Dr. Matthew P. Kusulas, MD
Pediatrics, Pediatric Emergency Medicine in Greenwich, CT. Individual provider (NPI-1).
NPI number1144508300
StatusActive
Last updated in NPPESApr 21, 2025
Details
- NPI
- 1144508300
- Entity type
- Individual (NPI-1)
- Name
- Dr. Matthew P. Kusulas
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 21, 2011
- Certification date
- Apr 21, 2025
- Last updated
- Apr 21, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PEDIATRIC MEDICINE
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2080P0204X | Pediatrics, Pediatric Emergency Medicine | 80020 | CT | Yes |
| 2080P0204X | Pediatrics, Pediatric Emergency Medicine | 264265 | NY |
Practice location
5 Perryridge RdGreenwich, CT 06830-4608
Phone 203-863-3000
Mailing address
100 York St Ste 1fNew Haven, CT 06511-5664
Phone 203-737-7433 · Fax 203-737-7447
Other practice locations
26901 76th Ave
New Hyde Park, NY 11040-1433
New Hyde Park, NY 11040-1433
Phone 718-470-4780
35 Park St
New Haven, CT 06519-1110
New Haven, CT 06519-1110
Phone 877-925-3637
267 Grant St
Bridgeport, CT 06610-2870
Bridgeport, CT 06610-2870
Phone 203-384-3000
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Pediatric Emergency Medicine (Pediatrics) Physician providers in Greenwich, CT
Checking a whole list?
Paste a list of NPIs and get status, record, Medicare enrollment and OIG exclusion for each one. 10 free a day, then credits from $29 for 5,000. Useful for credentialing, billing and pharmacy claim checks.