Individual provider Active NPI

David M Kulick, MD, PHD

  • Surgery Physician
  • Hendersonville, NC
National Provider Identifier
1942256284
Registry record updated Oct 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
2018-00548 Issued in NC
Practice address
80 Doctors Dr Ste 1
Hendersonville, NC 28792-7289
Phone
(828) 654-0073
Fax
(828) 681-5036
NPI assigned
May 26, 2006
Last updated
Oct 1, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2020

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 2018-00548 NC Primary
Surgery Physician 208600000X L7787 TX
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X L7787 TX
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 2018-00548 NC

Addresses

Primary practice location

80 Doctors Dr Ste 1
Hendersonville, NC 28792-7289

Mailing address

PO Box 1869
Fletcher, NC 28732-1869
Phone (828) 687-5616

Other practice location 1

267 Hill Rd
Suite 300
Rome, NY 13441
Phone (315) 337-0202

Other practice location 2

100 Hospital Dr
Hendersonville, NC 28792-5272
Phone (828) 684-8501

Other identifiers 2

IdentifierTypeStateIssuer
03151493MedicaidNY
1942256284MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20181002003908 NC Practitioner - General Surgery 7113814732 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
New York Medical College, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fletcher Hospital IncGroup PAC ID 5395658819, 302 clinicians

Practice addresses (Care Compare)

80 Doctors Dr
Suite 1
Hendersonville, NC 28792-7289
Phone (282) 654-0073

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Pacemaker insertion or repair1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2018-00548NCMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fletcher Hospital Inc CurrentSince Oct 1, 2018 Accepting new patients
Fletcher Hospital Inc. Current Accepting new patients
Fletcher Hospital Inc. CurrentSince Oct 1, 2018 Accepting new patients
Capital Cardiothoracic Surgeons PA Thoracic Surgery (Cardiothoracic Vascular Surgery) Past Accepting new patients

Locations

100 Hospital Dr
Hendersonvlle, NC 28792
Phone (828) 650-8167

80 Doctors Dr
Ste 1
Hendersonvlle, NC 28792
Phone (282) 654-0073

Interoperability endpoints

  • Direct secure messaging: dkulick659344@adventhealth.direct-ci.com

Organizations & group practices 4

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.

Hospital & facility affiliations 3

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": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601510400000",
    "number": "1942256284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1869",
            "city": "FLETCHER",
            "state": "NC",
            "postal_code": "287321869",
            "telephone_number": "828-687-5616",
            "fax_number": "828-650-8076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 DOCTORS DR STE 1",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287927289",
            "telephone_number": "828-654-0073",
            "fax_number": "828-681-5036"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "267 Hill Rd",
            "address_2": "Suite 300",
            "address_purpose": "LOCATION",
            "city": "Rome",
            "state": "NY",
            "postal_code": "13441",
            "country_code": "US",
            "telephone_number": "315-337-0202",
            "fax_number": "315-337-8188",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Hendersonville",
            "state": "NC",
            "postal_code": "287925272",
            "country_code": "US",
            "telephone_number": "828-684-8501",
            "fax_number": "828-650-8076",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KULICK",
        "first_name": "DAVID",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD, PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-26",
        "last_updated": "2020-10-01",
        "certification_date": "2020-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NC",
            "license": "2018-00548",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "L7787",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "TX",
            "license": "L7787",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "NC",
            "license": "2018-00548",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03151493",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1942256284",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hendersonville, NC

Sources for this page

Verify at the official NPI Registry.