NPIMap

Individual provider Active NPI

David S Kukafka, M.D.

  • Pulmonary Disease Physician
  • Loveland, CO
National Provider Identifier
1255301180
Registry record updated Feb 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
35972 Issued in CO
Practice address
1900 Boise Ave
Suite 220
Loveland, CO 80538-5004
Phone
(970) 203-2120
Fax
(970) 203-2125
NPI assigned
Jan 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2013

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35972 CO
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 35972 CO
Pulmonary Disease Physician 207RP1001X 35972 CO Primary
Sleep Medicine (Internal Medicine) Physician 207RS0012X 35972 CO

Addresses

Primary practice location

1900 Boise Ave
Suite 220
Loveland, CO 80538-5004

Mailing address

1900 Boise Ave
Suite 220
Loveland, CO 80538-5004
Phone (970) 203-2120

Other identifiers 2

IdentifierTypeStateIssuer
01359728MedicaidCO
990006835OtherCORAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, WY, NE, AZ4 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20071106000239 CO Practitioner - Pulmonary Disease 3072573492 Reassigns benefits to 1 organization
I20100511000268 WY Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists)Practitioner - Sleep Medicine 3072573492 Reassigns benefits to 2 organizations
I20170919001241 NE Practitioner - Pulmonary DiseasePractitioner - Sleep Medicine 3072573492 Reassigns benefits to 1 organization
I20210505001930 AZ Practitioner - Pulmonary DiseasePractitioner - Sleep Medicine 3072573492 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary Disease
Education
University of Pittsburgh School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1801 16TH St
Greeley, CO 80631-5154
Phone (970) 810-4121

1900 Boise Ave
Loveland, CO 80538-5004

2010 16TH St
Suite a
Greeley, CO 80631-5188
Phone (970) 810-4475

4700 Lady Moon Dr
Fort Collins, CO 80528-4426

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35972COMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Banner Health Physicians West LLC CurrentSince Jan 1, 2021 Accepting new patients
Banner Physician Super Specialists Arizona LLC Current Accepting new patients
Washakie Medical Center CurrentSince Jan 1, 2021 Accepting new patients
Washakie Medical Center CurrentSince Jan 1, 2021 Accepting new patients
Banner Health Physicians West LLC CurrentSince Jan 1, 2021 Accepting new patients
Banner Physician Super Specialists Arizona LLC CurrentSince Dec 1, 2021 Accepting new patients
Banner Physician Super Specialists Arizona LLC CurrentSince Dec 1, 2021 Accepting new patients
Northern Colorado Pulmonary Consutlants, PC Critical Care Medicine Past Accepting new patients
Banner Health Physicians Colorado LLC Past Accepting new patients

Locations

5757 W Thunderbird Rd
Ste E352
Glendale, AZ 85306
Phone (480) 412-3684

1432 S Dobson Rd
Ste 301
Mesa, AZ 85202
Phone (480) 412-7120

6644 E Baywood Ave
Ste 135
Mesa, AZ 85206
Phone (480) 321-4553

1432 S Dobson Rd
Ste 501
Mesa, AZ 85202
Phone (480) 412-7474

1801 16th St
Ste C2B
Greeley, CO 80631
Phone (970) 810-4121

1801 16th St
Greeley, CO 80631
Phone (970) 352-4121

1801 16th St
Slp Ctr
Greeley, CO 80631
Phone (970) 810-4018

2601 N Spruce St
Ogallala, NE 69153
Phone (308) 284-3645

201 14th St
Wheatland, WY 82201
Phone (307) 322-3636

400 S 15th St
Worland, WY 82401
Phone (307) 347-3221

1106 Big Horn Ave
Worland, WY 82401
Phone (307) 347-3221

Organizations & group practices 10

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.

Hospital & facility affiliations 29

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

View all 29

NPI Registry JSON

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

{
    "created_epoch": "1138060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360022400000",
    "number": "1255301180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 BOISE AVE",
            "address_2": "SUITE 220",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805385004",
            "telephone_number": "970-203-2120",
            "fax_number": "970-203-2125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 BOISE AVE",
            "address_2": "SUITE 220",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805385004",
            "telephone_number": "970-203-2120",
            "fax_number": "970-203-2125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUKAFKA",
        "first_name": "DAVID",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-24",
        "last_updated": "2013-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "35972",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "CO",
            "license": "35972",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CO",
            "license": "35972",
            "primary": true
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "CO",
            "license": "35972",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01359728",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "990006835",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Loveland, CO

Sources for this page

Verify at the official NPI Registry.