradeep Kulkarni, M.D. is a Pulmonary Disease Physician in Springfield, IL, registered under NPI 1609828292. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty.

Getting there

The practice address on file is 543 W MILLER ST, Springfield, IL 62702. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

543 W MILLER ST, Springfield, IL 62702 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
036057354 IL Pulmonary Disease Physician primary
036057354 IL Critical Care Medicine (Internal…

This provider holds licence 036057354 issued in IL. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Pulmonary Disease
PAC ID
3072540012
Enrollment ID
I20050721000564

Medicare enrolment is recorded as approved under the provider type Practitioner - Pulmonary Disease. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Pulmonary Disease covers

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. NUCC Health Care Provider Taxonomy, code 207RP1001X
Allopathic & Osteopathic Physicians Internal Medicine Pulmonary Disease

All registered taxonomy codes

This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
207RP1001X Pulmonary Disease Physician Pulmonary Disease 036057354 IL primary
207RC0200X Critical Care Medicine (Internal Medicine) Physician Critical Care Medicine 036057354 IL

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1609828292 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateMay 16, 2006
Last updatedJul 17, 2017
StatusActive
Sole proprietorNo
CredentialM.D.
Practice address 543 W MILLER ST
Springfield, IL 62702
(217) 522-5596
Fax (217) 522-5599
Other identifiers 0360573541 · Medicaid (IL)
This record was last updated on Jul 17, 2017, roughly 9 years ago. Address and phone details that old are frequently out of date. Verify by phone before travelling to the address shown.

Number check

1609828292 passes the NPI check digit test The final digit 2 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 6 0 9 8 2 8 2 9
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 6 0 9 7 2 7 2 9

Sum = 68 · next multiple of 10 = 70 · check digit = 2 · actual last digit = 2

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1609828292?
NPI 1609828292 is the National Provider Identifier assigned to Pradeep Kulkarni, M.D. in Springfield, IL. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Pulmonary Disease cover?
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
How do I contact Pradeep Kulkarni, M.D.?
The phone number on file with NPPES is (217) 522-5596, last updated Jul 17, 2017. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Pradeep Kulkarni, M.D. accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1609828292 a valid number?
Yes. 1609828292 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.