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Dr. Vivek  Nadkarni  Md image

Dr. Vivek Nadkarni Md

1170 E Broad St
Elyria OH 44035
440 233-3574
Medical School: Medical College Of Pennsylvania - Hahnemann University - 2000
Accepts Medicare: Yes
Participates In eRX: Yes
Participates In PQRS: No
Participates In EHR: Yes
License #: 86142
NPI: 1598791238
Taxonomy Codes:
207RN0300X

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Awards & Recognitions

About Us

Practice Philosophy

Conditions

Dr. Vivek Nadkarni is associated with these group practices

Procedure Pricing

HCPCS Code Description Average Price Average Price
Allowed By Medicare
HCPCS Code:90960 Description:Esrd srv 4 visits p mo 20+ Average Price:$558.59 Average Price Allowed
By Medicare:
$274.97
HCPCS Code:90961 Description:Esrd srv 2-3 vsts p mo 20+ Average Price:$459.86 Average Price Allowed
By Medicare:
$228.76
HCPCS Code:99223 Description:Initial hospital care Average Price:$380.65 Average Price Allowed
By Medicare:
$191.85
HCPCS Code:36556 Description:Insert non-tunnel cv cath Average Price:$291.80 Average Price Allowed
By Medicare:
$121.87
HCPCS Code:90962 Description:Esrd serv 1 visit p mo 20+ Average Price:$343.10 Average Price Allowed
By Medicare:
$173.85
HCPCS Code:99204 Description:Office/outpatient visit new Average Price:$310.07 Average Price Allowed
By Medicare:
$155.85
HCPCS Code:99233 Description:Subsequent hospital care Average Price:$196.07 Average Price Allowed
By Medicare:
$98.02
HCPCS Code:99214 Description:Office/outpatient visit est Average Price:$198.32 Average Price Allowed
By Medicare:
$100.33
HCPCS Code:90935 Description:Hemodialysis one evaluation Average Price:$139.83 Average Price Allowed
By Medicare:
$71.33
HCPCS Code:99232 Description:Subsequent hospital care Average Price:$136.58 Average Price Allowed
By Medicare:
$68.30
HCPCS Code:99238 Description:Hospital discharge day Average Price:$135.83 Average Price Allowed
By Medicare:
$67.92
HCPCS Code:99213 Description:Office/outpatient visit est Average Price:$133.30 Average Price Allowed
By Medicare:
$67.79
HCPCS Code:99231 Description:Subsequent hospital care Average Price:$75.48 Average Price Allowed
By Medicare:
$37.38

HCPCS Code Definitions

90961
End-stage renal disease (ESRD) related services monthly, for patients 20 years of age and older; with 2-3 face-to-face visits by a physician or other qualified health care professional per month
90960
End-stage renal disease (ESRD) related services monthly, for patients 20 years of age and older; with 4 or more face-to-face visits by a physician or other qualified health care professional per month
36556
Insertion of non-tunneled centrally inserted central venous catheter; age 5 years or older
90935
Hemodialysis procedure with single evaluation by a physician or other qualified health care professional
90962
End-stage renal disease (ESRD) related services monthly, for patients 20 years of age and older; with 1 face-to-face visit by a physician or other qualified health care professional per month
99238
Hospital discharge day management; 30 minutes or less
99204
Office or other outpatient visit for the evaluation and management of a new patient, which requires these 3 key components: A comprehensive history; A comprehensive examination; Medical decision making of moderate complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of moderate to high severity. Typically, 45 minutes are spent face-to-face with the patient and/or family.
99213
Office or other outpatient visit for the evaluation and management of an established patient, which requires at least 2 of these 3 key components: An expanded problem focused history; An expanded problem focused examination; Medical decision making of low complexity. Counseling and coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of low to moderate severity. Typically, 15 minutes are spent face-to-face with the patient and/or family.
99233
Subsequent hospital care, per day, for the evaluation and management of a patient, which requires at least 2 of these 3 key components: A detailed interval history; A detailed examination; Medical decision making of high complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the patient is unstable or has developed a significant complication or a significant new problem. Typically, 35 minutes are spent at the bedside and on the patient's hospital floor or unit.
99214
Office or other outpatient visit for the evaluation and management of an established patient, which requires at least 2 of these 3 key components: A detailed history; A detailed examination; Medical decision making of moderate complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of moderate to high severity. Typically, 25 minutes are spent face-to-face with the patient and/or family.
99231
Subsequent hospital care, per day, for the evaluation and management of a patient, which requires at least 2 of these 3 key components: A problem focused interval history; A problem focused examination; Medical decision making that is straightforward or of low complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the patient is stable, recovering or improving. Typically, 15 minutes are spent at the bedside and on the patient's hospital floor or unit.
99223
Initial hospital care, per day, for the evaluation and management of a patient, which requires these 3 key components: A comprehensive history; A comprehensive examination; and Medical decision making of high complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the problem(s) requiring admission are of high severity. Typically, 70 minutes are spent at the bedside and on the patient's hospital floor or unit.
99232
Subsequent hospital care, per day, for the evaluation and management of a patient, which requires at least 2 of these 3 key components: An expanded problem focused interval history; An expanded problem focused examination; Medical decision making of moderate complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the patient is responding inadequately to therapy or has developed a minor complication. Typically, 25 minutes are spent at the bedside and on the patient's hospital floor or unit.

