Active NPI
Paul Kendall Pulchny, D.O.
- Family Medicine Physician
- Milton, DE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- C2-0010941
- Practice address
- 630 Mulberry St
Milton, DE 19968-1516 - Phone
- (302) 684-8053
- Fax
- (302) 684-8059
- NPI assigned
- May 17, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | C2-0010941 | DE | Primary |
Addresses
Primary practice location
630 Mulberry St
Milton, DE 19968-1516
Mailing address
640 S. State Street
Mail Code 3055
Dover, DE 19901-3530
Phone (302) 480-1688
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200138225 | Medicaid | DE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Oklahoma State University College of Osteopathic Medicine, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
630 Mulberry St
Milton, DE 19968-1516
Phone (302) 684-8053
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5266 | OK | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bayhealth Medical Center, Inc | Family Medicine | Current | Accepting new patients |
| Bayhealth Medical Center, Inc | Current | Accepting new patients | |
| Integris Rural Health Inc | Family Medicine | Past | Accepting new patients |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
640 S State St
#3055
Dover, DE 19901
Phone (302) 480-1688
640 S State St
Dover, DE 19901
Phone (302) 744-4700
630 Mulberry St
Milton, DE 19968
Phone (302) 684-8053
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 and National Provider Directory roles.
-
- Colon & Rectal Surgery Physician
- Dover, DE
- NPI 1285809509
Family Medicine
-
- Gastroenterology Physician
- Milford, DE
- NPI 1639938525
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
-
- Family Medicine Physician
- Enid, OK
- NPI 1467454991
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Milford, DE
- NPI 1023006434
-
- General Acute Care Hospital
- Dover, DE
- NPI 1467546135
-
- Home Health Agency
- Dover, DE
- NPI 1689100620
-
- Home Health Agency
- Millsboro, DE
- NPI 1063513075
-
- General Acute Care Hospital
- Lewes, DE
- NPI 1821196486
-
- Home Health Agency
- Milford, DE
- NPI 1487706263
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1305590400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1550534400000",
"number": "1992098412",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "640 S. STATE STREET",
"address_2": "MAIL CODE 3055",
"city": "DOVER",
"state": "DE",
"postal_code": "199013530",
"telephone_number": "302-480-1688",
"fax_number": "302-480-9807"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "630 MULBERRY ST",
"city": "MILTON",
"state": "DE",
"postal_code": "199681516",
"telephone_number": "302-684-8053",
"fax_number": "302-684-8059"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PULCHNY",
"first_name": "PAUL",
"middle_name": "KENDALL",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-05-17",
"last_updated": "2019-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "DE",
"license": "C2-0010941",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200138225",
"state": "DE"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Milton, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2019; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.