Kerri Ann Kulovitz, D.O.

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

036140798 Issued in IL

Practice address

904 S Milwaukee Ave Ste B
Libertyville, IL 60048-3215

Phone

(847) 303-5790

NPI assigned

Jun 28, 2010

Last updated

Jul 27, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IL, NE2 enrollments

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 2

Specialty

Orthopedic Surgery

Education

Midwestern University, Chicago College of Osteopathic Med, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Columbus Community Hospital IncGroup PAC ID 7517954944, 86 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Columbus Community Hospital, Inc Hospital, Columbus, NE, CCN 280111

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kerri.kulovitz@1133.chartlogic.direct-ci.com

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.

• Columbus Community Hospital Inc

  dba Columbus General Surgery

  • Surgery Physician
  • Columbus, NE
  • NPI 1821592205
  Medicare reassignment Care Compare group NPD
• Chicago Hand and Orthopedic Surgery Centers SC

  • Orthopaedic Hand Surgery Physician
  • Oakbrook Terrace, IL
  • NPI 1093145195
  Medicare reassignment
• Columbus Community Hospital Inc

  dba Columbus Orthopedic & Sports Medicine Clinic

  • Orthopaedic Surgery Physician
  • Columbus, NE
  • NPI 1144592544
  NPD
• Columbus Community Hospital Inc

  dba Columbus Dermatology Clinic

  • Dermatology Physician
  • Columbus, NE
  • NPI 1881370476
  NPD
• Suburban Orthopaedics LTD

  • Orthopaedic Surgery Physician
  • Bartlett, IL
  • NPI 1275749475
  NPD (past)
• Columbus General Surgery PC

  • Surgery Physician
  • Columbus, NE
  • NPI 1982639597
  NPD (past)

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

• Columbus Community Hospital Inc

  dba Columbus Community Hospital

  • General Acute Care Hospital
  • Columbus, NE
  • NPI 1760589295
  Care Compare affiliation

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

{
    "created_epoch": "1277683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690416000000",
    "number": "1780995423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11211 POPLAR CREEK LN",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604677309",
            "telephone_number": "708-334-6454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "904 S MILWAUKEE AVE STE B",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600483215",
            "telephone_number": "847-303-5790"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4600 38th St",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "NE",
            "postal_code": "686011664",
            "country_code": "US",
            "telephone_number": "402-564-7118",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20201 Crawford Ave",
            "address_purpose": "LOCATION",
            "city": "Olympia Fields",
            "state": "IL",
            "postal_code": "604611010",
            "country_code": "US",
            "telephone_number": "708-747-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KULOVITZ",
        "first_name": "KERRI",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-28",
        "last_updated": "2023-07-27",
        "certification_date": "2023-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "IL",
            "license": "036140798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Lynn Krishnakumar, D.C.
• Rebecca Kroes, PTA
• Katherine Krug
• Jennifer Marie Kryska, MA, BCBA, LBA
• Hilary Kugler, CF-SLP/L
• Robert Gerard Kummerer, M.D.
• Marisa Maria Kunz, PSY.D.
• Peter Kurko, M.D.
• Kaylee Kuta
• Dale Lachman

• Orthopaedic Surgery Physician in Libertyville, IL
• Providers in Libertyville, IL by specialty
• Orthopaedic Surgery Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2023; 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.