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DR. MARK L. WULKAN M.D.
NPI 1053409698
Surgery - Pediatric Surgery in Burlington, VT

Active since October 10, 2006PECOS Enrolled
111 COLCHESTER AVE, BURLINGTON, VT 05401(802) 847-4273(802) 847-4462 Get Directions Write a Review

NPPES record last updated: June 3, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 3, 2025, Apr 16, 2021, Sep 29, 2020 (3 updates tracked since 2020).

About Dr. Mark L. Wulkan M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MARK L. WULKAN M.D. (NPI 1053409698) is an individual pediatric surgery provider in Burlington, Vermont, licensed in Vermont (042.0018422) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Akron.

NPPES Registry Identity

NPI1053409698
Entity TypeIndividualMale
Primary Taxonomy2086S0120X
Provider Legal NameDR. MARK L. WULKANCredential: M.D.
Location Address111 COLCHESTER AVEBurlington, VT 05401-1473
Mailing Address111 Colchester AveBurlington, VT 05401-1473 · (802) 847-0000
Phone(802) 847-4273
Fax(802) 847-4462
Sole ProprietorNo
Enumeration DateOctober 10, 2006
Last NPPES UpdateJune 3, 20253 updates tracked since enumeration
NPPES CertifiedJune 3, 2025
✔ NPI 1053409698 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Pediatric SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0120X
Licenses✔ Licensed in VT · 042.0018422✔ Licensed in GA · 045676✔ Licensed in OH · 35.139193
Definition
A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.
111 COLCHESTER AVE, Burlington, VT 05401
Open in Google Maps ↗

Secondary Practice Location 1

Location 11 Perkins SqAkron, OH 44308-1063 · Phone (330) 543-1000

Other Identifiers 1

Other37BBFHJGA · Medicare Ptan

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Antidote Health Plan of Ohio, Inc., Oscar Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mark L. Wulkan M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

5

Medicare enrollment records show Mark Wulkan reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Of Vermont Medical Center Inc
Same address
Internal Medicine
111 COLCHESTER AVE
Burlington, VT 05401
  • Reassigned Medicare billing, Vermont enrollment
  • 1,643 clinicians in this Medicare group
NPI 1659309615 (802) 847-0000
Children's Hospital Medical Center Of Akron
448 mi
Anesthesiology
6505 MARKET ST
Boardman, OH 44512
  • Reassigned Medicare billing, Ohio enrollment
  • 559 clinicians in this Medicare group
NPI 1417257601 (330) 746-8700
Scottish Rite Children's Medical Center
942 mi
Pediatric Hematology-Oncology
1001 JOHNSON FERRY RD NE
Atlanta, GA 30342
  • Reassigned Medicare billing, Georgia enrollment
  • Medicare enrollment name: Scottish Rite Childrens Medical Center
  • 9 clinicians in this Medicare group
NPI 1184779332 (404) 785-5252
Choa Multispecialty, LLC
945 mi
Pediatrics
1575 NORTHEAST EXPY NE
Brookhaven, GA 30329
  • Reassigned Medicare billing, Georgia enrollment
  • 58 clinicians in this Medicare group
NPI 1437493467 (404) 785-6000
Central Iowa Hospital Corporation
1,043 mi
Family Medicine
2720 8TH ST SW
Altoona, IA 50009
  • Reassigned Medicare billing, Iowa enrollment
  • 545 clinicians in this Medicare group
NPI 1902857618 (515) 967-0133

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ELENA KOZAKEWICH
Internal Medicine (Pulmonary Disease)
111 COLCHESTER AVE, UVM MEDICAL CENTER, DEPT OF INTERNAL MEDICINE, 222WP2
BURLINGTON, VT 05401
Chittenden County (802) 847-2700
RICHARD BOHLING CAROZZA MD
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
111 COLCHESTER AVE
BURLINGTON, VT 05401
Chittenden County (802) 847-4589
ANDREW HUY NGUYEN MD
Radiology (Diagnostic Radiology)
111 COLCHESTER AVE
BURLINGTON, VT 05401
Chittenden County (802) 847-0000
DR. KELLY CURTIS BLANCHET MD
Pediatrics
111 COLCHESTER AVE
BURLINGTON, VT 05401
Chittenden County (802) 847-2345
LINDSAY ANNE CALDARONE MD
Student in an Organized Health Care Education/Training Program
111 COLCHESTER AVE
BURLINGTON, VT 05401
Chittenden County (802) 847-2345
SHAWN LANSING
Student in an Organized Health Care Education/Training Program
111 COLCHESTER AVE
BURLINGTON, VT 05401
Chittenden County (802) 847-2345
HANNA S LOVING PHD
Pathology (Clinical Laboratory Director, Non-physician)
111 COLCHESTER AVE
BURLINGTON, VT 05401
Chittenden County (802) 847-5121
KAITLYN MARIE DILLON DNP, APRN, FNP-C
Nurse Practitioner
111 COLCHESTER AVE
BURLINGTON, VT 05401
Chittenden County (802) 847-0000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mark Wulkan's NPI number?

The NPI number for Mark Wulkan is 1053409698. It was assigned to this individual provider in the NPPES registry on October 10, 2006.

Where is Mark Wulkan located?

Mark Wulkan practices at 111 Colchester Ave, Burlington, VT 05401. The listed phone number is (802) 847-4273.

What is Mark Wulkan's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Pediatric Surgery, with taxonomy code 2086S0120X.

Is Mark Wulkan enrolled in Medicare?

Yes. Mark Wulkan is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Mark Wulkan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mark Wulkan reassigns Medicare benefits to 5 organizations: University Of Vermont Medical Center Inc (Burlington, VT), Children's Hospital Medical Center Of Akron (Boardman, OH), Scottish Rite Children's Medical Center (Atlanta, GA), Choa Multispecialty, LLC (Brookhaven, GA) and Central Iowa Hospital Corporation (Altoona, IA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mark Wulkan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mark Wulkan accept?

Health plans from Anthem Blue Cross and Blue Shield, Antidote Health Plan of Ohio, Inc., Oscar Health, Oscar Insurance Company and Wellmark Health Plan of Iowa, Inc. list Mark Wulkan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mark Wulkan was last updated on June 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.