NONGNUCH KULIGOWSKI – Family Medicine Physician, NPI 1013473248
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
22,204 NURSE PRACTITIONER in TX
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Provider Addresses for NONGNUCH KULIGOWSKI
516 E BYON NELSON BLVD
PO BOX 1391
ROANOKE, TX 762621391
Phone:
Type: Mailing
TX 121, Lewisville, Denton County, Texas, 75057, United States
LEWISVILLE, TX 75056
Phone: (469) 455-3999
Type: Location
234 W CAMPBELL RD
RICHARDSON, TX 750803512
Phone: (972) 474-3221
Type: Mailing
2200 W UNIVERSITY DR STE 150
DENTON, TX 762010029
Phone: (940) 304-0189
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 11 Open Payments records for all available years, with a total value of $293.
Total Amount is formed as General ($293) + Research ($0) + Ownership ($0) = $293.
Last reported payment date: 2024-07-30 • Largest payer in this snapshot: Halozyme Inc ($193).
Total Amount
$293
General + Research + Ownership
Payments
11
Total payment records
General Amount
$293
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-30
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Halozyme Inc | $193 |
| Novo Nordisk Inc | $54 |
| Currax Pharmaceuticals LLC | $27 |
| Lilly USA, LLC | $18 |
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: 2021-11-05
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20211105001810 | I | Nurse Practitioner | TX | TBD |
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.
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 76262)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | CA | |
| Physician Assistant | TX | |
| Nurse Practitioner | IL | |
| Physician Assistant | TX | |
| Physician Assistant | TX | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | CO | |
| Clinical Social Worker | FL | |
| Nurse Practitioner | TX |
Reviews
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