Samuel D Kulick, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

PO3308 Issued in FL

Practice address

9397 San Jose Blvd Unit 1
Jacksonville, FL 32257-5637

Phone

(904) 731-9293

Fax

(904) 636-0223

NPI assigned

Jul 13, 2005

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Kent State University College of Podiatric Medicine, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Samuel D Kulick DPM

  • Foot & Ankle Surgery Podiatrist
  • Jacksonville, FL
  • NPI 1417215609
  Medicare reassignment NPD
• Lewis J Sims DPM P.C.

  • Podiatrist
  • Poughkeepsie, NY
  • NPI 1043795396
  NPD (past)
• Women'S Cancer Care Associates, LLC

  • Surgical Oncology Physician
  • Albany, NY
  • NPI 1689713067
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1121212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752105600000",
    "number": "1023016987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9397 SAN JOSE BLVD UNIT 1",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322575637",
            "telephone_number": "904-731-9293",
            "fax_number": "904-636-0223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9397 SAN JOSE BLVD UNIT 1",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322575637",
            "telephone_number": "904-731-9293",
            "fax_number": "904-636-0223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KULICK",
        "first_name": "SAMUEL",
        "middle_name": "D",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-13",
        "last_updated": "2025-07-10",
        "certification_date": "2025-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO3308",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "65978",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00784166",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Raafat John Kuk, MD
• Rebeka Kulakevich, TECH
• John Richard Kulas, CRNA
• Hanna Jane Kulbeth, MD
• Robert Paul Kulchinsky, M.D.
• Elizabeth Kulikov, LMHC
• Kyla Kulling
• Brittney Kulp
• Ananya Kumar
• Atul Kumar, MD,PHD

• Podiatrist in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Podiatrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.