Organization Active NPI

Cullman Radiation Therapy Services, P.C.

  • Radiation Oncology Physician
  • Cullman, AL
National Provider Identifier
1205937315
Registry record updated May 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
Legal business name
CULLMAN RADIATION THERAPY SERVICES, P.C.
Practice address
1811 Park Way Cir
Cullman, AL 35058
Phone
(256) 737-2285
Fax
(256) 737-2287
NPI assigned
Sep 25, 2006
Last updated
May 17, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2018

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

Authorized official

Name
Vincent Karolewics, M.D.NPI 1174624282
Title
President
Phone
(256) 737-2285

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X NU Primary

Addresses

Primary practice location

1811 Park Way Cir
Cullman, AL 35058

Mailing address

PO Box Box 11407 Department 8056
Birmingham, AL 35246-8056
Phone (256) 350-4855

Other identifiers 1

IdentifierTypeStateIssuer
529803000MedicaidAL

Other names 1

  • LifeFirst Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040227000506 AL Part B Supplier - Clinic/Group Practice 7416843156 Receives reassigned benefits from 1 practitioner
Practice locations: Cullman, AL

National Provider Directory

National Provider Directory

Locations

1811 Park Way Cir
Cullman, AL 35058
Phone (256) 737-2285

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526515200000",
    "number": "1205937315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX BOX 11407 DEPARTMENT 8056",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352468056",
            "telephone_number": "256-350-4855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1811 PARK WAY CIR",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "35058",
            "telephone_number": "256-737-2285",
            "fax_number": "256-737-2287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CULLMAN RADIATION THERAPY SERVICES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-25",
        "last_updated": "2018-05-17",
        "status": "A",
        "authorized_official_last_name": "KAROLEWICS",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "256-737-2285",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529803000",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LifeFirst",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "LifeFirst",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Cullman, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.