Pamela Kulback, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

MD13742 Issued in AL

Practice address

3536 Vann Rd Ste B
Birmingham, AL 35235-3207

Phone

(205) 991-1830

Fax

(205) 991-1865

NPI assigned

Nov 15, 2005

Last updated

Jun 20, 2024By 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 1

Addresses

Other identifiers 10

Medicare fee-for-service enrollment

Enrolled in AL

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Alabama Internal Medicine PC

  • Internal Medicine Physician
  • Birmingham, AL
  • NPI 1538173281
  NPD (past)
• Caroline a Reich MD PC

  • Diagnostic Radiology Physician
  • Birmingham, AL
  • NPI 1982882270
  NPD (past)
• Jefferson Clinic, P.C.

  • Internal Medicine Physician
  • Birmingham, AL
  • NPI 1124086509

  Family Medicine

  NPD (past)
• Optimal Readings Professional Services, LLC

  • Diagnostic Radiology Physician
  • Waycross, GA
  • NPI 1912052192
  NPD (past)

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

{
    "created_epoch": "1132012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718841600000",
    "number": "1942282173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3536 VANN RD STE B",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352353207",
            "telephone_number": "205-838-3200",
            "fax_number": "888-206-1336"
        },
        {
            "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": "205-991-1830",
            "fax_number": "205-991-1865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KULBACK",
        "first_name": "PAMELA",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-15",
        "last_updated": "2024-06-20",
        "certification_date": "2024-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AL",
            "license": "MD13742",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009932437",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC 280",
            "identifier": "51001321",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC GREYSTONE",
            "identifier": "51001316",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC MONTCLAIR",
            "identifier": "51001317",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC SHELBY",
            "identifier": "51001318",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009933068",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009932438",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009932439",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009932441",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC SYLACAUGA",
            "identifier": "51001322",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Taylor Kuhlman, MD
• Mary Kuira
• Andrew Kuklinski, MD
• Jessica Kuklo, MA
• Laura Grace Kukuc, MD
• Steven J Kulback, MD
• Brian Kulbersh, MD
• Krishnaji Kulkarni, PH.D.
• Tejaswini Kulkarni
• Hannah Kult

• Diagnostic Radiology Physician in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Diagnostic Radiology Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.