Individual provider Active NPI

Christopher D Kullas, MD

  • Ophthalmology Physician
  • Bellingham, WA
National Provider Identifier
1871563429
Registry record updated Mar 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD00042140 Issued in WA
Practice address
4540 Cordata Pkwy
Suite 103
Bellingham, WA 98226-8059
Phone
(360) 676-8663
Fax
(360) 676-8682
NPI assigned
Jan 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X MD00042140 WA Primary

Addresses

Primary practice location

4540 Cordata Pkwy
Suite 103
Bellingham, WA 98226-8059

Mailing address

4540 Cordata Pkwy
Suite 103
Bellingham, WA 98226-8059
Phone (360) 676-8663

Other identifiers 4

IdentifierTypeStateIssuer
7063910MedicaidWA
8359150MedicaidWA
0046298OtherL & I
0171149OtherL & I

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20100408000407 WA Practitioner - Ophthalmology 3375639230 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bellingham Eye Physicians PSGroup PAC ID 9638067234, 5 clinicians

Practice addresses (Care Compare)

4540 Cordata Pkwy
Suite 103
Bellingham, WA 98226-8059
Phone (360) 676-8663

Merit-based Incentive Payment System (MIPS)

Final score
93.46 of 100Reported as group
Quality
100
Improvement activities
40
Cost
78.19

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery256

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD00042140WAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bellingham Eye Physicians PS Ophthalmology CurrentSince Jun 2, 2003 Accepting new patients
Oregon Eye Specialists PC Ophthalmology Past Accepting new patients
B.E.P. Optical LLC PastSince Oct 19, 2010 Accepting new patients

Locations

4540 Cordata Pkwy
Ste 103
Bellingham, WA 98226
Phone (360) 676-8663

Interoperability endpoints

  • Direct secure messaging: ckullas@bep.intellechartdirect.net

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1138147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711324800000",
    "number": "1871563429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4540 CORDATA PKWY",
            "address_2": "SUITE 103",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982268059",
            "telephone_number": "360-676-8663",
            "fax_number": "360-676-8682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4540 CORDATA PKWY",
            "address_2": "SUITE 103",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982268059",
            "telephone_number": "360-676-8663",
            "fax_number": "360-676-8682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KULLAS",
        "first_name": "CHRISTOPHER",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-25",
        "last_updated": "2024-03-25",
        "certification_date": "2024-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "WA",
            "license": "MD00042140",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7063910",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8359150",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L & I",
            "identifier": "0046298",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L & I",
            "identifier": "0171149",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellingham, WA

Sources for this page

Verify at the official NPI Registry.