SAMUEL D KULICK DPM
NPI 1417215609
Podiatrist - Foot & Ankle Surgery in Jacksonville, FL
About Samuel D Kulick Dpm NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAMUEL D KULICK DPM (NPI 1417215609) is a healthcare organization registered as a foot & ankle surgery in Jacksonville, Florida and active in the NPI registry since April 2012. The organization lists Samuel Kulick D.p.m., Podiatrist, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Samuel D Kulick Dpm is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Samuel D Kulick DPM, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Samuel D Kulick Dpm's NPI number?
The NPI number for Samuel D Kulick Dpm is 1417215609. It was assigned to this organization in the NPPES registry on April 25, 2012.
Where is Samuel D Kulick Dpm located?
Samuel D Kulick Dpm is located at 9397 San Jose Blvd Ste 1, Jacksonville, FL 32257. The listed phone number is (904) 731-9293.
What is Samuel D Kulick Dpm's specialty?
The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.
Is Samuel D Kulick Dpm enrolled in Medicare?
Yes. Samuel D Kulick Dpm is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Samuel D Kulick Dpm?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Podiatry) reassigns their Medicare billing to Samuel D Kulick Dpm. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Samuel D Kulick Dpm was last updated on February 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.
# Samuel D Kulick Dpm · NPI 1417215609
Foot & Ankle Surgery organization in Jacksonville, Florida. Organization record, active in the CMS NPPES registry since April 25, 2012.
## Identity
- **NPI:** 1417215609 (Entity type: Organization)
- **Enumerated:** April 25, 2012
- **Primary specialty:** Podiatrist - Foot & Ankle Surgery · taxonomy 213ES0103X
- **Organization subpart:** No
- **Authorized official:** Samuel D.p.m., PODIATRIST
## Practice location
- **Address:** 9397 SAN JOSE BLVD STE 1, Jacksonville, FL 32257-5587
- **Phone:** (904) 731-9293 · **Fax:** (904) 636-0223
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Podiatry) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 12, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1417215609) · Data from the CMS NPPES public registry.