Active NPI
Iryna Kulyk, MD
- Rheumatology Physician
- Granger, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- License
- 01080914A
- Practice address
- 3220 Beacon Pkwy
Granger, IN 46530-7196 - Phone
- (574) 999-8788
- Fax
- (574) 999-8781
- NPI assigned
- Jul 30, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 01080914A | IN | |
| Rheumatology Physician | 207RR0500X | 01080914A | IN | Primary |
| Internal Medicine Physician | 207R00000X | 290275 | NY | |
| Internal Medicine Physician | 207R00000X | 125.064370 | IL |
Addresses
Primary practice location
3220 Beacon Pkwy
Granger, IN 46530-7196
Mailing address
3245 Health Dr
Granger, IN 46530-1380
Phone (574) 647-3725
Other practice location 1
615 N Michigan St Fl 1
South Bend, IN 46601-1033
Phone (574) 647-3050 ext. 70625
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300019673 | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3220 Beacon Pkwy
Granger, IN 46530-7196
Phone (574) 999-8788
Hospital & facility affiliations
- Memorial Hospital of South Bend
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 290275 | NY | MD | Licensed Practical Nurse |
| 125.064370 | IL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Memorial Hospital of South Bend | Current | Accepting new patients | |
| Memorial Hospital of South Bend | Current | Accepting new patients | |
| Memorial Hospital of South Bend | Past | Accepting new patients |
Locations
3220 Beacon Pkwy
Granger, IN 46530
Phone (574) 647-8788
3245 Health Dr
Ste 100
Granger, IN 46530
Phone (574) 647-2129
615 N Michigan St
Fl 1
South Bend, IN 46601
Phone (574) 647-1100
615 N Michigan St
South Bend, IN 46601
Phone (574) 647-1000
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.
-
- General Acute Care Hospital
- South Bend, IN
- NPI 1295772093
-
- Rehabilitation Hospital Unit
- South Bend, IN
- NPI 1780564781
-
- General Acute Care Hospital
- Granger, IN
- NPI 1881177756
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- South Bend, IN
- NPI 1295772093
-
- Psychiatric Hospital Unit
- South Bend, IN
- NPI 1376841395
-
- General Acute Care Hospital
- Granger, IN
- NPI 1881177756
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1406678400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782259200000",
"number": "1487062741",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3245 HEALTH DR",
"city": "GRANGER",
"state": "IN",
"postal_code": "465301380",
"telephone_number": "574-647-3725"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3220 BEACON PKWY",
"city": "GRANGER",
"state": "IN",
"postal_code": "465307196",
"telephone_number": "574-999-8788",
"fax_number": "574-999-8781"
}
],
"practiceLocations": [
{
"address_1": "615 N Michigan St Fl 1",
"address_purpose": "LOCATION",
"city": "South Bend",
"state": "IN",
"postal_code": "466011033",
"country_code": "US",
"telephone_number": "574-647-3050 x70625",
"fax_number": "574-647-1094",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KULYK",
"first_name": "IRYNA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-07-30",
"last_updated": "2026-06-24",
"certification_date": "2026-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IN",
"license": "01080914A",
"primary": false
},
{
"code": "207RR0500X",
"taxonomy_group": "",
"desc": "Internal Medicine, Rheumatology",
"state": "IN",
"license": "01080914A",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "290275",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "125.064370",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "300019673",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Granger, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2026; 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.