DR. MATTHEW P. KUSULAS MD
NPI 1144508300
Pediatrics - Pediatric Emergency Medicine in Greenwich, CT

Active since July 21, 2011PECOS Enrolled
5 PERRYRIDGE RD, GREENWICH, CT 06830(203) 863-3000 Get Directions Write a Review

NPPES record last updated: April 21, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Matthew P. Kusulas Md NPPES

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

DR. MATTHEW P. KUSULAS MD (NPI 1144508300) is an individual pediatric emergency medicine provider in Greenwich, Connecticut, licensed in Connecticut (80020) and active in the NPI registry since July 2011. He is enrolled in Medicare PECOS and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1144508300
Entity TypeIndividualMale
Primary Taxonomy2080P0204X
Provider Legal NameDR. MATTHEW P. KUSULASCredential: MD
Location Address5 PERRYRIDGE RDGreenwich, CT 06830-4608
Mailing Address100 York St Ste 1fNew Haven, CT 06511-5664 · (203) 737-7433 · Fax (203) 737-7447
Sole ProprietorNo
Enumeration DateJuly 21, 2011
Last NPPES UpdateApril 21, 2025
NPPES CertifiedApril 21, 2025
✔ NPI 1144508300 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Emergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0204X
Licenses✔ Licensed in CT · 80020✔ Licensed in NY · 264265
Definition
A pediatrician who has special qualifications to manage emergencies in infants and children.
5 PERRYRIDGE RD, Greenwich, CT 06830

Secondary Practice Locations 3

Location 126901 76th AveNew Hyde Park, NY 11040-1433 · Phone (718) 470-4780
Location 2267 Grant StBridgeport, CT 06610-2870 · Phone (203) 384-3000
Location 335 Park StNew Haven, CT 06519-1110 · Phone (877) 925-3637

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Matthew P. Kusulas Md 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

3

Medicare enrollment records show Matthew Kusulas reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Urology
1010 NORTHERN BLVD STE 110
Great Neck, NY 11021
  • Reassigned Medicare billing, New York enrollment
  • 9,353 clinicians in this Medicare group
Internal Medicine
400 KELBY ST, 8TH FLOOR CLINICAL REVENUE OFFICE
Fort Lee, NJ 07024
  • Reassigned Medicare billing, New York enrollment
  • 1,048 clinicians in this Medicare group
Advanced Practice Midwife
100 CHURCH ST S STE 200, YALE SCHOOL OF NURSING
New Haven, CT 06519
  • Reassigned Medicare billing, Connecticut enrollment
  • 3,728 clinicians in this Medicare group

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.

Pediatrics (Neonatal-Perinatal Medicine)
5 PERRYRIDGE RD
GREENWICH, CT 06830
Physical Medicine & Rehabilitation
5 PERRYRIDGE RD
GREENWICH, CT 06830
Student in an Organized Health Care Education/Training Program
5 PERRYRIDGE RD, MEDICAL EDUCATION
GREENWICH, CT 06830
Student in an Organized Health Care Education/Training Program
5 PERRYRIDGE RD
GREENWICH, CT 06830
Physician Assistant
5 PERRYRIDGE RD
GREENWICH, CT 06830
Pharmacist (Pharmacotherapy)
5 PERRYRIDGE RD
GREENWICH, CT 06830
Nurse Anesthetist, Certified Registered
5 PERRYRIDGE RD
GREENWICH, CT 06830
Anesthesiology
5 PERRYRIDGE RD
GREENWICH, CT 06830

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 Matthew Kusulas's NPI number?

The NPI number for Matthew Kusulas is 1144508300. It was assigned to this individual provider in the NPPES registry on July 21, 2011.

Where is Matthew Kusulas located?

Matthew Kusulas practices at 5 Perryridge Rd, Greenwich, CT 06830. The listed phone number is (203) 863-3000.

What is Matthew Kusulas's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Emergency Medicine, with taxonomy code 2080P0204X.

Is Matthew Kusulas enrolled in Medicare?

Yes. Matthew Kusulas is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Matthew Kusulas's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Matthew Kusulas reassigns Medicare benefits to 3 organizations: North Shore-Lij Medical PC (Great Neck, NY), Trustees Of Columbia University In The City Of New York (Fort Lee, NJ) and Yale University (New Haven, CT). 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 Matthew Kusulas's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Matthew Kusulas was last updated on April 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.