Individual provider Active NPI

Robert Francis Kulinski, M.D.

  • Internal Medicine Physician
  • Memphis, TN
National Provider Identifier
1700889649
Registry record updated Jun 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD0000020881 Issued in TN
Practice address
4066 Summer Ave
Memphis, TN 38122-5225
Phone
(901) 452-7391
Fax
(901) 452-3439
NPI assigned
May 24, 2005
Reactivated
Mar 21, 2006
Last updated
Jun 23, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 23, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD0000020881 TN Primary

Addresses

Primary practice location

4066 Summer Ave
Memphis, TN 38122-5225

Mailing address

4066 Summer Ave
Memphis, TN 38122-5225
Phone (901) 452-7391

Other identifiers 2

IdentifierTypeStateIssuer
4044349OtherTNBLUE CROSS/BLUESHIELD
3061741MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20100310000286 TN Practitioner - Internal Medicine 5193789907 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD0000020881TNMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Francis Physician Network, LLC CurrentSince Feb 5, 2018 Accepting new patients
Preventivemd, PLLC Internal Medicine CurrentSince Oct 1, 2024 Accepting new patients
Eric Blakney Internal Medicine Current Accepting new patients

Locations

1407 Union Ave
Ste 305
Memphis, TN 38104
Phone (901) 609-2444

6005 Park Ave
Ste 601
Memphis, TN 38119
Phone (901) 680-9205

6005 Park Ave
Ste 323B
Memphis, TN 38119
Phone (901) 756-6991

452 Perkins Ext
Memphis, TN 38117
Phone (901) 730-8300

4066 Summer Ave
Memphis, TN 38122
Phone (901) 452-7391

Interoperability endpoints

  • Direct secure messaging: rkulinski32255@mlh.direct-ci.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466640000000",
    "number": "1700889649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4066 SUMMER AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381225225",
            "telephone_number": "901-452-7391",
            "fax_number": "901-452-3439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4066 SUMMER AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381225225",
            "telephone_number": "901-452-7391",
            "fax_number": "901-452-3439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KULINSKI",
        "first_name": "ROBERT",
        "middle_name": "FRANCIS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-05-24",
        "last_updated": "2016-06-23",
        "deactivation_date": "2006-03-16",
        "reactivation_date": "2006-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "MD0000020881",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUESHIELD",
            "identifier": "4044349",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3061741",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.