Active NPI 1114116191 Individual Practitioner Male Practitioner

Dr. Kailash Pradip Kulkarni , MD

Internal Medicine • Calhoun, GA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Kailash Kulkarni, MD is a certified Internal Medicine practicing in Calhoun, GA. With approximately 21 years of clinical experience since completing medical education in 2005, Dr. Kulkarni delivers high-quality medical care to the local community at 1035 RED BUD RD NE.

Dr. Kulkarni maintains professional affiliations with Adventist Health System Georgia Inc, North Atlanta Professional Services Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, hospital discharge day management, more than, initial hospital care with straightforward or low-level medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1035 Red Bud Rd Ne

Calhoun, GA 307016010

Telephone 7068794776

Fax 7068794781

Associated Practice Facility / Clinic

🏢 Georgia Emergency Care, Pc Facility NPI 1225080062

Medicare Profile & Education

Medical School

Other

Graduation Year

2005

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Calhoun, GA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

21 Yrs +0.5 yrs vs City Avg

City Avg: 20.5 Yrs

State Avg: 25.9 Yrs

Regional Practice Density

19 Specialists

Practicing in Calhoun, GA (4065 Statewide)

Telehealth Adoption Rate

26.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Kulkarni (21 Years) 21 Yrs

Calhoun Specialty Average (20.5 Years) 20.5 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	452	199	$238.00	$76.78
99239 Hospital discharge day management, more than 30 minutes	141	138	$345.00	$111.91
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	47	46	$392.00	$127.81
99231 Follow-up hospital inpatient care per day, typically 15 minutes	25	21	$150.00	$48.41

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	334	166	$235.83	$79.23
99239 Hospital discharge day management, more than 30 minutes	113	109	$341.21	$114.49
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	90	63	$354.43	$118.22
99231 Follow-up hospital inpatient care per day, typically 15 minutes	73	43	$144.66	$49.67
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	61	61	$394.23	$130.69

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	230	129	$308.86	$96.76
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	203	125	$214.94	$67.45
99239 Hospital discharge day management, more than 30 minutes	140	133	$314.87	$96.05
99231 Follow-up hospital inpatient care per day, typically 15 minutes	72	40	$118.00	$37.18
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	45	44	$598.00	$186.49
99291 Critical care, first 30-74 minutes	39	17	$846.00	$204.55
99217 Hospital observation care on day of discharge	22	21	$215.00	$67.82
99238 Hospital discharge day management, 30 minutes or less	19	19	$216.00	$64.76
99220 Hospital observation care, typically 70 minutes	11	11	$540.00	$170.76

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	240	128	$310.65	$96.51
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	171	112	$216.89	$68.03
99239 Hospital discharge day management, more than 30 minutes	123	119	$319.00	$97.57
99231 Follow-up hospital inpatient care per day, typically 15 minutes	56	37	$116.00	$35.93
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	49	47	$604.00	$188.92
99291 Critical care, first 30-74 minutes	21	11	$848.00	$186.23
99217 Hospital observation care on day of discharge	15	15	$217.00	$69.08
99238 Hospital discharge day management, 30 minutes or less	13	13	$217.00	$69.08
93016 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician	13	13	$66.00	$21.27

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	247	124	$320.00	$102.04
99239 Hospital discharge day management, more than 30 minutes	93	92	$325.74	$102.57
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	89	64	$222.00	$71.67
99291 Critical care, first 30-74 minutes	42	25	$852.33	$207.38
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	41	41	$622.00	$191.17
99231 Follow-up hospital inpatient care per day, typically 15 minutes	32	18	$122.00	$39.12
93016 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician	25	25	$68.52	$21.38
99217 Hospital observation care on day of discharge	21	21	$222.00	$71.76

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	337	162	$222.39	$70.89
99231 Follow-up hospital inpatient care per day, typically 15 minutes	260	114	$121.00	$38.92
99239 Hospital discharge day management, more than 30 minutes	128	124	$326.00	$104.15
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	112	73	$319.00	$97.09
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	63	60	$620.00	$197.81
99238 Hospital discharge day management, 30 minutes or less	50	48	$223.00	$71.63
99217 Hospital observation care on day of discharge	42	41	$223.00	$71.62
99220 Hospital observation care, typically 70 minutes	22	22	$568.00	$183.13
99291 Critical care, first 30-74 minutes	13	12	$846.00	$221.15
93018 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician	11	11	$46.00	$13.54

