MICHAEL KULISZ D.O.
NPI 1760536700
Emergency Medicine in Dekalb, IL
About Michael Kulisz D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MICHAEL KULISZ D.O. (NPI 1760536700) is an individual emergency medicine provider in Dekalb, Illinois and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, is affiliated with Fort Memorial Hospital, and is a graduate of Chicago College Of Osteopathy (1987).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 4
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
Michael Kulisz D.o. 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
3Medicare enrollment records show Michael Kulisz reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Beloit, WI 53511
- Reassigned Medicare billing, Illinois and Wisconsin enrollments
- 21 clinicians in this Medicare group
Fort Atkinson, WI 53538
- Reassigned Medicare billing, Wisconsin enrollment
- 67 clinicians in this Medicare group
Dallas, TX 75244
- Reassigned Medicare billing, Illinois enrollment
- 712 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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Fort Memorial Hospital
Acute Care Hospitals · Fort Atkinson, WIBeloit Health System
Acute Care Hospitals · Beloit, WIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 60115 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 16
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
DEKALB, IL 60115
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 Michael Kulisz's NPI number?
The NPI number for Michael Kulisz is 1760536700. It was assigned to this individual provider in the NPPES registry on January 23, 2007.
Where is Michael Kulisz located?
Michael Kulisz practices at 626 Bethany Rd, Dekalb, IL 60115. The listed phone number is (815) 756-1521.
What is Michael Kulisz's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Michael Kulisz enrolled in Medicare?
Yes. Michael Kulisz 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 Michael Kulisz's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Michael Kulisz reassigns Medicare benefits to 3 organizations: Southern Wisconsin Emergency Associates Sc (Beloit, WI), Swea Fort Sc (Fort Atkinson, WI) and Signify Health Medical Associates, PLLC (Dallas, TX). 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 Michael Kulisz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Michael Kulisz affiliated with any hospitals?
According to CMS data, Michael Kulisz is affiliated with Fort Memorial Hospital and Beloit Health System.
When was this NPI record last updated?
The NPPES record for Michael Kulisz was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Michael Kulisz, D.O. · NPI 1760536700
Emergency Medicine physician in Dekalb, Illinois. Individual provider, active in the CMS NPPES registry since January 23, 2007.
## Identity
- **NPI:** 1760536700 (Entity type: Individual)
- **Enumerated:** January 23, 2007
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **Sole proprietor:** No
## Practice location
- **Address:** 626 BETHANY RD, Dekalb, IL 60115-4939
- **Phone:** (815) 756-1521
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Southern Wisconsin Emergency Associates Sc (NPI 1568538189, Beloit, WI); Swea Fort Sc (NPI 1295552065, Fort Atkinson, WI); Signify Health Medical Associates, PLLC (NPI 1750845863, Dallas, TX) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Chicago College Of Osteopathy, class of 1987
## Record status
- **NPPES last updated:** July 9, 2007
- **Other identifiers:** Medicare UPIN E42128 (IL); Other 098603 (IL); Medicare PIN L19869 (IL); and 1 more
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Source: [NPI Profile](https://npiprofile.com/npi/1760536700) · Data from the CMS NPPES public registry.