Individual provider Active NPI

Michael James Kulju, MD

  • Sports Medicine (Family Medicine) Physician
  • Brunswick, ME
National Provider Identifier
1942684873
Registry record updated Jun 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
MD24170 Issued in ME
Practice address
14 Thomas Point Rd
Brunswick, ME 04011-3911
Phone
(906) 458-7283
NPI assigned
Jul 9, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Family Medicine) Physician 207QS0010X MD24170 ME Primary

Addresses

Primary practice location

14 Thomas Point Rd
Brunswick, ME 04011-3911

Mailing address

14 Thomas Point Rd
Brunswick, ME 04011-3911
Phone (906) 458-7283

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
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
I20201130002996 ME Practitioner - Sports Medicine 2668785650 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Sports Medicine
Education
Michigan State University College of Human Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

14 Thomas Point Rd
Brunswick, ME 04011-3911
Phone (207) 442-0325

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD24170MEMDSports Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Orthopedics & Sports Medicine,P.a. Sports Medicine CurrentSince Nov 15, 2020 Accepting new patients
Coastal Orthopedics & Sports Medicine,P.a. Past Accepting new patients

Locations

14 Thomas Point Rd
Brunswick, ME 04011
Phone (207) 442-0325

Interoperability endpoints

  • Direct secure messaging: michael.kulju.1@3608.direct.athenahealth.com

Organizations & group practices 2

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 1

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": "1436400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685923200000",
    "number": "1942684873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 THOMAS POINT RD",
            "city": "BRUNSWICK",
            "state": "ME",
            "postal_code": "040113911",
            "telephone_number": "906-458-7283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 THOMAS POINT RD",
            "city": "BRUNSWICK",
            "state": "ME",
            "postal_code": "040113911",
            "telephone_number": "906-458-7283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KULJU",
        "first_name": "MICHAEL",
        "middle_name": "JAMES",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-09",
        "last_updated": "2023-06-05",
        "certification_date": "2023-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "ME",
            "license": "MD24170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brunswick, ME

Sources for this page

Verify at the official NPI Registry.