FREDRIC C. KULLBERG M.D.
NPI 1912010273
Internal Medicine - Pulmonary Disease in Rockford, IL

Q: What is Fredric Kullberg's NPI number?

The NPI number for Fredric Kullberg is 1912010273. It was assigned to this individual provider in the NPPES registry on August 17, 2006.

Q: What is Fredric Kullberg's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Q: When was this NPI record last updated?

The NPPES record for Fredric Kullberg was last updated on May 4, 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.

Active since August 17, 2006PECOS Enrolled

535 ROXBURY RD, SUITE B600, ROCKFORD, IL 61107(815) 397-7212(815) 397-2539 Get Directions Write a Review

NPPES record last updated: May 4, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Fredric C. Kullberg M.d. NPPES

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

FREDRIC C. KULLBERG M.D. (NPI 1912010273) is an individual pulmonary disease provider in Rockford, Illinois, licensed in Illinois (036 062004) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1912010273

Entity TypeIndividualMale

Primary Taxonomy207RP1001X

Provider Legal NameFREDRIC C. KULLBERGCredential: M.D.

Location Address535 ROXBURY RD, SUITE B600Rockford, IL 61107-5076

Mailing Address535 Roxbury Rd, Suite B600Rockford, IL 61107-5076 · (815) 397-7212 · Fax (815) 397-2539

Phone(815) 397-7212

Fax(815) 397-2539

Sole ProprietorNo

Enumeration DateAugust 17, 2006

Last NPPES UpdateMay 4, 2016

✔ NPI 1912010273 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RP1001X

License✔ Licensed in IL · 036 062004

Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

535 ROXBURY RD, Rockford, IL 61107

Open in Google Maps ↗

Other Identifiers 6

Other101 00574IL · Blue Cross Blue Shield

Medicare PINK38193IL

Medicaid036 062004IL

Other290000247IL · Railroad Medicare

Medicare UPINC45330IL

Medicare ID-Type Unspecified666470IL

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Fredric C. Kullberg M.d. 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.

Medicare Billing Reassignment

Medicare enrollment records show Fredric Kullberg reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Osf Multi-Specialty Group

108 mi

Internal Medicine

8600 N STATE ROUTE 91
Peoria, IL 61615

Reassigned Medicare billing, Illinois enrollment
2,944 clinicians in this Medicare group

NPI 1154908929 (309) 683-5050

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 61107 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

$127.46 typical visit price

range $54.80 – $168.44

Typical copayment $31.86 (range $13.70 – $42.11)

Most-billed visit code 99204

Established Patient

$97.25 typical visit price

range $17.16 – $136.56

Typical copayment $24.31 (range $4.29 – $34.14)

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 15

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

ASHLEY ANNLY LIOU DO

Internal Medicine (Pulmonary Disease)