Individual provider Active NPI

Kathryn L Sulkowski, DO

  • Family Medicine Physician
  • Forest Hill, MD
National Provider Identifier
1518154020
Registry record updated May 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
H0078491 Issued in MD
Practice address
1517 Rock Spring Rd
Suite C
Forest Hill, MD 21050-2818
Phone
(410) 838-6358
Fax
(410) 838-6750
NPI assigned
Sep 28, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X H0078491 MD Primary

Addresses

Primary practice location

1517 Rock Spring Rd
Suite C
Forest Hill, MD 21050-2818

Mailing address

1517 Rock Spring Rd
Suite C
Forest Hill, MD 21050-2818
Phone (410) 838-6358

Other names 1

  • Miss Kathryn L Holmes Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160531002374 MD Practitioner - Family Practice 6709176928 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
H0078491MDMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medstar Medical Group II LLC CurrentSince May 1, 2016 Accepting new patients
Medstar Medical Group II LLC CurrentSince May 1, 2016 Accepting new patients

Locations

5601 Loch Raven Blvd
Ste 102
Baltimore, MD 21239
Phone (410) 581-1200

1517 Rock Spring Rd
Forest Hill, MD 21050
Phone (410) 836-6358

1517 Rock Spring Rd
Ste C
Forest Hill, MD 21050
Phone (410) 838-6358

1406 Crain Hwy S
Glen Burnie, MD 21061
Phone (410) 768-6440

1406 Crain Hwy S
Ste 106
Glen Burnie, MD 21061
Phone (410) 768-6440

Organizations & group practices 2

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": "1190937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462924800000",
    "number": "1518154020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1517 ROCK SPRING RD",
            "address_2": "SUITE C",
            "city": "FOREST HILL",
            "state": "MD",
            "postal_code": "210502818",
            "telephone_number": "410-838-6358",
            "fax_number": "410-838-6750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1517 ROCK SPRING RD",
            "address_2": "SUITE C",
            "city": "FOREST HILL",
            "state": "MD",
            "postal_code": "210502818",
            "telephone_number": "410-838-6358",
            "fax_number": "410-838-6750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULKOWSKI",
        "first_name": "KATHRYN",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-28",
        "last_updated": "2016-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "H0078491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHRYN",
            "last_name": "HOLMES",
            "middle_name": "L",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Forest Hill, MD

Sources for this page

Verify at the official NPI Registry.