Mark J. Kulbaski, MD

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

78343 Issued in MA

Practice address

1 Pearl St
Suite 2000
Brockton, MA 02301

Phone

(508) 584-4104

Fax

(508) 584-4105

NPI assigned

Nov 10, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MA

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

Specialty

Vascular Surgery

Education

University of Pittsburgh School of Medicine, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

BMC Affiliated Physicians, Inc.Group PAC ID 9830133123, 543 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Good Samaritan Medical Center Hospital, Brockton, MA, CCN 220111
• Boston Medical Center-Brighton Hospital, Brighton, MA, CCN 220036
• Signature Healthcare Brockton Hospital Hospital, Brockton, MA, CCN 220052

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mark.kulbaski.1@2017.direct.athenahealth.com
• Direct secure messaging: mkulbaski252440@direct.bmc.masshiway.net
• Direct secure messaging: mark.kulbaski@vcs.directbygreenway.com
• Direct secure messaging: mkulbask@direct.health-quest.org

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.

• BMC Affiliated Physicians, Inc.

  • Internal Medicine Physician
  • Boston, MA
  • NPI 1245320910

  Surgery

  Medicare reassignment Care Compare group NPD
• Steward Medical Group, Inc

  • Specialist
  • Watertown, MA
  • NPI 1629398219
  Medicare reassignment NPD
• Steward Medical Group, Inc

  • Specialist
  • Brighton, MA
  • NPI 1356654495
  NPD
• Israel Schur MD PLLC

  • Vascular & Interventional Radiology Physician
  • Brooklyn, NY
  • NPI 1962917492
  NPD
• Boston Medical Center - South Corporation

  • General Acute Care Hospital
  • Brockton, MA
  • NPI 1871329110
  NPD (past)
• Albany Medical College

  • Allergy & Immunology Physician
  • Albany, NY
  • NPI 1386689248
  NPD (past)
• Albany Medical College

  • Anesthesiology Physician
  • Albany, NY
  • NPI 1841226594
  NPD (past)
• Dutchess Surgical Associates PC

  • Vascular Surgery Physician
  • Poughkeepsie, NY
  • NPI 1497840060
  NPD (past)
• Hudson Valley Cardiovascular Practice, PC

  • Cardiovascular Disease Physician
  • Poughkeepsie, NY
  • NPI 1922435882
  NPD (past)
• Peachtree Vascular Specialists, P.C.

  • Primary Care Clinic/Center
  • Fort Bragg, NC
  • NPI 1366595068

  Vascular Surgery

  NPD (past)

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

• Boston Medical Center - Brighton Corporation

  • General Acute Care Hospital
  • Boston, MA
  • NPI 1720814072
  Care Compare affiliation
• Boston Medical Center - South Corporation

  • General Acute Care Hospital
  • Brockton, MA
  • NPI 1871329110
  Care Compare affiliation
• Brockton Hospital, Inc.

  • General Acute Care Hospital
  • Brockton, MA
  • NPI 1063431286
  Care Compare affiliation

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

{
    "created_epoch": "1131580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741651200000",
    "number": "1699756247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "960 MASSACHUSETTS AVENUE",
            "address_2": "FL 2",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021182690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 PEARL ST",
            "address_2": "SUITE 2000",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "02301",
            "telephone_number": "508-584-4104",
            "fax_number": "508-584-4105"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "830 Oak St Ste 200W",
            "address_purpose": "LOCATION",
            "city": "Brockton",
            "state": "MA",
            "postal_code": "023011191",
            "country_code": "US",
            "telephone_number": "774-480-1600",
            "fax_number": "774-480-1625",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KULBASKI",
        "first_name": "MARK",
        "middle_name": "J.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-10",
        "last_updated": "2025-03-11",
        "certification_date": "2025-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "MA",
            "license": "78343",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110149524A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brian Kubi
• Jennifer Lynn Kubic Knight, LICSW
• Madhur Raj Singh Kuckreja, MD
• Alexander Siexi Kui
• Sandra Ann Kujawski, MASTER OF SCIENCE
• Sagar Kulkarni
• Dietrich Henry Kulze III, L.I.C.S.W.
• Soryan Kumar
• Michelle C Kung, DPM
• Masimbiti Rabecca Kunje, CNM

• Vascular Surgery Physician in Brockton, MA
• Providers in Brockton, MA by specialty
• Vascular Surgery Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2025; 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.

Verify at the official NPI Registry.