Michael L. Kuchera, DO

Primary specialty

Neuromusculoskeletal Medicine & OMM PhysicianTaxonomy code 204D00000X

License

OS0501240 Issued in PA

Practice address

3200 Cold Spring Rd
Indianapolis, IN 46222-1960

Phone

(317) 955-6279

Fax

(317) 955-6287

NPI assigned

Aug 3, 2005

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 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: mkuchera72559@ecommunitydirect.com

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

• Eng Medical Associates

  • Ophthalmology Physician
  • Monterey Park, CA
  • NPI 1295802643
  NPD (past)
• Philadelphia College of Osteopathic Medicine

  • Family Medicine Physician
  • Philadelphia, PA
  • NPI 1881635704

  Neuromusculoskeletal Medicine & Omm

  NPD (past)

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

{
    "created_epoch": "1123027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428969600000",
    "number": "1225039902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6626 E 75TH ST",
            "address_2": "STE 500",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462502805",
            "telephone_number": "317-621-7584",
            "fax_number": "317-957-2705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 COLD SPRING RD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462221960",
            "telephone_number": "317-955-6279",
            "fax_number": "317-955-6287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUCHERA",
        "first_name": "MICHAEL",
        "middle_name": "L.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-03",
        "last_updated": "2015-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "PA",
            "license": "OS0501240",
            "primary": true
        },
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "IN",
            "license": "02004171A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201158610",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD PTAN",
            "identifier": "P01424414",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001929497",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shannon Lee Jean Kryski, COTA/L
• Angela Krzyston
• Kok Lim Kua, M.D.
• Chandrashekhar A Kubal, M.D.
• Michael Kubek IV, D.O.
• Yekaterina Kucherov, MD
• Matthew S. Kuchinski, MD
• Trisha Kuchta, CGC
• Patrick Francis Kuebler
• Sandra Diane Kuehl, PHARM. D.

• Neuromusculoskeletal Medicine & OMM Physician in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Neuromusculoskeletal Medicine & OMM Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.