NPIMap

Individual provider Active NPI

Steven J Kulback, MD

  • Internal Medicine Physician
  • Birmingham, AL
National Provider Identifier
1700890233
Registry record updated Jun 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
00009116 Issued in AL
Practice address
3536 Vann Rd Ste B
Birmingham, AL 35235-3207
Phone
(205) 838-3200
Fax
(205) 838-6981
NPI assigned
Jul 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2024

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 00009116 AL Primary

Addresses

Primary practice location

3536 Vann Rd Ste B
Birmingham, AL 35235-3207

Mailing address

3536 Vann Road, Suite B
Birmingham, AL 35235
Phone (205) 838-3200

Other identifiers 3

IdentifierTypeStateIssuer
110245852OtherRR MCR
51512225OtherALBCBS
529913030MedicaidAL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101111000847 AL Practitioner - Internal Medicine 1759326267 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Tennessee, HSC, College of Medicine, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alabama Internal Medicine PCGroup PAC ID 3577508084, 3 clinicians

Practice addresses (Care Compare)

3536 Vann Rd
Suite B
Birmingham, AL 35235-3207
Phone (205) 838-3200

Hospital & facility affiliations

  • Compassus Home Health Home health agency, Pell City, AL, CCN 017145
  • Aveanna Home Health Home health agency, Hoover, AL, CCN 017153
  • Compassus Home Health Home health agency, Birmingham, AL, CCN 017149
  • St. Vincent'S East Hospital, Birmingham, AL, CCN 010011
  • St Vincent'S Birmingham Hospital, Birmingham, AL, CCN 010056
  • Grandview Medical Center Hospital, Birmingham, AL, CCN 010104

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
00009116ALMDInternal Medicine Physician

Practice roles (2 of 9)

OrganizationSpecialtyStatusNew patients
Alabama Internal Medicine PC Internal Medicine CurrentSince Jan 1, 2003 Accepting new patients
St Vincents East Past Accepting new patients

Locations

3536 Vann Rd
Ste B
Birmingham, AL 35235
Phone (205) 838-3200

48 Medical Park Dr E
Ste 356
Birmingham, AL 35235
Phone (205) 702-6602

Networks

  • bcbs alabama network 01C0
  • bcbs alabama network 01I0
  • bcbs alabama network 01H0
  • bcbs alabama network 01B0
  • bcbs alabama network 01E0
  • bcbs alabama network 01A0
  • bcbs alabama network 01G0

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 6

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": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718841600000",
    "number": "1700890233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3536 VANN ROAD, SUITE B",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "35235",
            "telephone_number": "205-838-3200",
            "fax_number": "205-838-6981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3536 VANN RD STE B",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352353207",
            "telephone_number": "205-838-3200",
            "fax_number": "205-838-6981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KULBACK",
        "first_name": "STEVEN",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2024-06-20",
        "certification_date": "2024-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "00009116",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MCR",
            "identifier": "110245852",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "51512225",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529913030",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.