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

Active since October 10, 2006PECOS EnrolledAccepts Medicare Assignment
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: August 09, 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, maintains a secondary practice location in Akron, and is a graduate of Emory University School Of Medicine (1989).

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
Medical School CMSEmory University School Of MedicineGraduated 1989
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.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Mark L. Wulkan M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2769651793
PECOS Enrollment IDI20250628000171
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.

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
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
Registered Nurse (Medical-Surgical)
111 COLCHESTER AVE
BURLINGTON, VT 05401
Chittenden County (802) 847-0000
MS. MERJA CAHOON NNP
Nurse Practitioner (Neonatal)
111 COLCHESTER AVE
BURLINGTON, VT 05401
Chittenden County (802) 847-2370

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 system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Mark Wulkan accept?

Health plans from Anthem Blue Cross and Blue Shield 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 14 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.