Individual provider Active NPI

Denielle Kukel, PA

  • Physician Assistant
  • Honolulu, HI
National Provider Identifier
1063433498
Registry record updated May 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
016404 Issued in NY
Practice address
1301 Punchbowl St
Claverick 2
Honolulu, HI 96813-2402
Phone
(808) 537-7143
Fax
(808) 537-7496
NPI assigned
Jul 21, 2006
Last updated
May 8, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 016404 NY Primary
Medical Physician Assistant 363AM0700X 001645 CT

Addresses

Primary practice location

1301 Punchbowl St
Claverick 2
Honolulu, HI 96813-2402

Mailing address

1301 Punchbowl
Honolulu, HI 96813
Phone (808) 537-7143

Other identifiers 2

IdentifierTypeStateIssuer
1063433498OtherRINPI
939025129OtherRIMEDICARE GROUP NUMBER

Other names 1

  • Denielle Saracino Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130404000485 NY Practitioner - Physician Assistant 5698700201 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
001645CTMDChiropractor
016404NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedic Assoc of Dutchess County P C Physician Assistant CurrentSince Apr 22, 2013 Accepting new patients
Orthopedic Assoc of Dutchess County P C CurrentSince Apr 22, 2013 Accepting new patients
Memorial Hospital PastSince Jan 1, 1990 Accepting new patients
Memorial Hospital PastSince Jan 1, 1990 Accepting new patients
Memorial Hospital PastSince Jan 1, 1990 Accepting new patients
Memorial Hospital of Ri PastSince Jan 1, 1990 Accepting new patients
Memorial Hospital of Rhode Island Physicians, Inc. PastSince Jan 1, 1990 Accepting new patients

Locations

1955 Route 52
Hopewell Junction, NY 12533
Phone (845) 897-0170

918 Ulster Ave
Kingston, NY 12401
Phone (845) 339-8900

3141 US Route 9W
Ste 100
New Windsor, NY 12553
Phone (845) 454-0120

1910 South Rd
Poughkeepsie, NY 12601
Phone (845) 454-0120

6511 Spring Brook Ave
Rhinebeck, NY 12572
Phone (845) 871-3368

Interoperability endpoints

  • Direct secure messaging: dkukel@hiemail.healtheconnections.org

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715126400000",
    "number": "1063433498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 PUNCHBOWL",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "96813",
            "telephone_number": "808-537-7143",
            "fax_number": "808-537-7496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 PUNCHBOWL ST",
            "address_2": "CLAVERICK 2",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968132402",
            "telephone_number": "808-537-7143",
            "fax_number": "808-537-7496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUKEL",
        "first_name": "DENIELLE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-21",
        "last_updated": "2024-05-08",
        "certification_date": "2024-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "016404",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CT",
            "license": "001645",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1063433498",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "939025129",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DENIELLE",
            "last_name": "SARACINO",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.