Individual provider Active NPI

Patrick F Kulina, D.P.M.

  • Podiatrist
  • Lewes, DE
National Provider Identifier
1497796254
Registry record updated Jul 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
E10000093 Issued in DE
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

Updated by the provider on Jul 31, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
422801401MedicaidDE
480026593OtherDEMEDICARE 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081121000626 DE Practitioner - Podiatry 7618037508

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E10000093DEMDPodiatrist

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

Verify at the official NPI Registry.