Alexander Kulczycki, M.D.
Individual provider Active NPI Hospitalist Physician · Bar Harbor, ME
NPI 1992932248 · NPPES record last updated Mar 11, 2023
Key facts
- NPI
- 1992932248
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Hospitalist Physician 208M00000X
- License
- MD24149 (ME)
- Practice address
- 10 Wayman LN
Bar Harbor, ME 04609-1625 - Phone
- (207) 288-5081
- Fax
- (207) 288-8620
- NPI assigned
- Jun 14, 2009
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Hospitalist
- Education
- Rutgers R W Johnson Medical School (Cam/New Bruns/Pisc), 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mount Desert Island Hospital
Practice addresses (Care Compare)
10 Wayman LN
Bar Harbor, ME 04609-1625
Phone 20728850811375
Hospital & facility affiliations
- Mount Desert Island Hospital
- Northern Light Eastern Maine Medical Center
- Mount Desert Island Hospital
- Complete Care at Shorrock
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.58 of 100
- Quality
- 83.17
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ME
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230313001157 | ME | Practitioner - Hospitalist |
7012056757 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD24149 | ME | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mount Desert Island Hospital | Current |
Accepting new patients | |
| Mount Desert Island Hospital | Past | Accepting new patients |
Locations
322 Main St
Bar Harbor, ME 04609
Phone (207) 288-5082
10 Wayman Ln
Fl 2
Bar Harbor, ME 04609
10 Wayman Ln
Bar Harbor, ME 04609
Phone (207) 288-5082
Interoperability endpoints
- alexander.kulczycki@direct.hackensackmeridian.org
- https://fhir-myrecord.cerner.com/r4/b5eba017-85d4-4b6c-a2f0-9b2c7b0c38dd/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | MD24149 | ME | Yes |
Addresses
Primary practice location
10 Wayman LN
Bar Harbor, ME 04609-1625
Mailing address
10 Wayman LN
Bar Harbor, ME 04609-1625
Phone (207) 288-5081
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0215732 | Medicaid | NJ |
Other providers in Bar Harbor, ME
- Diane E Kay-Daigle
- Gerald R Keenan
- Trisha Ellen Kiliany
- Rosamond Kreilkamp
- Julius R Krevans Jr.
- Katherine J Lagueux
- Travis M. Lajoie
- Ruth M Lamdan
- Paula Kay Lavigne
- Katherine L Lawson
All providers in Bar Harbor, ME · Hospitalist Physician in Maine
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 11, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.