DR. ERICK C BULAWA (M.D.) – Internal Medicine Physician, NPI 1326020199

DR. ERICK C BULAWA (M.D.) is a healthcare provider. based in Kingsport, Tennessee. specializing in INTERNAL MEDICINE, PEDIATRIC MEDICINE. They hold the professional credentials M.D.. They hold a License No. 179208 (TN). The NPI Number for DR. ERICK C BULAWA (M.D.) is 1326020199

Main info

Male
38 Years Of Experience
Accepts Medicare Assignment
Name
DR. ERICK C BULAWA (M.D.)
NPI
1326020199
Phone
(423) 408-7220
Address
105 W. STONE DR. SUITE 6A
Enumeration Date
17 November 2005
Last Update Date
14 November 2023

Doctor Profile

Medical School Name
STATE UNIVERSITY OF NY UPSTATE MEDICAL UNIVERSITY
Secondary Phone
-
Graduation Year
1988 (38 years ago)
PAC ID
5799798435
Group Practice PAC ID
8729189295
Professional Enrollment ID
I20131029001688
Address ID
TN377437202GR438XXRDXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience74
Completeness75
Years active:20State licenses:1Digital endpointsOther names

3,527 INTERNAL MEDICINE in TN

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Provider Addresses for DR. ERICK C BULAWA (M.D.)

  • 105 W. STONE DR. SUITE 6A

    KINGSPORT, TN 37660

    Phone: (423) 408-7220

    Fax: (423) 408-7405

    Type: Mailing

  • East Vann Road, Honeys Hill, Greeneville, Greene County, Tennessee, 37743, United States

    SUITE 201

    GREENEVILLE, TN 377437202

    Phone: (423) 278-1800

    Fax: (423) 278-1805

    Type: Location

  • 438 E VANN RD STE 201

    GREENEVILLE, TN 377437202

    Phone: (423) 278-1800

    Fax: (423) 278-1805

    Type: Location

  • 1021 W OAKLAND AVE STE 310

    JOHNSON CITY, TN 376042192

    Phone: (423) 302-6565

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 32 Open Payments records for all available years, with a total value of $631.

Total Amount is formed as General ($631) + Research ($0) + Ownership ($0) = $631.

Last reported payment date: 2024-12-04 • Largest payer in this snapshot: Lilly USA, LLC ($158).

Total Amount

$631

General + Research + Ownership

Payments

32

Total payment records

General Amount

$631

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-04

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2013-10-29

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
I20131029001688IInternal MedicineTNTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes451100$0
G0447Face-to-face behavioral counseling for obesity, 15 minutes10216$0
99215Established patient office or other outpatient visit, 40-54 minutes8438$0
99443Telephone medical discussion with physician, 21-30 minutes3017$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit1616$0
View full utilization report →

Insurance plans in this area (ZIP 37660)

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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: 8729189295View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YTN
Nurse PractitionerTN
-TN
Family PracticeSC
Physician AssistantTN
N E U R O L O G YTN
O B S T E T R I C S/ G Y N E C O L O G YTN
Nurse PractitionerTN
Physician AssistantTN
Family PracticeKY

Reviews

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Frequently asked questions

What is DR. ERICK C BULAWA (M.D.)'s NPI number?
DR. ERICK C BULAWA (M.D.)'s NPI is 1326020199 — the number used across U.S. healthcare to identify this provider.
Active or inactive — what applies to DR. ERICK C BULAWA (M.D.)?
You should see DR. ERICK C BULAWA (M.D.) as active in CMS-hosted NPPES data.
What clinical focus is listed for DR. ERICK C BULAWA (M.D.)?
At a glance, DR. ERICK C BULAWA (M.D.) is tied to Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with DR. ERICK C BULAWA (M.D.)?
Directory geography for DR. ERICK C BULAWA (M.D.) centers on Kingsport, Tennessee.
What does 4 location(s) imply?
4 practice locations appear in the available data.

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