JACQUELYN MICHELLE KUKULSKI DO
NPI 1215499249
Pediatrics in Munster, IN

Q: What is Jacquelyn Kukulski's NPI number?

The NPI number for Jacquelyn Kukulski is 1215499249. It was assigned to this individual provider in the NPPES registry on April 1, 2019.

Q: What is Jacquelyn Kukulski's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Active since April 01, 2019PECOS Enrolled

10240 CALUMET AVE FL 2, MUNSTER, IN 46321(219) 922-9150(219) 922-9180 Get Directions Write a Review

NPPES record last updated: April 22, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 30, 2024, Sep 26, 2024, Aug 5, 2022 and 4 more (7 updates tracked since 2019).

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About Jacquelyn Michelle Kukulski Do NPPES

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

JACQUELYN MICHELLE KUKULSKI DO (NPI 1215499249) is an individual pediatrics provider in Munster, Indiana, licensed in Indiana (02007548A) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS and maintains a secondary practice location in Chicago.

NPPES Registry Identity

NPI1215499249

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameJACQUELYN MICHELLE KUKULSKICredential: DO

Location Address10240 CALUMET AVE FL 2Munster, IN 46321-4082

Mailing Address8558 BroadwayMerrillville, IN 46410-7032 · (219) 392-7084 · Fax (219) 703-6854

Phone(219) 922-9150

Fax(219) 922-9180

Sole ProprietorNo

Enumeration DateApril 1, 2019

Last NPPES UpdateApril 22, 20257 updates tracked since enumeration

NPPES CertifiedApril 22, 2025

✔ NPI 1215499249 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

Licenses✔ Licensed in IN · 02007548A✔ Licensed in IL · 125.074969✔ Licensed in IL · 036.157681

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

10240 CALUMET AVE FL 2, Munster, IN 46321

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Secondary Practice Location 1

Location 15841 S Maryland AveChicago, IL 60637-1443 · Phone (888) 824-0200

Other Identifiers 3

Medicaid300083601IN

Other1103769274IN · Anthem

Medicaid390200000XIL

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacquelyn Michelle Kukulski Do 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46321 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$82.04 typical visit price

range $53.07 – $161.76

Typical copayment $20.51 (range $13.26 – $40.44)

Most-billed visit code 99203

Established Patient

$94.22 typical visit price

range $16.93 – $132.22

Typical copayment $23.55 (range $4.23 – $33.05)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

JASON TYLER ROTHCHILD MD

Family Medicine

10240 CALUMET AVE FL 2
MUNSTER, IN 46321

Lake County (197) 038-2992

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 Jacquelyn Kukulski's NPI number?

The NPI number for Jacquelyn Kukulski is 1215499249. It was assigned to this individual provider in the NPPES registry on April 1, 2019.

Where is Jacquelyn Kukulski located?

Jacquelyn Kukulski practices at 10240 Calumet Ave Fl 2, Munster, IN 46321. The listed phone number is (219) 922-9150.

What is Jacquelyn Kukulski's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Jacquelyn Kukulski enrolled in Medicare?

Yes. Jacquelyn Kukulski is registered in the Medicare PECOS enrollment system.

What insurance does Jacquelyn Kukulski accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Jacquelyn Kukulski 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 Jacquelyn Kukulski was last updated on April 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.