Rick Allen Kukulka, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

ME 92993 Issued in FL

Practice address

5326 Swift River CT
Bradenton, FL 34208-5463

Phone

(308) 660-5567

NPI assigned

Jul 11, 2005

Last updated

Apr 29, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 2

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Freedom Health HMO Network

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.

• Radiology Regional Center P a

  • Diagnostic Radiology Physician
  • Fort Myers, FL
  • NPI 1407809262
  Medicare reassignment NPD
• Sound Medical Imaging PLLC

  • Diagnostic Radiology Physician
  • Puyallup, WA
  • NPI 1598713273
  NPD (past)

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

{
    "created_epoch": "1121040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651190400000",
    "number": "1689672040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5326 SWIFT RIVER CT",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342085463",
            "telephone_number": "308-660-5567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5326 SWIFT RIVER CT",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342085463",
            "telephone_number": "308-660-5567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUKULKA",
        "first_name": "RICK",
        "middle_name": "ALLEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-11",
        "last_updated": "2022-04-29",
        "certification_date": "2022-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NE",
            "license": "24735",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OH",
            "license": "35063049",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME 92993",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "114009000",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA BLUE",
            "identifier": "SATZW",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jason Krywko
• Mark A Krywko
• Andrzej Kucharski, MD
• Kathleen Marie Kucharski, LMT
• Richard Frederick Kuehne, MD
• Heidi Karen Kulas, LMT
• Raphael Kulawik, D.O.
• Michael Gerard Kulikowski, RPH
• Kristin Beth Kulju, DC
• Avinash G Kumar, MD

• Diagnostic Radiology Physician in Bradenton, FL
• Providers in Bradenton, FL by specialty
• Diagnostic Radiology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2022; 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.