FREDRIC C. KULLBERG, M.D.S.C.
NPI 1447364740
Internal Medicine - Pulmonary Disease in Rockford, IL

NPI Status: Active since August 17, 2006

Contact Information

5668 E STATE ST
SUITE B600
ROCKFORD, IL
ZIP 61108
Phone: (815) 397-7212
Fax: (815) 397-2539

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  • Organization
  • Internal Medicine
  • Pulmonary Disease

About FREDRIC C. KULLBERG, M.D.S.C.

This page provides the complete NPI Profile along with additional information for Fredric C. Kullberg, M.d.s.c., an internist established in Rockford, Illinois operating as a Internal Medicine, focusing in pulmonary disease . The healthcare provider is registered in the NPI registry with number 1447364740 assigned on August 2006. The practitioner's primary taxonomy code is 207RP1001X. The provider is registered as an organization and their NPI record was last updated 17 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Fredric C. Kullberg M.d. (President)

NPI
1447364740
Provider Name
FREDRIC C. KULLBERG, M.D.S.C.
Entity Type
Organization
Location Address
5668 E STATE ST SUITE B600 ROCKFORD, IL 61108
Location Phone
(815) 397-7212
Location Fax
(815) 397-2539
Mailing Address
5668 E STATE ST SUITE B600 ROCKFORD, IL 61108
Mailing Phone
(815) 397-7212
Mailing Fax
(815) 397-2539
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-17-2006
Last Update Date
03-11-2008
Code Navigator

An internist like Fredric C. Kullberg, M.d.s.c. is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Internal Medicine Pulmonary Disease

Taxonomy Code
207RP1001X
Type
Allopathic & Osteopathic Physicians
License State
IL
Taxonomy Description
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

FREDRIC C. KULLBERG M.D.

Authorized Official Title
PRESIDENT
Authorized Official Phone
(815) 397-7212

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
101 00574OTHER (01)ILBLUE CROSS BLUE SHIELD
666470MEDICARE ID-TYPE UNSPECIFIED (04)IL 
C45330MEDICARE UPIN (02)IL 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1447364740
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
248766878
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 8 + 7 + 6 + 6 + 8 + 7 + 8 + 24 = 80
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1447364740 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1992738819 JAMES WALTER GIRARDY M.D.
Individual
Surgery5668 E STATE ST
ROCKFORD, IL 61108
(815) 397-7900
1528092194 THOMAS J STIEGLITZ M.D.
Individual
Thoracic Surgery (Cardiothoracic Vascular Surgery)5668 E STATE ST
ROCKFORD, IL 61108
(815) 397-7900
1447363866JOHN A. BUTLER, M.D.S.C.
Organization
Internal Medicine (Pulmonary Disease)5668 E STATE ST SUITE B600
ROCKFORD, IL 61108
(815) 397-7212
1780798801NADEEM HANIF, M.D.S.C.
Organization
Internal Medicine (Pulmonary Disease)5668 E STATE ST SUITE B600
ROCKFORD, IL 61108
(815) 397-7212
1568576734THEODORE S. INGRASSIA, III, M.D.S.C.
Organization
Internal Medicine (Pulmonary Disease)5668 E STATE ST SUITE B600
ROCKFORD, IL 61108
(815) 397-7212
1285965905 JOHN ERIC PLAYER DO
Individual
Surgery5668 E STATE ST SUITE 1000
ROCKFORD, IL 61108
(815) 397-7900
1942485735 SAMEER ANSAR M.D.
Individual
Internal Medicine (Endocrinology, Diabetes & Metabolism)5668 E STATE ST SUITE 2000
ROCKFORD, IL 61108
(815) 381-7790
1477975175LONN E BRANDER DDS LTD
Organization
Dentist5668 E STATE ST SUITE 1100
ROCKFORD, IL 61108
(815) 977-5281
1477553659 MARK E HASTINGS MD
Individual
Orthopaedic Surgery5668 E STATE ST SUITE 400
ROCKFORD, IL 61108
(815) 398-7755
1235139452 ANDREAS J FISCHER MD
Individual
Orthopaedic Surgery5668 E STATE ST SUITE 400
ROCKFORD, IL 61108
(815) 398-7755
1033183728DR. DAVID G CABLE M.D.
Individual
Thoracic Surgery (Cardiothoracic Vascular Surgery)5668 E STATE ST SUITE 1000
ROCKFORD, IL 61108
(815) 397-7900
1629014022 LESLIE PAUL EDGCOMB M.D.
Individual
Surgery (Vascular Surgery)5668 E STATE ST
ROCKFORD, IL 61108
(815) 229-7580
1467482828 LAWRENCE P PRABHAKAR M.D.
Individual
Colon & Rectal Surgery5668 E STATE ST
ROCKFORD, IL 61108
(815) 229-7580
1053344903 JEFFREY ANDREW BARTEAU M.D.
Individual
Surgery5668 E STATE ST
ROCKFORD, IL 61108
(815) 229-7580
1275567703 MARY E KELLER M.D.
Individual
Surgery5668 E STATE ST
ROCKFORD, IL 61108
(815) 229-7580
1104934389DR. ANDREW PAUL HOFFMAN M.D.
Individual
Surgery5668 E STATE ST
ROCKFORD, IL 61108
(815) 229-7580
1386748473DR. EDWARD C PYUN JR. MD
Individual
Surgery5668 E STATE ST
ROCKFORD, IL 61108
(815) 229-7580
1831298942DR. ROBERT G HODGE MD
Individual
Surgery5668 E STATE ST
ROCKFORD, IL 61108
(815) 229-7580
1447550884DR. TETSUYA TAKEUCHI M.D.
Individual
Surgery5668 E STATE ST
ROCKFORD, IL 61108
(815) 229-7580
1063686848 DACIA AURELIA PICKERING M.D.
Individual
Surgery5668 E STATE ST #2
ROCKFORD, IL 61108
(815) 397-7900

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1447364740, enumerated in the NPI registry as an "organization" on August 17, 2006

The provider is located at 5668 E State St Suite B600 Rockford, Il 61108 and the phone number is (815) 397-7212

This medical organization specializes in Internal Medicine with taxonomy code 207RP1001X with a focus in Pulmonary Disease

The provider might be accepting Accepts: Blue Cross Blue Shield, Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on August 17, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.