Individual provider Active NPI

Alexander Kulik, MD MPH

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Boca Raton, FL
National Provider Identifier
1558524967
Registry record updated Apr 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
ME105543 Issued in FL
Practice address
801 Meadows Rd Ste 102
Boca Raton, FL 33486-2346
Phone
(561) 955-6300
NPI assigned
Jul 7, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X 36789 AZ
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 2007012293 MO
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X ME105543 FL Primary

Addresses

Primary practice location

801 Meadows Rd Ste 102
Boca Raton, FL 33486-2346

Mailing address

801 Meadows Rd Ste 102
Boca Raton, FL 33486-2346
Phone (561) 955-6300

Other identifiers 2

IdentifierTypeStateIssuer
86-0338466OtherAZTAX-ID
426282MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20100512000798 FL Practitioner - Thoracic Surgery 7315009776 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Thoracic Surgery
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bocacare IncGroup PAC ID 3870633753, 196 clinicians

Practice addresses (Care Compare)

801 Meadows Rd
Suite 102
Boca Raton, FL 33486-2346
Phone (561) 955-6300

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
98.99 of 100Reported as apm
Quality
81.94
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary artery bypass graft (CABG)18

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME105543FLMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician
2007012293MOMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bocacare Inc CurrentSince Jan 1, 2019 Accepting new patients
Bocacare Inc Vascular Surgery CurrentSince Jan 1, 2019 Accepting new patients

Locations

801 Meadows Rd
Ste 102
Boca Raton, FL 33486
Phone (561) 955-5300

670 Glades Rd
Ste 300
Boca Raton, FL 33431
Phone (561) 395-2626

801 Meadows Rd
Ste 104
Boca Raton, FL 33486
Phone (561) 955-5300

800 Meadows Rd
Boca Raton, FL 33486
Phone (561) 395-7100

1001 NW 13th St
Ste 201
Boca Raton, FL 33486
Phone (561) 864-7853

Interoperability endpoints

  • Direct secure messaging: akulik@sapbc.gwaydirect.com
  • Direct secure messaging: alexander.kulik.1@26289.direct.athenahealth.com

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1215388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649376000000",
    "number": "1558524967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 MEADOWS RD STE 102",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334862346",
            "telephone_number": "561-955-6300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 MEADOWS RD STE 102",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334862346",
            "telephone_number": "561-955-6300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KULIK",
        "first_name": "ALEXANDER",
        "name_prefix": "Dr.",
        "credential": "MD MPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-07",
        "last_updated": "2022-04-08",
        "certification_date": "2022-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "AZ",
            "license": "36789",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "MO",
            "license": "2007012293",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "FL",
            "license": "ME105543",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX-ID",
            "identifier": "86-0338466",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "426282",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

Verify at the official NPI Registry.