Rastislav Kucinsky, MD

Primary specialty

Interventional Cardiology PhysicianTaxonomy code 207RI0011X

License

MD28454 Issued in OR

Practice address

3001 Daggett Ave Ste 101
Klamath Falls, OR 97601-1126

Phone

(541) 884-6233

Fax

(541) 880-2840

NPI assigned

Jul 17, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Cardiovascular Disease (Cardiology)

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sky Lakes Medical Center IncGroup PAC ID 1052204096, 196 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Sky Lakes Medical Center Hospital, Klamath Falls, OR, CCN 380050
• Modoc Medical Center Hospital, Alturas, CA, CCN 051330

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Sky Lakes Medical Center Inc

  • General Acute Care Hospital
  • Klamath Falls, OR
  • NPI 1659340370
  Medicare reassignment Care Compare group NPD
• Rastislav Kucinsky MD PC

  • Interventional Cardiology Physician
  • Klamath Falls, OR
  • NPI 1205119799
  Authorized official Same address or phone
• Sky Lakes Medical Center Inc

  dba Sky Lakes Specialty Pharmacy

  • Community/Retail Pharmacy
  • Klamath Falls, OR
  • NPI 1003654625
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Sky Lakes Medical Center Inc

  • Occupational Therapist
  • Klamath Falls, OR
  • NPI 1134270911

  Hospital

  Care Compare affiliation
• Sky Lakes Medical Center Inc

  • General Acute Care Hospital
  • Klamath Falls, OR
  • NPI 1659340370
  Care Compare affiliation
• Last Frontier Healthcare District

  dba Modoc Medical Center

  • Critical Access Hospital
  • Alturas, CA
  • NPI 1487669032
  Care Compare affiliation
• Last Frontier Healthcare District

  dba Modoc Medical Center

  • Rural Health Clinic/Center
  • Alturas, CA
  • NPI 1487764064

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1216252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667520000000",
    "number": "1174787113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2614 CLOVER ST",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976011132",
            "telephone_number": "541-884-6233",
            "fax_number": "541-880-2840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 DAGGETT AVE STE 101",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976011126",
            "telephone_number": "541-884-6233",
            "fax_number": "541-880-2840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUCINSKY",
        "first_name": "RASTISLAV",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-17",
        "last_updated": "2022-11-04",
        "certification_date": "2022-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "OR",
            "license": "MD28454",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "OR",
            "license": "MD28454",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "026194",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rachel Elise Krzemien
• George Kubac, M.D.
• Kieran Fredrick Kubac, MD
• Saige Elyse Kubac, MD
• Slavka Kucinska, MD
• Ralph M. Kunkel, MD
• Kyle R Johnson (Klamath Basin Behavioral Health)
• Robert Neville Kyle, PSS
• Larry Ralph Labeau
• Charles Michael Labuwi, MD

• Interventional Cardiology Physician in Klamath Falls, OR
• Providers in Klamath Falls, OR by specialty
• Interventional Cardiology Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.