Provider Type Icon

SLAVKO KUKUCKA M.D. NPI 1568437507


NPI Information

NPI: 1568437507
Provider Name: SLAVKO KUKUCKA, M.D.
Classification: Family Medicine - 207Q00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
119 CHIMNEY RD
RINCON, GA
ZIP 31326
Phone: (912) 826-0229
Get Directions

Slavko Kukucka, M.D. is a family medicine in Rincon, GA with 27 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Slavko Kukucka, M.D. NPI is 1568437507. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Graduation Year:1997

The provider's business location address is:

119 CHIMNEY RD
RINCON, GA
ZIP 31326
Phone: (912) 826-0229
Fax: (912) 826-0449

The NPI 1568437507 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.

  • Injection, dexamethasone sodium phosphate, 1 mg (HCPCS:J1100)
  • Urinalysis, manual test (HCPCS:81002)

The enumeration date for this NPI number is 2/22/2006 and was last updated on 9/14/2009.


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
1207Q00000XFamily Medicine046877GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1H00685MEDICARE UPIN
2000843235EMEDICAIDGEORGIA
3GPA902OTHERSOUTH CAROLINASC MEDICAID GROUP ID FOR SAVANNAH LOCATION
4G46877MEDICAIDSOUTH CAROLINA
552782040-009OTHERGEORGIABCBS/GA FOR POOLER LOCATION
608BBQLQMEDICARE ID-TYPE UNSPECIFIEDGEORGIA
7000843235CMEDICAIDGEORGIA
8GRP2837OTHERGEORGIAMEDICARE GROUP ID
9582203199-009OTHERGEORGIATRICARE ID
10P00441748OTHERGEORGIARR MEDICARE
11000843235DMEDICAIDGEORGIA
12GPA892OTHERSOUTH CAROLINASC MEDICAID GROUP ID FOR POOLER LOCATION
1352782040-008OTHERGEORGIABCBS GA FOR SAVANNAH LOCATION
14582203199-004OTHERGEORGIATRICARE ID
15CG4057OTHERGEORGIARR MEDICARE GROUP ID
1608BBSKZMEDICARE PINGEORGIA

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: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.