Active NPI
Patrick F Kulina, D.P.M.
- Podiatrist
- Lewes, DE
National Provider Identifier
1497796254
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- E10000093
- Practice address
- 1532 Savannah Rd
Suite a
Lewes, DE 19958-1624 - Phone
- (302) 645-8555
- Fax
- (302) 645-7044
- NPI assigned
- Jun 10, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | E10000093 | DE | Primary |
Addresses
Primary practice location
1532 Savannah Rd
Suite a
Lewes, DE 19958-1624
Mailing address
PO Box 40450
Bay Village, OH 44140-0450
Phone (440) 871-4700
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 422801401 | Medicaid | DE | |
| 480026593 | Other | DE | MEDICARE RAILROAD PIN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20081121000626 | DE | Practitioner - Podiatry | 7618037508 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E10000093 | DE | MD | Podiatrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149897600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1343692800000",
"number": "1497796254",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 40450",
"city": "BAY VILLAGE",
"state": "OH",
"postal_code": "441400450",
"telephone_number": "440-871-4700",
"fax_number": "440-871-4702"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1532 SAVANNAH RD",
"address_2": "SUITE A",
"city": "LEWES",
"state": "DE",
"postal_code": "199581624",
"telephone_number": "302-645-8555",
"fax_number": "302-645-7044"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KULINA",
"first_name": "PATRICK",
"middle_name": "F",
"name_prefix": "Dr.",
"credential": "D.P.M.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-10",
"last_updated": "2012-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "DE",
"license": "E10000093",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "422801401",
"state": "DE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD PIN",
"identifier": "480026593",
"state": "DE"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lewes, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2012; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.