DR. SHANTANU KULKARNI (DO) – Physical Medicine & Rehabilitation Physician, NPI 1811996408
Physical Medicine & Rehabilitation Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
217 PHYSICAL MEDICINE AND REHABILITATION in IN
Provider Addresses for DR. SHANTANU KULKARNI (DO)
11136 Parkview Circle Dr
Fort Wayne, IN 468451730
Phone: (260) 484-8551
Fax: (260) 482-5060
Type: Location
1500 Provident Dr Ste B
Warsaw, IN 465803297
Phone: (574) 269-8301
Fax: (574) 269-8302
Type: Location
5052, North Clinton Street, Fort Wayne, Allen County, Indiana, 46825, United States
FORT WAYNE, IN 468255822
Phone: (260) 484-8551
Fax: (260) 482-5060
Type: Mailing
5050, North Clinton Street, Fort Wayne, Allen County, Indiana, 46825, United States
FORT WAYNE, IN 468255886
Phone: (260) 484-8551
Fax: (260) 482-5060
Type: Location
7920 W Jefferson Blvd
Fort Wayne, IN 468044168
Phone: (260) 484-8551
Fax: (260) 482-5060
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2010-08-24
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20100824000024 | I | Physical Medicine And Rehabilitation | IN | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 319 | 188 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 185 | 163 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 177 | 177 | $0 |
| 64483 | Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level | 174 | 130 | $0 |
| 64484 | Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, each additional level | 72 | 52 | $0 |
Insurance plans in this area (ZIP 46845)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICAL MEDICINE AND REHABILITATIO | IN | 20610 | Aspiration and/or injection of large joint or joint capsule | 83 | 54 |
| PHYSICAL MEDICINE AND REHABILITATIO | IN | 62311 | Injections of substances into lower or sacral spine | 46 | 37 |
| PHYSICAL MEDICINE AND REHABILITATIO | IN | 64493 | Injections of lower or sacral spine facet joint using imaging guidance | 35 | 23 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Orthopedic Surgery | IN | |
| Nurse Practitioner | IN | |
| - | IN | |
| Orthopedic Surgery | IN | |
| Family Practice, Orthopedic Surgery, Sports Medicine | IN | |
| Physician Assistant | IN | |
| Physician Assistant | IN | |
| Sports Medicine, Orthopedic Surgery | IN | |
| Physician Assistant | IN | |
| Physician Assistant | IN |
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