KALEY NICHOLE LULKOVICH
NPI 1922760107
Emergency Medicine in Austin, TX

Q: What is Kaley Lulkovich's NPI number?

The NPI number for Kaley Lulkovich is 1922760107. It was assigned to this individual provider in the NPPES registry on October 6, 2021.

Q: What is Kaley Lulkovich's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for Kaley Lulkovich was last updated on April 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 October 06, 2021PECOS EnrolledAccepts Medicare Assignment

1501 RED RIVER ST, AUSTIN, TX 78712(512) 495-5555 Get Directions Write a Review

NPPES record last updated: April 6, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 6, 2023, Mar 22, 2023, Oct 6, 2021 (3 updates tracked since 2021).

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About Kaley Nichole Lulkovich NPPES

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

KALEY NICHOLE LULKOVICH (NPI 1922760107) is an individual emergency medicine provider in Austin, Texas, licensed in Texas (764823) and active in the NPI registry since October 2021. She is enrolled in Medicare PECOS, maintains a secondary practice location in Tulsa, and is a graduate of Oklahoma State University College Of Osteopathic Medicine (2023).

NPPES Registry Identity

NPI1922760107

Entity TypeIndividualFemale

Primary Taxonomy207P00000X

Provider Legal NameKALEY NICHOLE LULKOVICH

Location Address1501 RED RIVER STAustin, TX 78712-1845

Mailing Address1400 N Ih 35 Ste C2.230Austin, TX 78701-1926 · (512) 324-8221

Phone(512) 495-5555

Sole ProprietorNo

Medical School CMSOklahoma State University College Of Osteopathic MedicineGraduated 2023

Enumeration DateOctober 6, 2021

Last NPPES UpdateApril 6, 20233 updates tracked since enumeration

NPPES CertifiedMarch 22, 2023

✔ NPI 1922760107 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

License✔ Licensed in TX · 764823

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1501 RED RIVER ST, Austin, TX 78712

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Secondary Practice Location 1

Location 11111 W 17th StTulsa, OK 74107-1886 · Phone (918) 582-1972

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kaley Nichole Lulkovich 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.

PECOS PAC ID8820436728

PECOS Enrollment IDI20251110003185

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 78712 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

$89.03 typical visit price

range $57.88 – $174.00

Typical copayment $22.25 (range $14.47 – $43.50)

Most-billed visit code 99203

Established Patient

$101.65 typical visit price

range $18.88 – $142.23

Typical copayment $25.41 (range $4.72 – $35.55)

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 20

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

LINDSEY TEAL

Student in an Organized Health Care Education/Training Program