DR. EDWIN S KULUBYA JR. MD
NPI 1164970372
Neurological Surgery in Boston, MA
About Dr. Edwin S Kulubya Jr. Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. EDWIN S KULUBYA JR. MD (NPI 1164970372) is an individual neurological surgery provider in Boston, Massachusetts, licensed in Massachusetts (1015267) and active in the NPI registry since September 2016. He is enrolled in Medicare PECOS and is a graduate of Other (2016).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Edwin S Kulubya Jr. Md 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.
Medicare Billing Reassignments
2Medicare enrollment records show Edwin Kulubya reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Boston, MA 02115
- Reassigned Medicare billing, Massachusetts enrollment
- 34 clinicians in this Medicare group
New York, NY 10032
- Reassigned Medicare billing, New York enrollment
- 3,922 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 02115 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
BOSTON, MA 02115
BOSTON, MA 02115
BOSTON, MA 02115
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 Edwin Kulubya's NPI number?
The NPI number for Edwin Kulubya is 1164970372. It was assigned to this individual provider in the NPPES registry on September 16, 2016.
Where is Edwin Kulubya located?
Edwin Kulubya practices at 300 Longwood Ave, Boston, MA 02115. The listed phone number is (617) 355-6000.
What is Edwin Kulubya's specialty?
The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.
Is Edwin Kulubya enrolled in Medicare?
Yes. Edwin Kulubya 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.
Which organizations bill Medicare for Edwin Kulubya's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Edwin Kulubya reassigns Medicare benefits to 2 organizations: Boston Pediatric Neurosurgical Foundation, Inc. (Boston, MA) and Trustees Of Columbia University In The City Of New York (New York, NY). 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 Edwin Kulubya's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Edwin Kulubya accept?
Health plans from Taro Health list Edwin Kulubya 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 Edwin Kulubya was last updated on August 6, 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.