Individual provider Active NPI

Timothy Christopher Kulikowski, DO

  • Family Medicine Physician
  • Bangor, ME
National Provider Identifier
1114161874
Registry record updated Jan 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DO2297 Issued in ME
Practice address
915 Union St Ste 4
Bangor, ME 04401-8603
Phone
(207) 973-8030
Fax
(207) 973-8662
NPI assigned
Apr 26, 2009
Last updated
Jan 7, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neuromusculoskeletal Medicine & OMM Physician 204D00000X DO2297 ME
Family Medicine Physician 207Q00000X DO2297 ME Primary

Addresses

Primary practice location

915 Union St Ste 4
Bangor, ME 04401-8603

Mailing address

63 Bennoch Rd
Orono, ME 04473-3623
Phone (607) 237-4399

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Apr 1, 2026 through Apr 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
DO2297MEMDNeuromusculoskeletal Medicine & OMM Physician

Practice roles

OrganizationSpecialtyStatusNew patients
State of Maine CurrentSince Jan 31, 2022 Accepting new patients
Pai Participant 7 PC CurrentSince Nov 1, 2025 Accepting new patients
Maine Medical Consultants PC CurrentSince Jan 1, 2025 Accepting new patients
State of Maine CurrentSince Jan 31, 2022 Accepting new patients
Lakewood Past Accepting new patients
VK Brewer, LLC Past Accepting new patients

Locations

109 Capitol St
#11
Augusta, ME 04330

656 State St
Bangor, ME 04401
Phone (207) 941-4000

367 US Route 1
Ste 3S
Falmouth, ME 04105
Phone (207) 939-6789

335 Brighton Ave
Portland, ME 04102
Phone (207) 662-8000

91 Auburn St
Ste J1096
Portland, ME 04103
Phone (207) 939-6789

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1240704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641513600000",
    "number": "1114161874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 BENNOCH RD",
            "city": "ORONO",
            "state": "ME",
            "postal_code": "044733623",
            "telephone_number": "607-237-4399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 UNION ST STE 4",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044018603",
            "telephone_number": "207-973-8030",
            "fax_number": "207-973-8662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KULIKOWSKI",
        "first_name": "TIMOTHY",
        "middle_name": "CHRISTOPHER",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-26",
        "last_updated": "2022-01-07",
        "certification_date": "2022-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "ME",
            "license": "DO2297",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ME",
            "license": "DO2297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bangor, ME

Sources for this page

Verify at the official NPI Registry.