Individual provider Active NPI

Ellen D Kulaga, MD

  • Internal Medicine Physician
  • Norwalk, CT
National Provider Identifier
1184694747
Registry record updated May 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
038398 Issued in CT
Practice address
121 Water St
Norwalk, CT 06854-3013
Phone
(203) 899-1770
NPI assigned
Jan 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 038398 CT Primary

Addresses

Primary practice location

121 Water St
Norwalk, CT 06854-3013

Mailing address

24 Stevens St
Norwalk, CT 06850-3852
Phone (203) 853-2375

Other identifiers 5

IdentifierTypeStateIssuer
2498126OtherCTAETNA
2V5437OtherCTHEALTHN ET
001383984MedicaidCT
38398OtherCTCONNECTICARE
010038398CT03OtherCTANTHEM B/C

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050107000250 CT Practitioner - Internal Medicine 7214985134 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Geisel School of Medicine at Dartmouth, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Norwalk Community Health Center IncGroup PAC ID 6305988510, 29 clinicians

Practice addresses (Care Compare)

120 Connecticut Ave
Norwalk, CT 06854-1525
Phone 20389917708005

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
038398CTMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arbor Medical Group, LLC Internal Medicine Past Accepting new patients
Nuvance Health Medical Practice CT, Inc. Internal Medicine Past Accepting new patients

Organizations & group practices 3

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1138147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305590400000",
    "number": "1184694747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 STEVENS ST",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068503852",
            "telephone_number": "203-853-2375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 WATER ST",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068543013",
            "telephone_number": "203-899-1770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KULAGA",
        "first_name": "ELLEN",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-25",
        "last_updated": "2011-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "038398",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2498126",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHN ET",
            "identifier": "2V5437",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001383984",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONNECTICARE",
            "identifier": "38398",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM B/C",
            "identifier": "010038398CT03",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwalk, CT

Sources for this page

Verify at the official NPI Registry.