Richard Michael Cukelj, DPM
Individual provider Active NPI Foot & Ankle Surgery Podiatrist · Cleveland, MS
NPI 1346827482 · NPPES record last updated Sep 16, 2024
Key facts
- NPI
- 1346827482
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Foot & Ankle Surgery Podiatrist 213ES0103X
- License
- 80252 (MS)
- Practice address
- 800 N Pearman Ave
Cleveland, MS 38732-3502 - Phone
- (662) 214-8880
- Fax
- (662) 214-8300
- NPI assigned
- Mar 25, 2021
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Podiatry
- Education
- Kent State University College of Podiatric Medicine, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Cardiovascular Solutions of Central Ms, PA
Practice addresses (Care Compare)
800 N Pearman Ave
Card Solutions of CTRL Ms PA
Cleveland, MS 38732-3502
Phone (888) 757-0838
Hospital & facility affiliations
- Vitalcaring Group
- Delta Health System - the Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 151 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 327 |
| Removal or shaving of skin growth | 49 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240613000551 | MS | Practitioner - Podiatry | 8820530298 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 80252 | MS | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cardiovascular Solutions of Central Ms PA | Current |
Accepting new patients | |
| Fusion Vascular, LLC | Past | Accepting new patients |
Locations
800 N Pearman Ave
Cleveland, MS 38732
Phone (662) 545-5238
800 N Pearman Ave
Ste A
Cleveland, MS 38732
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 80252 | MS | Yes |
Addresses
Primary practice location
800 N Pearman Ave
Cleveland, MS 38732-3502
Mailing address
27100 Chardon Rd
Richmond Heights, OH 44143-1192
Phone (440) 585-6500
Other providers in Cleveland, MS
- Bonita Clair Cross
- Crow Therapy, LLC
- Kristen Harmon Crow
- David M Crowe
- Emma Hardy Crowe
- D & F Medical Consulting, LLC
- Eugenia Daniels
- Davis Unlimited Healthcare Services, PLLC
- Christen Davis
- Kimberly Leatrice Davis
All providers in Cleveland, MS · Foot & Ankle Surgery Podiatrist in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 16, 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.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.