Individual provider Active NPI

Joseph P Bulinski, PA-C

  • Physician Assistant
  • Decatur, IL
National Provider Identifier
1972014488
Registry record updated Oct 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
085.006387 Issued in IL
Practice address
2300 N Edward St
Decatur, IL 62526-4163
Phone
(217) 876-8121
NPI assigned
Oct 24, 2017
Last updated
Oct 24, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 085.006387 IL Primary

Addresses

Primary practice location

2300 N Edward St
Decatur, IL 62526-4163

Mailing address

1441 N 28TH St
Springfield, IL 62702-4420
Phone (217) 652-6649

Other names 1

  • Joe Bulinski Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171205000196 IL Practitioner - Physician Assistant 5092072710 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Southern Illinois University School of Medicine, 2017
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

11708 Saratoga Woods CT
Louisville, KY 40299-4366

1901 Campus PL
Louisville, KY 40299-2308

1980 Brynell Dr
Lexington, KY 40505-2243

252 Crestwood LN
Louisville, KY 40229-3209

500 W Jefferson St
Louisville, KY 40202-2881

5665 New Northside Dr
Suite 320
Sandy Springs, GA 30328-5834

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
085.006387ILMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Abraham Lincoln Memorial Hospital CurrentSince Dec 28, 2025 Accepting new patients
Taylorville Memorial Hospital CurrentSince Apr 1, 2025 Accepting new patients
Taylorville Memorial Hospital CurrentSince Apr 1, 2025 Accepting new patients
Abraham Lincoln Memorial Hospital CurrentSince Sep 1, 2024 Accepting new patients

Locations

200 Stahlhut Dr
Lincoln, IL 62656
Phone (217) 605-5611

201 E Pleasant St
Taylorville, IL 62568
Phone (217) 707-5555

Organizations & group practices 6

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 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": "1508803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508803200000",
    "number": "1972014488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1441 N 28TH ST",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627024420",
            "telephone_number": "217-652-6649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 N EDWARD ST",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625264163",
            "telephone_number": "217-876-8121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BULINSKI",
        "first_name": "JOSEPH",
        "middle_name": "P",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-10-24",
        "last_updated": "2017-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085.006387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOE",
            "last_name": "BULINSKI",
            "credential": "PA-C",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Decatur, IL

Sources for this page

Verify at the official NPI Registry.