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COLIN MICHAEL KULICK-SOPER
NPI 1124778808
Student in an Organized Health Care Education/Training Program in Philadelphia, PA

Active since March 25, 2022PECOS EnrolledAccepts Medicare Assignment
800 SPRUCE ST, PHILADELPHIA, PA 19107(215) 829-3309(215) 829-7129 Get Directions Write a Review

NPPES record last updated: March 25, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Colin Michael Kulick-soper NPPES

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

COLIN MICHAEL KULICK-SOPER (NPI 1124778808) is an individual student in an organized health care education/training program in Philadelphia, Pennsylvania and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS, is affiliated with Pennsylvania Hospital, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1124778808
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameCOLIN MICHAEL KULICK-SOPER
Location Address800 SPRUCE STPhiladelphia, PA 19107-6192
Mailing Address800 Spruce StPhiladelphia, PA 19107-6192 · (215) 829-3309 · Fax (215) 829-7129
Phone(215) 829-3309
Fax(215) 829-7129
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateMarch 25, 2022
NPPES CertifiedMarch 25, 2022
✔ NPI 1124778808 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
800 SPRUCE ST, Philadelphia, PA 19107
Open in Google Maps ↗

Other Names 1

Former Name (1)Colin Michael Soper

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.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

Colin Michael Kulick-soper 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 ID941716328
PECOS Enrollment IDI20250722003620
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Pennsylvania Hospital

Acute Care Hospitals · Philadelphia, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390226
Location800 Spruce StreetPhiladelphia, PA 19107 · Philadelphia County
Emergency services Birthing friendly

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.

JENNA SNYDER MD
Obstetrics & Gynecology
800 SPRUCE ST
PHILADELPHIA, PA 19107
Philadelphia County (856) 803-3694
MR. ANTHONY JOHN CORDISCO
Student in an Organized Health Care Education/Training Program
800 SPRUCE ST
PHILADELPHIA, PA 19107
Philadelphia County (215) 316-5151
PEDRO GONZALEZ-ALEGRE MD
Psychiatry & Neurology (Neurology)
800 SPRUCE ST
PHILADELPHIA, PA 19107
Philadelphia County (215) 829-6500
CATRINA JONES CRNA
Nurse Anesthetist, Certified Registered
800 SPRUCE ST
PHILADELPHIA, PA 19107
Philadelphia County (215) 829-5664
KATHLEEN M VELOSO MD
Anesthesiology
800 SPRUCE ST
PHILADELPHIA, PA 19107
Philadelphia County (215) 829-5664
MICHELLE RAE HALVORSEN CRNP
Nurse Practitioner (Neonatal)
800 SPRUCE ST, 2 CATHCART
PHILADELPHIA, PA 19107
Philadelphia County (215) 829-3301
MOHAMMAD M SARHAN MD
Hospitalist
800 SPRUCE ST
PHILADELPHIA, PA 19107
Philadelphia County (215) 829-5410
NEEPA SHAH MD
Internal Medicine
800 SPRUCE ST
PHILADELPHIA, PA 19107
Philadelphia County (215) 829-5410

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 Colin Kulick-soper's NPI number?

The NPI number for Colin Kulick-soper is 1124778808. It was assigned to this individual provider in the NPPES registry on March 25, 2022. The provider is also known as Colin Michael Soper.

Where is Colin Kulick-soper located?

Colin Kulick-soper practices at 800 Spruce St, Philadelphia, PA 19107. The listed phone number is (215) 829-3309.

What is Colin Kulick-soper's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Colin Kulick-soper enrolled in Medicare?

Yes. Colin Kulick-soper 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 Colin Kulick-soper accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Colin Kulick-soper 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.

Is Colin Kulick-soper affiliated with any hospitals?

According to CMS data, Colin Kulick-soper is affiliated with Pennsylvania Hospital.

When was this NPI record last updated?

The NPPES record for Colin Kulick-soper was last updated on March 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.