Individual provider Active NPI

Steven Thomas Kulsar, AU.D.

  • Audiologist
  • Lorton, VA
National Provider Identifier
1417205196
Registry record updated Apr 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
2201001770 Issued in VA
Practice address
8986 Lorton Station Blvd Ste 201
Lorton, VA 22079-4755
Phone
(703) 339-7776
Fax
(571) 489-5531
NPI assigned
Aug 28, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 30, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 7963 SC
Audiologist 231H00000X 14000033600 NY
Audiologist 231H00000X 2201001770 VA Primary

Addresses

Primary practice location

8986 Lorton Station Blvd Ste 201
Lorton, VA 22079-4755

Mailing address

8986 Lorton Station Blvd Ste 201
Lorton, VA 22079-4755
Phone (703) 339-7776

Other practice location 1

9297 Medical Plaza Dr
North Charleston, SC 29406-9136
Phone (843) 569-3603

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC, VA, SC4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20150210002035 MD Practitioner - Qualified Audiologist 0840449088
I20150210002367 DC Practitioner - Qualified Audiologist 0840449088
I20201202000723 VA Practitioner - Qualified Audiologist 0840449088
I20240527000328 SC Practitioner - Qualified Audiologist 0840449088 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7963SCMDMental Health Counselor
14000033600NYMDAudiologist
2201001770VAMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Accuquest Hearing Center, LLC Audiologist CurrentSince Apr 15, 2024 Accepting new patients
Affordable Hearing AIDS, LLC Past Accepting new patients

Locations

2501 Cottontail Ln
Somerset, NJ 08873
Phone (732) 529-7120

514 Saint James Ave
Unit E
Goose Creek, SC 29445
Phone (843) 569-3603

104 Franklin Ave
Ste C
Spartanburg, SC 29301
Phone (864) 574-4064

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.

NPI Registry JSON

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

{
    "created_epoch": "1346112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714435200000",
    "number": "1417205196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8986 LORTON STATION BLVD STE 201",
            "city": "LORTON",
            "state": "VA",
            "postal_code": "220794755",
            "telephone_number": "703-339-7776",
            "fax_number": "571-489-5531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8986 LORTON STATION BLVD STE 201",
            "city": "LORTON",
            "state": "VA",
            "postal_code": "220794755",
            "telephone_number": "703-339-7776",
            "fax_number": "571-489-5531"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9297 Medical Plaza Dr",
            "address_purpose": "LOCATION",
            "city": "North Charleston",
            "state": "SC",
            "postal_code": "294069136",
            "country_code": "US",
            "telephone_number": "843-569-3603",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KULSAR",
        "first_name": "STEVEN",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-08-28",
        "last_updated": "2024-04-30",
        "certification_date": "2024-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "SC",
            "license": "7963",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NY",
            "license": "14000033600",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "VA",
            "license": "2201001770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lorton, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2024; 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.