NPIMap

Individual provider Active NPI

Yuriy Kulyak, M.D.

  • Hospitalist Physician
  • Charlotte, NC
National Provider Identifier
1790045086
Registry record updated Jun 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
2016-01179 Issued in NC
Practice address
8201 Healthcare Loop Ste 305
Charlotte, NC 28215-7072
Phone
(980) 302-3050
Fax
(980) 302-3055
NPI assigned
May 21, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 20-37944 SC
Hospitalist Physician 208M00000X 2016-01179 NC Primary

Addresses

Primary practice location

8201 Healthcare Loop Ste 305
Charlotte, NC 28215-7072

Mailing address

PO Box 60447
Charlotte, NC 28260-0447
Phone (980) 302-3050

Other practice location 1

270 Farmington Ave Ste 352
Farmington, CT 06032-1996
Phone (860) 676-1110

Other practice location 2

101 E Wood St Ste 401
Spartanburg, SC 29303-3040
Phone (864) 560-6654

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address ykulyak219980@direct-srhs.et0939.epichosted.com Direct
Direct Messaging Address ykulyak860170@direct.novanthealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, NC2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150722005775 SC Practitioner - Internal Medicine 9133447139 Reassigns benefits to 4 organizations
I20201231000255 NC Practitioner - HospitalistPractitioner - Internal Medicine 9133447139 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Novant Health Medical Group, LLCGroup PAC ID 1153234893, 2,413 clinicians

Practice addresses (Care Compare)

3333 Silas Creek Pkwy
Winston Salem, NC 27103-3013
Phone (336) 718-7597

Hospital & facility affiliations

  • Novant Health Mint Hill Medical Center Hospital, Charlotte, NC, CCN 340190
  • Novant Health Presbyterian Medical Center Hospital, Charlotte, NC, CCN 340053
  • Novant Health Ballantyne Medical Center Hospital, Charlotte, NC, CCN 340195
  • Novant Health Matthews Medical Center Hospital, Matthews, NC, CCN 340171

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20-37944SCMDInternal Medicine Physician
2016-01179NCMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Spartanburg Medical Center Internal Medicine CurrentSince Sep 29, 2020 Accepting new patients
Novant Health Medical Group, LLC Hospitalist CurrentSince Mar 1, 2023 Accepting new patients
SC Hospital Medicine Physicians LLC Internal Medicine CurrentSince May 1, 2020 Accepting new patients
Pelham Medical Center Current Accepting new patients
Novant Health Medical Group, LLC CurrentSince Mar 1, 2023 Accepting new patients
Novant Health Medical Group, LLC Current Accepting new patients
Pelham Medical Center CurrentSince Sep 29, 2020 Accepting new patients
Spartanburg Medical Center Current Accepting new patients
Spartanburg Medical Center CurrentSince Sep 29, 2020 Accepting new patients
University of Connecticut/Capital Area Health Consortium Past Accepting new patients

Locations

1901 Randolph Rd
Charlotte, NC 28207
Phone (704) 316-2000

8201 Healthcare Loop
Ste 305
Charlotte, NC 28215
Phone (980) 302-3050

5145 Sellers Rd
Shallotte, NC 28470
Phone (910) 754-4441

3333 Silas Creek Pkwy
Winston Salem, NC 27103
Phone (336) 277-8800

2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300

250 Westmoreland Rd
Greer, SC 29651
Phone (864) 530-2108

800 W Meeting St
Lancaster, SC 29720
Phone (803) 286-1214

101 E Wood St
Ste 401
Spartanburg, SC 29303
Phone (864) 560-6654

101 E Wood St
Spartanburg, SC 29303
Phone (864) 560-1915

853 N Church St
Ste 410A
Spartanburg, SC 29303
Phone (864) 560-6928

Interoperability endpoints

  • Direct secure messaging: ykulyak860170@direct.novanthealth.org
  • Direct secure messaging: ykulyak219980@direct-srhs.et0939.epichosted.com

Organizations & group practices 11

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 7

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": "1337558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623628800000",
    "number": "1790045086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60447",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282600447",
            "telephone_number": "980-302-3050",
            "fax_number": "980-302-3055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8201 HEALTHCARE LOOP STE 305",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282157072",
            "telephone_number": "980-302-3050",
            "fax_number": "980-302-3055"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "270 Farmington Ave Ste 352",
            "address_purpose": "LOCATION",
            "city": "Farmington",
            "state": "CT",
            "postal_code": "060321996",
            "country_code": "US",
            "telephone_number": "860-676-1110",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 E Wood St Ste 401",
            "address_purpose": "LOCATION",
            "city": "Spartanburg",
            "state": "SC",
            "postal_code": "293033040",
            "country_code": "US",
            "telephone_number": "864-560-6654",
            "fax_number": "864-560-7353",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KULYAK",
        "first_name": "YURIY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-21",
        "last_updated": "2021-06-14",
        "certification_date": "2021-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "20-37944",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NC",
            "license": "2016-01179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ykulyak219980@direct-srhs.et0939.epichosted.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "ykulyak219980@direct-srhs.et0939.epichosted.com",
            "address_1": "101 E Wood St Ste 401",
            "city": "Spartanburg",
            "state": "SC",
            "country_code": "US",
            "postal_code": "293033040",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ykulyak860170@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "8201 Healthcare Loop Ste 305",
            "city": "Charlotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "282157072",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.