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

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: August 09, 2026.

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
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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, and ordering and referring status from the CMS PECOS system.

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.

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 14

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)
535 ROXBURY RD
ROCKFORD, IL 61107
Winnebago County (815) 397-7212
MRS. ANDREA M SHEWALTER APRN
Nurse Practitioner (Family)
535 ROXBURY RD
ROCKFORD, IL 61107
Winnebago County (815) 387-1717
PERRYVILLE SURGICAL ASSOCIATES SC
Surgery
535 ROXBURY RD
ROCKFORD, IL 61107
Winnebago County (815) 398-0175
ASHLEY SEYFERT
Clinical Nurse Specialist
535 ROXBURY RD
ROCKFORD, IL 61107
Winnebago County (815) 387-1717
DR. JACINTO GARCIA OBREGON MD
Surgery
535 ROXBURY RD
ROCKFORD, IL 61107
Winnebago County (815) 398-0175
EHSUN NAEEM MD
Internal Medicine
535 ROXBURY RD
ROCKFORD, IL 61107
Winnebago County (815) 397-7212
MS. MEREDYDD JANE HARPER APRN,BC
Nurse Practitioner (Acute Care)
535 ROXBURY RD
ROCKFORD, IL 61107
Winnebago County (815) 398-0175
THEODORE S. INGRASSIA III M.D.
Internal Medicine (Pulmonary Disease)
535 ROXBURY RD, SUITE B600
ROCKFORD, IL 61107
Winnebago County (815) 397-7212

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 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.

Where is Fredric Kullberg located?

Fredric Kullberg practices at 535 Roxbury Rd Suite B600, Rockford, IL 61107. The listed phone number is (815) 397-7212.

What is Fredric Kullberg's specialty?

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

Is Fredric Kullberg enrolled in Medicare?

Yes. Fredric Kullberg is registered in the Medicare PECOS enrollment system.

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.