Joseph M. Kukla DPM, PLLC
Organization Active NPI Podiatrist · Cedar Rapids, IA
NPI 1235898271 · NPPES record last updated Apr 4, 2024
Key facts
- NPI
- 1235898271
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Podiatrist 213E00000X
- Legal business name
- JOSEPH M. KUKLA DPM, PLLC
- Practice address
- 3047 Center Point Rd NE Ste a
Cedar Rapids, IA 52402-4064 - Phone
- (319) 365-6973
- Fax
- (319) 365-6974
- NPI assigned
- Dec 16, 2021
- Organization subpart
- No
Authorized official
- Name
- Mr. Joseph M Kukla, DPM
- Title
- Owner
- Phone
- (319) 365-6973
Practitioners 7
-
Joseph Matthew Kukla, DPM
-
Jeffrey Alan Parker, DPM
-
Todd F Dolphin, DPM
-
John F Hamm, D.P.M.
-
Michael A Orosz, DPM
-
Kevin Scott Tanner, D.P.M.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in IA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220125002428 | IA | Part B Supplier - Clinic/Group Practice | 9335531326 |
Receives reassigned benefits from 2 practitioners Practice locations: Cedar Rapids, IA; Anamosa, IA; Manchester, IA |
| O20220324000424 | IA | DME Supplier - Physician - Podiatry | 9335531326 | Practice locations: Cedar Rapids, IA |
National Provider Directory
Locations
208 E Main St
Anamosa, IA 52205
Phone (319) 462-3709
3053 Center Point Rd NE
Ste B
Cedar Rapids, IA 52402
Phone (319) 365-6973
3047 Center Point Rd NE
Ste A
Cedar Rapids, IA 52402
Phone (319) 213-8485
717 E Main St
Manchester, IA 52057
Phone (319) 927-2944
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist |
213E00000X | Yes |
Addresses
Primary practice location
3047 Center Point Rd NE Ste a
Cedar Rapids, IA 52402-4064
Mailing address
3047 Center Point Rd NE Ste a
Cedar Rapids, IA 52402-4064
Phone (319) 365-6973
Other names
- Podiatry Associates
Other providers in Cedar Rapids, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 4, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.