Individual provider Active NPI

Christina Kukula, D.O.

  • Family Medicine Physician
  • Venice, FL
National Provider Identifier
1669484291
Registry record updated Nov 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS7394 Issued in FL
Practice address
1700 E Venice Ave
Venice, FL 34292-3190
Phone
(941) 483-9760
Fax
(941) 483-9775
NPI assigned
Aug 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X OS7394 FL
Family Medicine Physician 207Q00000X OS7394 FL Primary

Addresses

Primary practice location

1700 E Venice Ave
Venice, FL 34292-3190

Mailing address

1700 E Venice Ave
Venice, FL 34292-3190
Phone (941) 483-9760

Other identifiers 1

IdentifierTypeStateIssuer
252789800MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20080403000298 FL Practitioner - Family PracticePractitioner - Emergency Medicine 9638256449 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Emergency Medicine
Education
Philadelphia College of Osteopathic Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Global Physician Network LLC Series IIGroup PAC ID 7012282775, 67 clinicians

Practice addresses (Care Compare)

5360 University Pkwy
Sarasota, FL 34243-5800
Phone (941) 917-1234

5590 Bee Ridge Rd
BLDG a
Sarasota, FL 34233-1513
Phone (941) 952-4950

6331 S Tamiami TRL
Global Physician Network LLC Series 1
Sarasota, FL 34231-3917
Phone (941) 917-5678

997 US Hwy 41 Byp N
Ambulatory Care Physicians of Sarasota
Venice, FL 34285-6046
Phone (941) 952-4250

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Global Physician Network LLC Series II CurrentSince Jun 1, 2024 Accepting new patients
Venice Emergency Medical Associates PA CurrentSince Jul 15, 2005 Accepting new patients

Locations

6331 S Tamiami Trl
Sarasota, FL 34231
Phone (941) 917-5678

540 The Rialto
Venice, FL 34285
Phone (866) 481-2553

621 Tamiami Trl S
Venice, FL 34285
Phone (941) 483-7449

Organizations & group practices 2

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636416000000",
    "number": "1669484291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 E VENICE AVE",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342923190",
            "telephone_number": "941-483-9760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 E VENICE AVE",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342923190",
            "telephone_number": "941-483-9760",
            "fax_number": "941-483-9775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUKULA",
        "first_name": "CHRISTINA",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-12",
        "last_updated": "2021-11-09",
        "certification_date": "2021-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "FL",
            "license": "OS7394",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS7394",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "252789800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Venice, FL

Sources for this page

Verify at the official NPI Registry.