Cathy Ann Kukula, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

MI56002120 Issued in MI

Practice address

2825 Livernois Rd
Troy, MI 48083-1214

Phone

(248) 680-2060

Fax

(248) 680-2099

NPI assigned

Feb 26, 2007

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

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539043200000",
    "number": "1386770386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6986 RAWLING DR",
            "city": "WASHINGTON",
            "state": "MI",
            "postal_code": "480942488",
            "telephone_number": "586-258-8206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2825 LIVERNOIS RD",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480831214",
            "telephone_number": "248-680-2060",
            "fax_number": "248-680-2099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUKULA",
        "first_name": "CATHY",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-26",
        "last_updated": "2018-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MI",
            "license": "MI56002120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paula Mary Krzeczkowski, OTR
• Samar D Kubba, D.O.
• Angela Kudzia, LLP
• Marisa Kujawa, PHARMD
• Matthew Daniel Kukawski, PAC
• Reema George Kulairi, DDS
• Gregory W Kulesza, MD
• Ujjwal Kumar
• Anupallavi Kunkala, PT
• Adam Sylvester Kur III, MD

• Medical Physician Assistant in Troy, MI
• Providers in Troy, MI by specialty
• Medical Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.