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DR. SIMON J PULLUKAT MD
NPI 1881702322
Family Medicine in Pontiac, MI

Active since August 25, 2006PECOS Enrolled
35 SOUTH JOHNSON SUITE 2-D, PONTIAC, MI 48341(268) 338-0860(268) 338-6013 Get Directions Write a Review

NPPES record last updated: February 3, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Simon J Pullukat Md NPPES

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

DR. SIMON J PULLUKAT MD (NPI 1881702322) is an individual family medicine provider in Pontiac, Michigan, licensed in Michigan (4301035015) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1881702322
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. SIMON J PULLUKATCredential: MD
Location Address35 SOUTH JOHNSON SUITE 2-DPontiac, MI 48341
Mailing Address1075 N Edgar RdMason, MI 48854-9584 · (248) 563-3848
Phone(268) 338-0860
Fax(268) 338-6013
Sole ProprietorNo
Enumeration DateAugust 25, 2006
Last NPPES UpdateFebruary 3, 2016
✔ NPI 1881702322 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MI · 4301035015
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
35 SOUTH JOHNSON SUITE 2-D, Pontiac, MI 48341
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Other Identifiers 3

Medicare UPINB44308MI
Medicare ID-Type Unspecified06302079081
Medicaid210999610MI

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Simon J Pullukat 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48341 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
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.

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 Simon Pullukat's NPI number?

The NPI number for Simon Pullukat is 1881702322. It was assigned to this individual provider in the NPPES registry on August 25, 2006.

Where is Simon Pullukat located?

Simon Pullukat practices at 35 South Johnson Suite 2-D, Pontiac, MI 48341. The listed phone number is (268) 338-0860.

What is Simon Pullukat's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Simon Pullukat enrolled in Medicare?

Yes. Simon Pullukat is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Simon Pullukat was last updated on February 3, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.