Individual provider Active NPI

Stephen Kulcsar, DO

  • Family Medicine Physician
  • Gloucester, MA
National Provider Identifier
1942383138
Registry record updated Mar 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
231442 Issued in MA
Practice address
302 Washington St
Gloucester, MA 01930-4836
Phone
(978) 282-8899
Fax
(978) 282-5599
NPI assigned
Oct 23, 2006
Last updated
Mar 7, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 231442 MA Primary
Family Medicine Physician 207Q00000X 13432 NH

Addresses

Primary practice location

302 Washington St
Gloucester, MA 01930-4836

Mailing address

302 Washington St
Gloucester, MA 01930-4836

Other identifiers 1

IdentifierTypeStateIssuer
13432OtherNHLICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20070825000015 MA Practitioner - Family Practice 0547352296 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

370 Providence Hwy
Dedham, MA 02026-1875
Phone (781) 461-0200

Merit-based Incentive Payment System (MIPS)

Final score
73.71 of 100Reported as group
Quality
56.09
Improvement activities
40
Cost
79.16

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
13432NHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Patriot Urgent Care Professionals PC CurrentSince Apr 3, 2019 Accepting new patients
Afc Physicians of Massachusetts, PC CurrentSince Jan 18, 2022 Accepting new patients
Patriot Urgent Care Professionals, PC Current Accepting new patients
Patriot Urgent Care Professionals, PC CurrentSince Apr 3, 2019 Accepting new patients
Afc Physicians of Massachusetts CurrentSince Jan 18, 2022 Accepting new patients
Afc Physicians of Massachusetts, PC CurrentSince Jul 1, 2019 Accepting new patients
Afc Physicians of Massachusetts, PC Current Accepting new patients

Locations

154 Great Rd
Bedford, MA 01730
Phone (781) 430-8161

370 Providence Hwy
Dedham, MA 02026
Phone (781) 461-0200

380R Merrimack St
Methuen, MA 01844
Phone (978) 688-1176

129 Turnpike St
North Andover, MA 01845
Phone (978) 470-0800

371 Broadway
Saugus, MA 01906
Phone (781) 233-1000

415 Cooley St
Unit 3
Springfield, MA 01128
Phone (413) 782-4878

16 Main St
Stoneham, MA 02180
Phone (781) 279-4000

1030 Main St
Waltham, MA 02451
Phone (781) 666-6000

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394150400000",
    "number": "1942383138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 WASHINGTON ST",
            "city": "GLOUCESTER",
            "state": "MA",
            "postal_code": "019304836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 WASHINGTON ST",
            "city": "GLOUCESTER",
            "state": "MA",
            "postal_code": "019304836",
            "telephone_number": "978-282-8899",
            "fax_number": "978-282-5599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KULCSAR",
        "first_name": "STEPHEN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-23",
        "last_updated": "2014-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MA",
            "license": "231442",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NH",
            "license": "13432",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "13432",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gloucester, MA

Sources for this page

Verify at the official NPI Registry.