Individual provider Active NPI

Timothy Ray Kuklo, M.D.

  • Orthopaedic Surgery of the Spine Physician
  • Denver, CO
National Provider Identifier
1487672440
Registry record updated Feb 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
License
48576 Issued in CO
Practice address
1601 E 19TH Ave Ste 3800
Denver, CO 80218-1252
Phone
(303) 563-2755
Fax
(303) 861-6219
NPI assigned
Jul 18, 2006
Last updated
Feb 9, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery of the Spine Physician 207XS0117X 48576 CO Primary

Addresses

Primary practice location

1601 E 19TH Ave Ste 3800
Denver, CO 80218-1252

Mailing address

4900 S Monaco St Ste 210
Denver, CO 80237-3487
Phone (303) 563-2755

Other identifiers 1

IdentifierTypeStateIssuer
68627866MedicaidCO

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address TIMOTHY.KUKLO@hca3.eclinicaldirectplus.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100831000445 CO Practitioner - Orthopedic Surgery 7517902000 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
75.69 of 100Reported as group
Quality
71.4
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
48576COMDOrthopaedic Surgery of the Spine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Healthone Clinic Services-Surgical Specialties LLC CurrentSince Mar 1, 2016 Accepting new patients
HCA-Healthone, LLC Past Accepting new patients
HCA Healthone LLC Past Accepting new patients

Locations

1601 E 19th Ave
Denver, CO 80218
Phone (303) 286-8692

1601 E 19th Ave
Ste 3800
Denver, CO 80218
Phone (303) 563-2755

1719 E 19th Ave
Denver, CO 80218
Phone (303) 839-6000

4809 Argonne St
Denver, CO 80249
Phone (303) 563-2784

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Interoperability endpoints

  • Direct secure messaging: timothy.kuklo@hca3.eclinicaldirectplus.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644364800000",
    "number": "1487672440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4900 S MONACO ST STE 210",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802373487",
            "telephone_number": "303-563-2755",
            "fax_number": "303-861-6219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 E 19TH AVE STE 3800",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802181252",
            "telephone_number": "303-563-2755",
            "fax_number": "303-861-6219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUKLO",
        "first_name": "TIMOTHY",
        "middle_name": "RAY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2022-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "CO",
            "license": "48576",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "68627866",
            "state": "CO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "TIMOTHY.KUKLO@hca3.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "1601 E 19th Ave Ste 3800",
            "city": "Denver",
            "state": "CO",
            "country_code": "US",
            "postal_code": "802181252",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.