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	411	192	$121.00	$37.86
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	353	187	$221.00	$70.24
99239 Hospital discharge day management, more than 30 minutes	115	113	$327.00	$102.61
99238 Hospital discharge day management, 30 minutes or less	101	96	$221.00	$70.38
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	62	60	$620.00	$194.96
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	48	37	$319.00	$99.43
99217 Hospital observation care on day of discharge	36	36	$222.00	$71.00
93018 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician	17	17	$46.00	$14.51
99220 Hospital observation care, typically 70 minutes	17	17	$568.00	$181.96
93016 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician	17	17	$68.00	$21.80
99291 Critical care, first 30-74 minutes	15	14	$836.00	$218.24

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	429	228	$221.00	$68.79
99231 Follow-up hospital inpatient care per day, typically 15 minutes	236	130	$121.00	$37.18
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	165	98	$319.00	$99.65
99239 Hospital discharge day management, more than 30 minutes	155	146	$327.00	$101.77
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	116	110	$620.00	$192.67
99238 Hospital discharge day management, 30 minutes or less	98	95	$221.00	$69.21
93018 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician	51	51	$46.00	$14.46
93016 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician	49	49	$68.00	$21.71
99217 Hospital observation care on day of discharge	36	35	$222.00	$68.58
99291 Critical care, first 30-74 minutes	26	20	$836.00	$202.32
99220 Hospital observation care, typically 70 minutes	20	19	$568.00	$180.46

Medical Specialties & State Licenses

CMS Verified: 2021-09-09

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License GA 64128

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Hospitalist

NUCC Taxonomy Code: 208M00000X

State License GA 64128

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

839176601B (GA)

Hospital & Practice Group Affiliations

Adventist Health System Georgia Inc

1035 Red Bud Rd Ne, Calhoun, GA 307016010

North Atlanta Professional Services Llc

450 Northside Cherokee Blvd, Canton, GA 301158015

Phone: 7702241000

Secondary Practice Locations

677 Church St Ne

Marietta, GA 300601101

Phone: 7707937750

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

29 Associated Practitioners

Dr. Julia Rittenhouse , MD

Family Medicine

NPI 1013329622

Doctor of Medicine (M.D.)

Dr. Anthony Captain , MD

Internal Medicine

NPI 1023035094

Doctor of Medicine (M.D.)

Daniel Treiyer

Internal Medicine

NPI 1063703403

Nancy Clardy

Nurse Practitioner

NPI 1073655924

Joshua Rose

Nurse Anesthetist, Certified Registered

NPI 1114355203

Dr. Corwyn Fortner , MD

Anesthesiology

NPI 1134154388

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 09, 2021

Internal Medicine (License #64128 in GA)

📍

Updated Practice Location December 18, 2018

Registered at 1035 RED BUD RD NE, CALHOUN, GA 307016010 (Tel: 7068794776)

📍

Updated Business Mailing Address December 18, 2018

Registered at PO BOX 12938, C/O CLINIC MANAGEMENT, CALHOUN, GA 307037013

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 18, 2018

Hospitalist (License #64128 in GA)

✅

NPI Profile Active October 20, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location October 20, 2015

Registered at 1035 RED BUD NERD, CALHOUN, GA 307016010 (Tel: 7068794776)

📍

Updated Business Mailing Address October 20, 2015

Registered at PO BOX 12938, C/O GORDON HOSPITALIST, CALHOUN, GA 307037013 (Tel: 7068794776)

👤

Provider Name / Credentials Updated October 20, 2015

Recorded as KAILASH KULKARNI, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 20, 2015

Internal Medicine (License #64128 in GA)

🟢

Initial NPI Registration & Enumeration October 16, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1114116191

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: October 16, 2007

Last Update: September 09, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 12938, C/o Clinic Management

Calhoun, GA 307037013

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.