Medical Malpractice Cases

None Found

Medical Board Sanctions

None Found

Referrals

NPI
Doctor Name
Specialty
Count
1992797005
Diagnostic Radiology
6,431
1154323814
Diagnostic Radiology
4,331
1477555233
Diagnostic Radiology
3,432
1891768438
Geriatric Medicine
3,268
1295715035
Cardiovascular Disease (Cardiology)
3,179
1952416802
Cardiac Electrophysiology
3,139
1841279510
Pulmonary Disease
2,664
1205838950
Diagnostic Radiology
2,604
1134185028
Internal Medicine
2,590
1043280480
Cardiovascular Disease (Cardiology)
2,552
*These referrals represent the top 10 that Dr. Nadkarni has made to other doctors

Publications

Phosphatidylinositol-3 phosphatase myotubularin-related protein 6 negatively regulates CD4 T cells. - Molecular and cellular biology
Intracellular Ca2+ levels rapidly rise following cross-linking of the T-cell receptor (TCR) and function as a critical intracellular second messenger in T-cell activation. It has been relatively under appreciated that K+ channels play an important role in Ca2+ influx into T lymphocytes by helping to maintain a negative membrane potential which provides an electrochemical gradient to drive Ca2+ influx. Here we show that the Ca2+-activated K+ channel, KCa3.1, which is critical for Ca2+ influx in reactivated naive T cells and central memory T cells, requires phosphatidylinositol-3 phosphatase [PI(3)P] for activation and is inhibited by the PI(3)P phosphatase myotubularin-related protein 6 (MTMR6). Moreover, by inhibiting KCa3.1, MTMR6 functions as a negative regulator of Ca2+ influx and proliferation of reactivated human CD4 T cells. These findings point to a new and unexpected role for PI(3)P and the PI(3)P phosphatase MTMR6 in the regulation of Ca2+ influx in activated CD4 T cells and suggest that MTMR6 plays a critical role in setting a minimum threshold for a stimulus to activate a T cell.
Phosphatidylinositol 3-phosphate indirectly activates KCa3.1 via 14 amino acids in the carboxy terminus of KCa3.1. - Molecular biology of the cell
KCa3.1 is an intermediate conductance Ca2+-activated K+ channel that is expressed predominantly in hematopoietic cells, smooth muscle cells, and epithelia where it functions to regulate membrane potential, Ca2+ influx, cell volume, and chloride secretion. We recently found that the KCa3.1 channel also specifically requires phosphatidylinositol-3 phosphate [PI(3)P] for channel activity and is inhibited by myotubularin-related protein 6 (MTMR6), a PI(3)P phosphatase. We now show that PI(3)P indirectly activates KCa3.1. Unlike KCa3.1 channels, the related KCa2.1, KCa2.2, or KCa2.3 channels do not require PI(3)P for activity, suggesting that the KCa3.1 channel has evolved a unique means of regulation that is critical for its biological function. By making chimeric channels between KCa3.1 and KCa2.3, we identified a stretch of 14 amino acids in the carboxy-terminal calmodulin binding domain of KCa3.1 that is sufficient to confer regulation of KCa2.3 by PI(3)P. However, mutation of a single potential phosphorylation site in these 14 amino acids did not affect channel activity. These data together suggest that PI(3)P and these 14 amino acids regulate KCa3.1 channel activity by recruiting an as yet to be defined regulatory subunit that is required for Ca2+ gating of KCa3.1.

Map & Directions

1170 E Broad St Elyria, OH 44035
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