DR. ANTHONY JR. KULCZYCKI (MD) – Allergy & Immunology (Internal Medicine) Physician, NPI 1104843630

DR. ANTHONY JR. KULCZYCKI (MD) is a healthcare provider. based in Saint louis, Missouri. specializing in Allergy & Immunology (Internal Medicine) Physician. They hold the professional credentials MD. They hold a License No. R7229 (MO). The NPI Number for DR. ANTHONY JR. KULCZYCKI (MD) is 1104843630

Main info

Male
56 Years Of Experience
Accepts Medicare Assignment
Name
DR. ANTHONY JR. KULCZYCKI (MD)
NPI
1104843630
Phone
(314) 273-5838
Address
1110 HIGHLANDS PLAZA DR E
Enumeration Date
17 July 2006
Last Update Date
15 November 2021

Doctor Profile

Medical School Name
HARVARD MEDICAL SCHOOL
Secondary Phone
3122730500
Graduation Year
1970 (56 years ago)
PAC ID
3577697143
Group Practice PAC ID
9830008770
Professional Enrollment ID
I20100818000260

Contacts

FHIR Endpoint
https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

Provider Addresses for DR. ANTHONY JR. KULCZYCKI (MD)

  • 1110 HIGHLANDS PLAZA DR E

    DIV ALLERGY & IMMUNOLOGY, STE 300

    SAINT LOUIS, MO 631101392

    Phone: (314) 273-5838

    Fax: (314) 273-5839

    Type: Location

  • 660, South Euclid Avenue, Central West End, City of Saint Louis, Missouri, 63110, United States

    CB 8122

    SAINT LOUIS, MO 631101010

    Phone: (314) 454-8917

    Fax: (314) 454-5140

    Type: Mailing

  • Parkview Place, Central West End, St. Louis, Missouri, 63110, United States

    8TH FL

    SAINT LOUIS, MO 631101032

    Phone: (314) 454-8917

    Fax: (314) 454-5140

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-08-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100818000260IAllergy/ImmunologyMOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 63110)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9830008770View full group profile

Reviews

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Frequently asked questions

What is DR. ANTHONY JR. KULCZYCKI (MD)'s NPI number?
DR. ANTHONY JR. KULCZYCKI (MD)'s NPI is 1104843630 — the number used across U.S. healthcare to identify this provider.
Is DR. ANTHONY JR. KULCZYCKI (MD) shown as active in public data?
Registry records indicate DR. ANTHONY JR. KULCZYCKI (MD) maintains an active NPI.
What clinical focus is listed for DR. ANTHONY JR. KULCZYCKI (MD)?
At a glance, DR. ANTHONY JR. KULCZYCKI (MD) is tied to Allergy & Immunology (Internal Medicine) Physician. Clinical services aligned with this taxonomy classification.
Where in Missouri is DR. ANTHONY JR. KULCZYCKI (MD) registered?
Use Saint Louis, Missouri as the headline location for DR. ANTHONY JR. KULCZYCKI (MD) here.
When was this NPI issued?
Enumeration for DR. ANTHONY JR. KULCZYCKI (MD) is noted as July 17, 2006 where the registry provides it.

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