Martina Kukolja

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

0101050160 Issued in VA

Practice address

12647 Olive Blvd Ste 600
Saint Louis, MO 63141-6346

Phone

(314) 744-4205

NPI assigned

Dec 18, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/20274/brand/1/csg/1/fhir/r4

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.

• S & D of Virginia Inc

  • Internal Medicine Physician
  • Reston, VA
  • NPI 1831300482
  NPD (past)

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

{
    "created_epoch": "1355788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355788800000",
    "number": "1326384454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12647 OLIVE BLVD STE 600",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631416346",
            "telephone_number": "314-744-4205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12647 OLIVE BLVD STE 600",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631416346",
            "telephone_number": "314-744-4205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUKOLJA",
        "first_name": "MARTINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-18",
        "last_updated": "2012-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101050160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria M. Kuhn, LPC
• Robyn Clair Kuhn, D.C.
• Danielle Andrea Gallet Kukielski, RD
• Sindhuja Kukkala, MD
• Cadence Amber Kuklinski, DO
• Julie Kukurza, MSOT, OTR/L
• Yael Kula, MSW
• Gary Kulak, M.D.
• Heather Ann Kulash
• Azra Kulasic, FNP

• Internal Medicine Physician in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Internal Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2012; 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.