Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jeremy Kulacz

Individual provider Neurology Physician · NPI 1336551100

Jeremy Kulacz is a Neurology in Providence, Rhode Island. Graduated from Southern Illinois University School of Medicine in 2014, 12 years ago. Practices with SIU Physicians and Surgeons Inc, a 316-clinician group and accepts Medicare assignment. Licensed in Rhode Island.

Years since qualifying
12
Trained at
Southern Illinois University School of Medicine
Licensed in
RI
In the registry since
2014
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Practice location Address checks out

593 Eddy St
Providence, RI 02903-4923
Phone: (401) 606-2513
Fax: (401) 444-6858
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurology Physician (primary) Taxonomy 2084N0400X · Licence LP03105 (RI)

Record details

NPI number1336551100
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMay 28, 2014
Last updated in NPPESOctober 16, 2020
Certification dateOctober 16, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNEUROLOGY
Medical schoolSOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE
Graduated 2014 (12 years in practice)
Group practice Siu Physicians And Surgeons Inc — 316 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Providence