EVAN LOREN KULBACKI MD NPI 1659531408

NPI Information

  • NPI: 1659531408
  • Provider Name: EVAN LOREN KULBACKI, MD
  • Classification: Pathology - 207ZP0102X
  • Specialization: Anatomic Pathology & Clinical Pathology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 130 W RAVINE RD
    KINGSPORT, TN
    ZIP 37660
  • Phone: (423) 224-6711

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NPI Details

Evan Loren Kulbacki, MD is an anatomic pathology and clinical pathology pathology in Kingsport, TN with 18 years of experience. The provider is a pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. Evan Loren Kulbacki, MD NPI is 1659531408. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF UTAH SCHOOL OF MEDICINE
Graduation Year:2008

The provider's business location address is:

130 W RAVINE RD
KINGSPORT, TN
ZIP 37660-837
Phone: (423) 224-6711
Fax: (423) 224-6717

The NPI 1659531408 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Special stained specimen slides to examine tissue, each additional procedure (HCPCS:88341)
  • Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system and manual rescreening under physician supervision (HCPCS:G0145)
  • Pathology examination of tissue using a microscope, intermediate complexity (HCPCS:88305)
  • Pathology examination of tissue using a microscope, intermediate complexity (HCPCS:88305)
  • Special stained specimen slides to examine tissue, initial procedure (HCPCS:88342)
  • Blood smear interpretation by physician with written report (HCPCS:85060)
  • Infectious agent detection by nucleic acid (dna or rna); human papillomavirus (hpv), high-risk types (e.g., 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68) for cervical cancer screening, must be performed in addition to pap test (HCPCS:G0476)
  • Pathology examination of tissue using a microscope, moderately high complexity (HCPCS:88307)
  • Cell examination of specimen, selective cellular enhancement technique (HCPCS:88112)
  • Microscopic genetic analysis of tissue, computer-assisted technology, initial procedure, each multiplex procedure (HCPCS:88374)
  • Special stained specimen slides to examine tissue, initial procedure (HCPCS:88342)
  • Special stained specimen slides to examine tissue including interpretation and report (HCPCS:88313)
  • Preparation of tissue for examination by removing any calcium present (HCPCS:88311)
  • Flow cytometry technique for dna or cell analysis, 16 or more markers (HCPCS:88189)
  • Pap test, automated thin layer preparation; automated system and manual rescreening (HCPCS:88175)
  • Special stained specimen slides to examine tissue, each additional procedure (HCPCS:88341)
  • Pathology examination of tissue using a microscope, moderately low complexity (HCPCS:88304)
  • Biopsy and aspiration of bone marrow sample for diagnosis (HCPCS:38222)
  • Evaluation of fine needle aspirate with interpretation and report (HCPCS:88173)
  • Bone marrow, smear interpretation (HCPCS:85097)
  • Detection test by nucleic acid for human papillomavirus (hpv), high-risk types (HCPCS:87624)
  • Evaluation of fine needle aspirate (HCPCS:88172)
  • Special stained specimen slides to identify organisms including interpretation and report (HCPCS:88312)
  • Examination of archival tissue for genetic analysis (HCPCS:88363)
  • Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, requiring interpretation by physician (HCPCS:G0124)
  • Special stained specimen slides to identify organisms including interpretation and report (HCPCS:88312)

The enumeration date for this NPI number is 6/16/2008 and was last updated on 9/8/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207ZH0000XPathologyHematology49647TENNESSEENo
2207ZP0102XPathologyAnatomic Pathology & Clinical Pathology49647TENNESSEEYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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